Agent skill

Cn Medical Insurance Claim

by mohitagw15856 in mohitagw15856/pm-claude-skills

A skill your agent uses when asked 医保怎么报销, 异地就医怎么备案, 住院能报多少, 门诊报销比例, 手工报销要什么材料, 惠民保值不值得买, or work out what China's basic medical insurance (医保) will pay for a treatment.

MITAuto-check passedBusiness, Finance & HR

Install Cn Medical Insurance Claim

skills CLI
$ npx skills add mohitagw15856/pm-claude-skills --skill cn-medical-insurance-claim -a claude-code

Project install by default; add -g for ~/.claude/skills/.

GitHub CLI
$ gh skill install mohitagw15856/pm-claude-skills cn-medical-insurance-claim --agent claude-code

Project scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).

Manual copy
$ git clone --depth 1 https://github.com/mohitagw15856/pm-claude-skills.git skills-src && mkdir -p .claude/skills && cp -r skills-src/skills/cn-medical-insurance-claim .claude/skills/cn-medical-insurance-claim && rm -rf skills-src

Use ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.

Claude Code skills documentation · loads skills from .claude/skills/

Facts

Skill name
cn-medical-insurance-claim
GitHub stars
1.4k
Token cost
~1.1k tokens
SKILL.md length
583 words
Files
1
Skills in repo
1,348
Repo updated
First seen
Licence
MIT

At a glance

A skill your agent uses when asked 医保怎么报销, 异地就医怎么备案, 住院能报多少, 门诊报销比例, 手工报销要什么材料, 惠民保值不值得买, or work out what China's basic medical insurance (医保) will pay for a treatment.

  • Works in 6 steps: How this claim works → Cross-region care (if relevant) → Out-of-pocket estimate → …
  • Work out what Chinas basic medical insurance (医保) will pay for a treatment
  • SKILL.md covers Required Inputs, Output Structure, Quality Checks and Anti-Patterns, plus 1 more section
  • Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md

What it does

Cn Medical Insurance Claim is an agent skill from mohitagw15856/pm-claude-skills. Use when asked 医保怎么报销, 异地就医怎么备案, 住院能报多少, 门诊报销比例, 手工报销要什么材料, 惠民保值不值得买, or work out what China's basic medical insurance (医保) will pay for a treatment. Produces the person's scheme (职工医保 or 居民医保), how a claim works for this case (direct settlement or manual reimbursement), an out-of-pocket estimate built from the city's own deductible, rate and cap, the cross-region registration (异地就医备案) steps, and the documents to keep.

Its SKILL.md is about 1.1k tokens, which your agent loads only when the skill is triggered. It is a single SKILL.md file with no bundled scripts.

It sits in Business, Finance & HR, covering Accounting and bookkeeping. The repository describes itself as: 1255 professional Agent Skills for Claude, ChatGPT, Gemini, Cursor & Codex — PRDs, postmortems, leases, medical bills, layoffs, go-bags, new countries. Plain markdown, MIT, in… The licence is MIT.

When your agent uses it

  • Work out what Chinas basic medical insurance (医保) will pay for a treatment
  • Tasks that involve Accounting and bookkeeping

Example prompts

  • “/cn-medical-insurance-claim”

Workflow steps

6 steps, taken from the step headings in SKILL.md.

  1. How this claim works
  2. Cross-region care (if relevant)
  3. Out-of-pocket estimate
  4. Documents to keep
  5. Supplementary cover check
  6. 长辈版 (optional, when the claim is for or by an older person)

What it can do on your machine

Read from SKILL.md and the folder at commit 1cbf1f0. It shows what the files ask for, not the result of running them.

  • Tool permissions

    Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.

    From allowed-tools in the SKILL.md frontmatter.

  • Runs code

    No scripts in the folder and no shell commands in SKILL.md.

    From the folder's file list and the shell code blocks in SKILL.md.

  • Network

    No URLs in SKILL.md.

    From URLs in SKILL.md, links to its own repository left out.

  • Credentials

    Names no API keys, tokens, secrets or passwords.

    From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.

Context cost

Cn Medical Insurance Claim loads about 1.1k tokens when it runs. Until then it costs about 112 tokens; SKILL.md has 583 words of instructions outside code blocks.

Always · name and description, kept in context so the agent knows when to use it
~112
When it runs · the whole SKILL.md, loaded when a task matches
~1.1k

Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.

Safety

Auto-check passed

The automated check found no risky patterns in SKILL.md.

Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.

SKILL.md

The full file from mohitagw15856/pm-claude-skills at commit 1cbf1f0, republished under its MIT licence (© mohitagw15856). 583 words, ~1,089 tokens.

Download SKILL.mdSave it as .claude/skills/cn-medical-insurance-claim/SKILL.md (or your agent's skills folder).
name
cn-medical-insurance-claim
description
Use when asked 医保怎么报销, 异地就医怎么备案, 住院能报多少, 门诊报销比例, 手工报销要什么材料, 惠民保值不值得买, or work out what China's basic medical insurance (医保) will pay for a treatment. Produces the person's scheme (职工医保 or 居民医保), how a claim works for this case (direct settlement or manual reimbursement), an out-of-pocket estimate built from the city's own deductible, rate and cap, the cross-region registration (异地就医备案) steps, and the documents to keep.
version
1.0.0

Medical Insurance Claims (医保报销)

China's basic medical insurance pays a share of most treatment, but how much depends on the scheme, the city, the hospital level, inpatient or outpatient care, and whether the treatment happens away from the insured city. People overpay by not registering for cross-region care before going, or by losing receipts needed for manual claims. This skill explains how a claim works for the person's case and estimates what they will pay from the city's own figures.

Write in Simplified Chinese. Deductibles (起付线), rates and caps (封顶线) are set locally and change each year; use the figures from the local 医保局 or the 国家医保服务平台 app, and treat the estimate as a guide, not a quote.

Required Inputs

Ask for these if not provided:

  • Insured city and scheme: 职工医保 (through an employer) or 城乡居民医保
  • Treatment: inpatient or outpatient, condition, expected cost, hospital and its level
  • Where the treatment happens: the insured city or another city (and whether they live there or are visiting)
  • The city's figures for deductible, reimbursement rate and cap, if the person has them
  • Supplementary cover: 大病保险, 惠民保, commercial insurance, employer plans

Output Structure

1. How this claim works

Direct settlement at the hospital (就医直接结算) or manual reimbursement (手工报销) afterwards, and which applies here.

2. Cross-region care (if relevant)

How to file 异地就医备案 (for example through the 国家医保服务平台 app or the insured city's channel), the categories (long-term residence, temporary visit, referral) and the effect on the reimbursement rate, all to confirm locally.

3. Out-of-pocket estimate

Only from figures the person provides or is directed to: | Item | Amount | Basis | Total cost, items not covered (自费项目) and partly covered (乙类先自付), deductible, insured share at the city's rate up to the cap, then 大病保险 or 惠民保 if they apply, and the person's remaining share. Show the calculation; do not invent figures.

4. Documents to keep

For manual claims: invoices (发票), itemised bills (费用清单), discharge summary (出院小结), diagnosis, prescriptions, and the claim form; deadlines to confirm.

5. Supplementary cover check

Whether 惠民保 or other cover adds anything for this case, judged on its own terms (deductible, covered drugs, exclusions), without recommending a product.

Show full SKILL.md (229 more words)Show less
6. 长辈版 (optional, when the claim is for or by an older person)

When the person asks for it, or is helping a parent, add a version the older person can follow alone: one action per step numbered 第一步, 第二步 (no more than eight), short sentences, no jargon (say what to bring and which window or app button, not 直接结算 or 备案 without a plain explanation), and a last line: 有不明白的,先别签字、别付钱,打电话给 [家人] 或 12393 医保服务热线 (需核实). For the wider errand, see cn-help-parents-admin.

Quality Checks

  • The scheme and settlement method are identified for this case
  • Cross-region registration is covered whenever treatment is outside the insured city
  • The estimate uses only figures the person supplied or was directed to, with the calculation shown
  • Uncovered and partly covered items are separated before applying the rate
  • Every local figure and deadline is marked to confirm with the 医保局
  • No insurance product is recommended
  • If a 长辈版 is included, it uses one action per step, plain words and a call-for-help line

Anti-Patterns

  • Going to another city without filing 异地就医备案. It can cut the reimbursement sharply.
  • Applying the rate to the whole bill. Uncovered items come off first.
  • Throwing away receipts. Manual claims fail without them.
  • National averages. Every city sets its own deductible, rate and cap.

Example Trigger Phrases

  • "我是北京职工医保,去上海住院,要备案吗?能报多少?"
  • "住院花了 5 万,医保大概能报多少?"
  • "手工报销需要哪些材料?"
  • "How much will China's medical insurance cover for my surgery?"

