No birth certificate can be reimbursed medical insurance

The reimbursement of medical insurance without a birth certificate needs to be decided on a case-by-case basis, as follows:

1. If the pregnancy is due to non-family planning reasons (e.g., unplanned pregnancy or medical reasons, etc.), then you can provide relevant medical certificates and apply for reimbursement of medical expenses to the medical insurance department when you visit the hospital;

2. If the pregnancy is due to the violation of family planning policies, then There may be some difficulty in reimbursing medical expenses, and you will need to provide relevant certificates and explanations to the health insurance department and have them approved on a case-by-case basis.

Medicare reimbursement conditions:

1. Confirmation of enrollment status: Before you go to the doctor, you need to confirm that you have enrolled in the local health insurance, which can be confirmed through social security cards, health insurance certificates, etc.

2. Type of medical treatment: The health insurance will generally only reimburse the therapeutic medical acts, such as outpatient, hospitalization, surgery, and checkups. Some cosmetic medical practices, such as cosmetic dentistry and plastic surgery, are usually not covered by health insurance;

3. Medical expenses: Health insurance will only reimburse the medical expenses that meet the requirements, such as diagnosis and treatment costs, drug costs, examination fees, and surgical fees. The medical insurance will not reimburse you for any out-of-pocket expenses.

4. Hospital qualifications: The medical insurance will only reimburse you for medical expenses incurred by legally operated medical institutions, such as public hospitals, qualified private hospitals, etc. If you do not have a legal medical institution or clinic, you will not be reimbursed. If you are not a legitimate medical institution or clinic, you will not be reimbursed by the medical insurance.

In summary, the birth certificate is part of the family planning policy. Couples who meet the policy requirements should obtain a birth certificate before getting pregnant to ensure that they can enjoy the policy benefits and protections during pregnancy, delivery and childcare.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that conform to the basic medical insurance drug list, diagnostic and treatment items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.