The inclusion of assisted reproduction in medical insurance is a benefit for millions of families. However, the greater the benefits, the more important it is to maintain compliance standards. As the number of medical consultations increases, some institutions and individuals begin to exploit medical insurance funds illegally. This article explains the current efforts to combat fraud in assisted reproduction, as well as how patients can protect themselves.

1. Why Assisted Reproduction Is a Focus of Regulation

In the first half of 2026, medical insurance covered 1.7096 million consultations related to assisted reproduction, with total expenditures exceeding 1.9 billion yuan. With such large-scale operations, ensuring the safety of medical funds becomes a top priority for regulators. Any attempt to exploit "life-saving money" will undermine the protection provided to all patients.

2. Common Forms of Irregularities

• Fabrication of services: Using medical insurance codes for examinations or treatments that were not actually performed;
• Replacement of services: Using items not listed in the directory as eligible for reimbursement;
• Fragmented billing: Breaking down a single treatment into multiple charges;
• Assistance in fraud: Using someone else's medical insurance card to obtain reimbursement.

These actions are not only illegal but also potentially legal violations.

3. How Regulators Respond

The National Healthcare Security Administration continues to improve its monitoring and random inspections. Institutions must strictly follow the national list of basic medical services, ensuring proper coding and settlement processes. Patients should also report any irregularities through designated channels (such as the NHA's reporting hotline and email address).

4. What Patients Should Do

• Choose Qualified Institutions: Only visit institutions that have the necessary qualifications for assisted reproduction technology;
• Check Listes: Verify the services and costs during settlement, and report any discrepancies immediately;
• Avoid Being a Facilitator: Do not lend or use other people's medical insurance cards;
• Use Reporting Tools Wisely: If you discover signs of fraud, report it to healthcare authorities to protect everyone's rights.

5. The Attitude of Leilawa

We firmly oppose any form of fraud. In our efforts to educate and serve, Leilawa always guides customers to follow official guidelines and choose legitimate institutions. We do not tolerate any illegal activities. Protecting the safety of medical funds means protecting the fertility hopes of every family.