© mohitagw15856, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file

Files

Just SKILL.md in skills/cn-medical-insurance-claim of mohitagw15856/pm-claude-skills.

Open the folder on GitHubat commit 1cbf1f0

Compare with similar skills

Cn Medical Insurance Claim next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.

Cn Medical Insurance Claim compared with similar skills
SkillStarsUsed inTokensAuto-checkLicenceRepo updated
Cn Medical Insurance Claim this skillmohitagw15856/pm-claude-skills1.4k—~1.1kAutomated safety check: PassMIT
Sync Upstreamnyaruka/phonenumbers1.6k—~2.8kAutomated safety check: PassMIT
Radiology Tablehuang-sir1/radiology-skills1.9k—~1.3kAutomated safety check: PassCustom licence
ERPClaw ERP Controlleravansaber/erpclaw116—~18kAutomated safety check: PassGPL-3.0
Odoo Agency Fleet Reviewerpipe-org/mcp-odoo421—~699Automated safety check: PassMIT
Beancount Closebex-co/beancount-io297—~1.4kAutomated safety check: PassMIT

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Questions about Cn Medical Insurance Claim

What does Cn Medical Insurance Claim do?

A skill your agent uses when asked 医保怎么报销, 异地就医怎么备案, 住院能报多少, 门诊报销比例, 手工报销要什么材料, 惠民保值不值得买, or work out what China's basic medical insurance (医保) will pay for a treatment. Cn Medical Insurance Claim is an agent skill from mohitagw15856/pm-claude-skills. Use when asked 医保怎么报销, 异地就医怎么备案, 住院能报多少, 门诊报销比例, 手工报销要什么材料, 惠民保值不值得买, or work out what China's basic medical insurance (医保) will pay for a treatment.

When should I use Cn Medical Insurance Claim?

Cn Medical Insurance Claim fits situations like: work out what Chinas basic medical insurance (医保) will pay for a treatment; tasks that involve Accounting and bookkeeping.

How do I install Cn Medical Insurance Claim in Claude Code?

Run `npx skills add mohitagw15856/pm-claude-skills --skill cn-medical-insurance-claim -a claude-code`. Or copy the skill folder (skills/cn-medical-insurance-claim in mohitagw15856/pm-claude-skills) into .claude/skills/cn-medical-insurance-claim in your project. Claude Code loads it when a task matches its description.

How do I install Cn Medical Insurance Claim in Codex?

Run `npx skills add mohitagw15856/pm-claude-skills --skill cn-medical-insurance-claim -a codex`. Or copy the skill folder (skills/cn-medical-insurance-claim in mohitagw15856/pm-claude-skills) into .agents/skills/cn-medical-insurance-claim in your project. Codex loads it when a task matches its description.

Can I use Cn Medical Insurance Claim in Cursor, Gemini CLI or GitHub Copilot?

Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add mohitagw15856/pm-claude-skills --skill cn-medical-insurance-claim -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/cn-medical-insurance-claim, .gemini/skills/cn-medical-insurance-claim, .github/skills/cn-medical-insurance-claim and .opencode/skills/cn-medical-insurance-claim in your project.

What does Cn Medical Insurance Claim need to run?

SKILL.md names no scripts, command-line tools or credentials: Cn Medical Insurance Claim is instructions for the agent only.

Does Cn Medical Insurance Claim access the network?

SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.

Is Cn Medical Insurance Claim safe to install?

Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.

What licence does Cn Medical Insurance Claim use?

Cn Medical Insurance Claim is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.

How many tokens does Cn Medical Insurance Claim use?

About 1.1k tokens (SKILL.md is roughly 4.4k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full.

What are the alternatives to Cn Medical Insurance Claim?

Skills that share tags, products or a category with Cn Medical Insurance Claim: Sync Upstream (nyaruka/phonenumbers, 1.6k stars), Radiology Table (huang-sir1/radiology-skills, 1.9k stars), ERPClaw ERP Controller (avansaber/erpclaw, 116 stars) and Odoo Agency Fleet Review (erpipe-org/mcp-odoo, 421 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.

Who maintains Cn Medical Insurance Claim?

mohitagw15856 (a GitHub user) maintains it in mohitagw15856/pm-claude-skills, which has 1,434 GitHub stars. The repository holds 1,348 skills in this directory. The repository was last updated on October 9, 2026.

Source: mohitagw15856/pm-claude-skills on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.