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If there is third-party liability for injuries caused by a motorcycle fall, rural cooperative medical care cannot be reimbursed.
The following situations are not included in the scope of reimbursement for the new rural cooperative medical care:
1) Outpatient medical expenses of non-designated hospitals in the district (except for outpatient expenses for special diseases), expenses arising from failure to seek medical treatment in accordance with regulations, and self-purchase of drugs;
2) Expenses required for family planning measures and medical expenses in violation of family planning policies;
3) Dental prosthesis, orthodontics, optometry and glasses, hearing aids, artificial organs, cosmetology, cosmetic and orthopedic surgery, sexual medical treatment (such as qigong, massage, massage, physiotherapy, magnetic therapy, etc.) and all kinds of escort fees, medical transportation expenses, home visit fees, other miscellaneous expenses during hospitalization.
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Traffic accidents are not reimbursed.
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No, it can't be reimbursed, whether it's rural medical insurance or urban medical insurance, employee medical insurance, all injuries caused by traffic accidents on the road, including injuries caused by fights, can't go to medical insurance, it must be, at your own expense, if your car is bought with insurance, you can go to vehicle insurance reimbursement, you can also take compulsory traffic insurance, rural medical insurance can not be reimbursed,
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Hello, this can be assured, If you are injured while riding a motorcycle, you can be reimbursed by medical insurance. Social health insurance reimbursement is reimbursed after discharge or transfer. Settlement procedures for inpatient and special disease outpatient**:
1. Before the 10th of each month, the designated medical institutions shall report the cost statement, hospitalization statement and relevant information of the discharged patients in the previous month to the medical insurance agency, and the medical insurance agency shall review and approve it as the basis for monthly pre-allocation and year-end accounts; I hope it will happen soon.
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[The following are not covered by the reimbursement of rural cooperative medical insurance:]:
1. Self-medical treatment (no designated hospital for medical treatment or no referral form), self-purchased drugs, drugs that cannot be reimbursed by publicly-funded medical regulations, and medical expenses that do not meet the requirements of family planning;
2. Outpatient fees, house visit fees, hospitalization fees, food expenses, accompanying fees, nutrition fees, blood transfusion fees (except for those with family blood storage, which will be reimbursed according to relevant regulations), air conditioning and heating fees, ambulance fees, special nursing fees and other expenses;
3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents;
4. Orthopedics, plastic surgery, dental prosthesis, prosthesis, organ transplantation, roll call surgery fees, consultation fees, etc.
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If an accident on a motorcycle falls in line with the conditions of rural medical insurance and reimbursement, rural medical insurance can be reimbursed.
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OK. As long as it is not an accidental injury caused by fighting, suicide and other behaviors, you can use rural medical insurance to ** the disease and reimburse the expenses.
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If you fall down in an accident caused by riding a motorcycle, the rural medical insurance can reimburse it. But when he was reimbursed, his odds were very low, probably only about 50%.
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In this case, there is no claim because a fall on a motorcycle is a traffic accident, and the rural medical insurance is not reimbursed.
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It can be reimbursed, and rural medical insurance can be used for proportional reimbursement of expenses such as illness, accidental injury, and drug purchases.
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If there is no third person injured in the accident, the medical expenses can be reimbursed.
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This kind of accidental injury is not reimbursed by rural medical insurance, he means that those diseases can be reimbursed more for you.
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It should be possible, provided that your motorcycle is regular and has procedures, not a black car and a dirty car, and you can ask any questions about motorcycles on "Haro Moto", and the gods are on it.
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Don't you know if you said you fell and injured yourself, you see if there's room for maneuver.
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Legal analysis: Motorcycle falls can generally be reimbursed by rural cooperative medical care, but if there is a third-party accident liability, the medical expenses arising from personal injury shall be borne by the third party responsible in accordance with the law, such as traffic accidents, medical accidents, work-related injuries, etc.; Rural cooperative health care is not reimbursable.
The reimbursement scope of rural cooperative medical care is: the part of the reimbursement scope (i.e., effective medical expenses) incurred by the participants in the designated hospital for diagnosis and treatment due to illness during the overall planning period, such as drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing fees, etc., which meet the reimbursement scope of urban employee medical insurance.
Legal basis: "Zhengzhou City Urban Residents Basic Medical Insurance Measures (Trial)" Article 31 In any of the following circumstances, the medical expenses incurred by the insured residents in seeking medical treatment shall not be paid: (1) in foreign countries or Hong Kong, Macao and Taiwan** 2) suicide and self-harm (except mental illness) 3) brawls, alcoholism, drug abuse and other injuries and illnesses caused by crimes or violations of the "Public Security Administration Punishment Law" 4) Traffic accidents, accidental injuries, 5) The part of the liability for medical expenses borne by the other party for medical accidents (including occupational diseases) or maternity insurance is within the scope of work-related injury insurance (including occupational diseases).
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Legal analysis: If there is a third-party liability for motorcycle falls, rural cooperative medical care cannot be reimbursed.
Legal basis: Social Insurance Law of the People's Republic of China
Article 23 Employees shall participate in the basic medical insurance for employees, and the employer and the employees shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.
Article 24: The State is to establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.
Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.
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If I fall on a motorcycle, can I be reimbursed by rural medical insurance?
Hello. Legal Analysis: Can Rural Medical Insurance Reimburse Riding a Motorcycle and Falling by Yourself:
Reimbursement is possible. Motorcycle falls can generally be reimbursed by rural cooperative medical care, but in the event of a traffic accident there is a third-party responsibility of the rural cooperative medical care will not be reimbursed, and the reimbursement scope of rural cooperative medical care is the part of the drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing fees and other parts that meet the reimbursement scope of urban employee medical insurance due to illness during the overall planning period. Legal basis:
Social Insurance Law of the People's Republic of China" Article 24 The state shall establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***. Article 25 of the Social Insurance Law of the People's Republic of China The State shall establish and improve the basic medical insurance system for urban residents.
The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the low-income guessing and living security, the disabled who have lost the ability to work, the elderly over 60 years old and minors from low-income families, etc., will be subsidized by **.
Don't be entangled, the formalities can help you solve it.
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