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Can I claim medical insurance for birthmark removal?

Birthmark removal cannot be covered by medical insurance.

Conditions for medical insurance reimbursement: 1. To obtain medical insurance reimbursement for medical acts occurring in designated institutions, the insured must first go to the designated medical institutions and pharmacies stipulated in the basic medical insurance for medical treatment or purchase medicines before they can obtain reimbursement, otherwise they will not be reimbursed.

; 2. In order to obtain medical insurance reimbursement if it belongs to the social security catalog, the diagnosis and treatment items or the purchased medicines must first fall in the social security catalog before it can be reimbursed, otherwise it will not be reimbursed; 3. The deductible standard must be met

To obtain reimbursement from medical insurance, first of all, the medical expenses incurred by the insured person reach the deductible line stipulated by social security. The part exceeding the deductible line can be reimbursed only if it is within the limit, and the basic medical coordinating fund will pay a uniform proportion.

The required materials are as follows: 1. Original valid ID or social security card of the insured person; 2. Original medical records, examinations, test result reports and other medical information; 3. If applying on behalf of someone else, you need to provide the ID card of the agent.

Original; 4. Original disease diagnosis certificate issued by a specialist in a designated medical institution; 5. Outpatient fee detailed list printed by the hospital computer or the original payer of the prescription issued by the doctor; 6. Original outpatient fee receipt from a unified financial and taxation medical institution.

The medical insurance application process is: 1. Prepare the ID card of the insured person first; 2. Household registration book and employer-related information, go to the medical insurance window of the local medical insurance center to apply for medical insurance, follow the staff's instructions and follow the procedures to apply for medical insurance, and complete the process

Then go to the service point within the specified time to receive the medical insurance card for you.

Medical insurance reimbursement process: 1. Original ID card or social security card; 2. Original disease diagnosis certificate issued by a specialist at a third-level or second-level hospital in a designated medical institution; 3. Outpatient medical records, examinations, test result reports, etc.

Original documents; 4. Original outpatient fee receipts from unified financial and taxation medical institutions; 5. Outpatient fee detailed list printed by the hospital or original payer of the prescription issued by the doctor; 6. Designated pharmacies: original unified invoice and printed list for tax merchandise sales; 7.

. If applying on behalf of an agent, please provide the original ID card of the agent.

To sum up, the materials required for medical insurance reimbursement include the hospital’s medical record, which needs to be filled in by the doctor and a discharge certificate is required; a general account sheet of medical expenses is also required, including drug expenses, hospitalization expenses, surgery expenses, and nutrition expenses.

, medical expenses and other expenses that can be reimbursed by various medical insurance regulations. In addition, it also includes the original and copy of the party’s ID card.

Legal basis: Article 10 of the "Social Insurance Law of the People's Republic of China" An insurance contract is an agreement between the policy holder and the insurer to stipulate the insurance rights and obligations.

An insured person refers to a person who enters into an insurance contract with an insurer and is obligated to pay insurance premiums in accordance with the contract.

An insurer refers to an insurance company that enters into an insurance contract with the policy holder and assumes the liability for compensation or payment of insurance premiums in accordance with the contract.

Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.