However, capillary hemangioma, strawberry hemangioma, mixed hemangioma, cavernous hemangioma, lymphatic hemangioma, tendinous hemangioma and hepatic hemangioma in vascular birthmark are all within the scope of reimbursement.
The reimbursement scope of the new rural cooperative medical system is not included in the reimbursement scope of the new rural cooperative medical system:
(a) the outpatient medical expenses of designated hospitals in non-co-ordination areas (except for outpatient treatment expenses for special diseases), and the expenses incurred by failing to seek medical treatment according to regulations and purchasing medicines by themselves;
(two) the cost of family planning measures and medical expenses in violation of the family planning policy.
Pigmented birthmarks belong to the field of medical beauty, which is not within the scope of medical reimbursement, and the state has no regulations, so pigmented birthmarks cannot be reimbursed. However, capillary hemangioma, strawberry hemangioma, mixed hemangioma, cavernous hemangioma, lymphatic hemangioma, tendinous hemangioma and hepatic hemangioma in vascular birthmark are all within the scope of reimbursement. However, the reimbursement policy for nevus flammeus in hemangioma (also known as red birthmark, a kind of capillary hemangioma) is different. In many areas, nevus flammeus is classified as medical beauty and cannot be reimbursed.
Legal basis:
People's Republic of China (PRC) social insurance law
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
If the medical expenses should be borne by a third party according to law, the third party will not pay.
Or the third person cannot be identified, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.