Joke Collection Website - Talk about mood - Can medical insurance be reimbursed after injury?
Can medical insurance be reimbursed after injury?
Yes, if the third party fails to pay or cannot determine the third party, the basic medical insurance fund will pay first. After the basic medical insurance fund is paid in advance, the medical insurance (including mutual medical care) that has the right to recover social security from the third party does not reimburse traffic accidents. Medical insurance is difficult to reimburse the perpetrators, and only the perpetrators are responsible for compensation. It is also difficult to reimburse the medical expenses you bear in medical insurance. After the traffic accident: Article 30 of People's Republic of China (PRC) Social Insurance Law is not included in the basic medical insurance fund. The legal basis is generally handled according to motor vehicle traffic accidents; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses should be borne by the third party according to law, but there are two situations in which medical insurance can be used to reimburse some medical expenses: first, medical expenses should be borne by the third party according to law, and the traffic accident itself is fully responsible. The medical expenses incurred due to the injury caused by one's own fault are not included in the payment scope of the basic medical insurance fund, and the medical insurance department must reimburse them. If the third party is unable to pay or cannot determine the third party, the medical expenses shall be paid in advance by the basic medical insurance fund. After the basic medical insurance fund pays in advance, it has the right to recover from the third party, but medical insurance can reimburse some drugs.
Legal objectivity:
"Detailed Rules for the Implementation of the Social Insurance Law of People's Republic of China (PRC)" Article 8 If the medical expenses incurred by the insured in the agreed medical institutions meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities, they shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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