What should I do when making an accident insurance claim?

Updated on society 2024-02-29
4 answers
  1. Anonymous users2024-02-06

    First, the level of accidental disability.

    The parties shall submit a written application to the traffic police organ or people's court handling the case, and the case-handling organ shall review and make a decision in accordance with law and make arrangements.

    In addition, the key to applying for appraisal here depends on the amount of insurance you buy.

    and types of insurance. Is there any accident medical insurance, hospitalization expense compensation insurance and hospitalization fixed rate (allowance) insurance? All three plans can be claimed. If you become disabled as a result of an accident, you can also apply for accidental disability insurance claims.

    1. Accidental medical insurance is to compensate for reasonable medical expenses incurred due to accidental injury. Because of an accident, it means that the previous illness will not be compensated if it is ** together this time. Reasonable, that is, the cost of excessive ** and the cost of non-social security medication are not compensated.

    2. Within this range, it also depends on the special agreement in the insurance. This is stated in the contract. Some pay 100%, some only pay 80%, some start at 100 yuan, some pay 80% for the part above 100 yuan, and so on.

    3. The amount of this claim cannot be greater than the insured amount of accident medical insurance, if you also buy hospitalization medical insurance, then you can also compensate, and there is also an agreement and a limit. You can apply at the same time.

    4. If you have a disability and have purchased disability insurance, you must wait for the accident to occur 180 days after the disability assessment.

    Then file a claim. You will need to submit all your medical records.

    Examination results, laboratory test results, and discharge summary.

    The list of medications, the formal invoice (there must be a stamp from the tax bureau below the first line in the middle of the invoice), and the claim application and ID card must be submitted.

    Photocopy, copy of bank book (where the claim will be paid), insurance contract.

    Extended Information: Compensation Standards:

    Disability compensation is calculated for 20 years from the date of determination of disability on the basis of the degree of the victim's inability to work or the level of disability, and according to the per capita disposable income of urban residents or the per capita net income of rural residents in the previous year at the location of the court where the lawsuit is filed. However, if the age is over 60 years old, the age shall be reduced by one year for each additional year; Those over the age of 75 are counted as five years.

    Where the victim is disabled due to injury but his actual income has not decreased, or where the level of disability is relatively minor but causes occupational obstruction that seriously affects his or her employment, the disability compensation may be adjusted accordingly.

    Grade 10 disability.

  2. Anonymous users2024-02-05

    At present, almost all insurance companies have a uniform set of standards for accident insurance disability.

    There are a total of 10 levels of disability rating, the smaller the number, the higher the degree of disability, so the most serious level 1 disability will receive the most claims, and the 10th level disability will be the lowest, and the compensation will be the least.

    The appraisal of disability needs to be carried out by a qualified appraisal institution (which can be a hospital appraisal or a judicial appraisal institution), and the appraisal is generally carried out according to the physical condition of 180 days from the date of the accident (subject to the terms and conditions).

    The appraisal report belongs to the materials that the customer needs to provide, so the appraisal fee is borne by the customer.

  3. Anonymous users2024-02-04

    Summary. If you pay accident insurance, you can do disability appraisal and be rated. OK.

    According to Article 21 of the Regulations on Work-related Injury Insurance, if an employee suffers a work-related injury and has a disability that affects his or her ability to work after the injury is relatively stable, he or she shall be assessed for his or her ability to work. The appraisal of labor ability shall be carried out by the employer.

    After paying accident insurance, can I do a disability assessment? Can it be rated?

    If you pay accident insurance, you can do disability appraisal and be rated. OK. According to Article 21 of the Regulations on Work-related Injury Insurance:

    If an employee suffers a work-related injury and has a disability that affects his or her ability to work after the injury is relatively stable, an appraisal of his or her ability to work shall be conducted. The appraisal of labor ability shall be judged by the employing person.

    When the insured has an accident that causes physical disability, he can apply for a disability appraisal after receiving a good argument in the hospital, but he will not be compensated without a disability appraisal certificate after reporting to the insurance company and before applying for compensation. 2. The place of disability appraisal is a judicial appraisal institution with professional qualifications, and the insured must apply for appraisal in advance if he wants to conduct a disability appraisal, and then bring the hospital's diagnosis certificate to the institution on the day of appraisal.

    Is the compensation the same for those with and without a disability assessment?

    Work-related injury appraisal compensation and disability appraisal compensation are not the same, I mean, if you go to the insurance company for reimbursement, is the compensation for disability appraisal and disability appraisal reimbursement the same?

    It's not the same. How much worse can it be.

    57,743 yuan.

    So much, yes.

    Then I'm going to have to do it, I'm ruptured in my Achilles tendon.

    You can do it. Do you know how many levels of disability can be assessed for Achilles tendon rupture? Level 9.

  4. Anonymous users2024-02-03

    Summary. If you pay accident insurance, you can do disability appraisal and be rated. If you pay accident insurance, you can do disability appraisal and be rated.

    OK. According to Article 21 of the Regulations on Work-related Injury Insurance, an employee has a work-related injury and has a disability after the injury is relatively stable.

    After paying accident insurance, can I do a disability assessment? Can it be rated?

    If you have handed over the town accident insurance stockings, you can do disability appraisal and be rated. If you pay accident insurance, you can do disability appraisal and be rated. OK.

    According to Article 21 of the Regulations on Work-related Injury Protection, an employee has a work-related injury and has a disability after the injury is relatively stable.

    The place of disability appraisal is a judicial appraisal institution with professional qualifications, and the insured must apply for appraisal in advance if he wants to conduct disability appraisal, and then bring the hospital's diagnosis certificate to the institution on the day of appraisal. Work-related injury appraisal compensation and disability appraisal compensation are not the same, pure code and same, not the same 57,743 yuan, yes, you can do the ninth level.

    What grade can a trimalleolar fracture be rated?

    When the disability assessment of the trimalleolar fracture is carried out, it can generally be classified as a grade 10 disability or a grade 9 injury.

    Are you sure. It's really pro.

    Is there a possibility that you can't be rated?

    There's no chance that you can't be rated.

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