Are the medical expenses of traffic accidents covered by the new rural cooperative medical system?

1. Expenses borne by a third party in an accidental car accident do not fall within the scope of reimbursement for rural cooperative medical care in principle;

2. Only if the perpetrator does not pay or the perpetrator cannot be determined, the new home will pay in advance according to the prescribed proportion;

3. The following medical expenses are not included in the scope of NCMS** payment:

1. It should be borne by public health;

2. It should be paid from work-related injury insurance**;

3. It should be borne by a third party;

4. Caused by intentional crime, alcoholism, drug abuse, suicide, self-harm, brawl, etc.;

5. Seeking medical treatment abroad;

6. Exceeding the scope of the list of essential drugs, basic diagnosis and treatment items and medical service facilities for reimbursement by NCMS.

The medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the NCMS shall pay in advance according to the prescribed proportion. NCMS** has the right to recover from a third party after paying in advance.

The medical expenses of traffic accidents are only covered by car insurance, and most of them do not care. However, you can write a fall injury on the first aid and medical records, and the accident insurance can also be reimbursed. There are limits on the proportion or quota.

If the cooperative medical expenses are reviewed, the medical expenses that can be reimbursed will be borne according to the relevant provisions of the medical insurance, and a considerable part of the medical expenses will definitely be borne by themselves, and it is estimated that individuals will bear more than 60% of the medical expenses.

It depends on whether there is a third-party liability, and if there is a third-party liability, it cannot be reimbursed. The following situations are not included in the scope of reimbursement for new rural cooperative medical care: (1) outpatient medical expenses of designated hospitals in non-districts (except for outpatient expenses for special diseases), expenses arising from failure to seek medical treatment in accordance with regulations, and self-purchased 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.), as well as all kinds of accompanying expenses, medical transportation expenses, home visit fees, other miscellaneous expenses during hospitalization, etc.; (4) Where there is third-party liability, the medical expenses arising from personal injury are to be borne by the third-party responsible party in accordance with law, such as traffic accidents, medical accidents, work-related injuries, and so forth; (5) Medical expenses incurred from injuries caused by illegal acts such as suicide, self-harm, drug use, drug use, and fighting, as well as intentional acts of their families; (6) Medical expenses incurred while going abroad or in Hong Kong, Macao or Taiwan; (7) Drugs and items that are not reimbursed by the medical insurance system for urban employees; (8) Other expenses that are not to be reimbursed as determined by the District Hospital Management Committee.

Legal basis: Article 3 of the "Opinions on the Establishment of a New Rural Cooperative Medical System" The new rural cooperative medical system implements a financing mechanism that combines individual payment, collective support and funding. (1) The annual payment standard for individual farmers shall not be less than 10 yuan, and the payment standard can be increased accordingly in areas with good economic conditions.

Whether or not the employees of township enterprises (excluding those who participate in the new rural cooperative medical care with peasant families as a unit) participate in the new rural cooperative medical care shall be determined by the people at the county level. (2) Qualified rural collective economic organizations shall give appropriate support to the new local rural cooperative medical system. The types of rural collective economic organizations and funding standards for supporting new rural cooperative medical care shall be determined by the people at the county level, but the collective contribution shall not be apportioned to farmers.

Encourage social groups and individuals to fund the new rural cooperative medical system. (3) The annual subsidy of the local government to the farmers participating in the new rural cooperative medical care shall not be less than 10 yuan per capita, and the specific subsidy standards and the proportion of the graded burden shall be determined by the provincial people. In the economically developed eastern region, local governments at all levels can appropriately increase input.

Since 2003, the government has arranged subsidies of 10 yuan per capita for farmers participating in the new rural cooperative medical care in the central and western regions except for urban areas through special transfer payments every year.

Hello, glad to be able to cooperate with medical reimbursement of your questions about traffic accident expenses? Car accidents due to accidents are not covered by rural cooperative medical care. Rural cooperative medical care belongs to the category of social insurance, which is not insured against accidents, and can be reimbursed if you purchase commercial personal accident insurance.

The scope of reimbursement that does not fall within the scope of rural cooperative medical insurance is as follows: 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 conform to family planning. 2. Outpatient fees, house call 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. 5. Within the scope of reimbursement, the part outside the limit.

The rural cooperative medical system is a rural health security system with the nature of medical insurance, which is supported by the first generation, jointly financed by the peasant masses and rural economic organizations, and mutual assistance in medical treatment.

1. Can rural cooperative medical care be reimbursed for traffic accidents?

1. Rural cooperative medical care for traffic accidents cannot be reimbursed. Traffic accidents are third-party expenses and are not covered by the family village cooperative medical reimbursement. Only if the perpetrator of the traffic accident does not pay or the perpetrator cannot be determined, NCMS** shall pay in advance according to the prescribed proportion.

The new rural cooperative medical care** can only be used to compensate the medical expenses of the participants, and the NCMS** has the right to claim compensation from a third party after the advance payment.

2. Legal basis: Article 21 of the Regulations on Compulsory Insurance of Motor Vehicle Traffic Accident Liability.

If a road traffic accident occurs in the insured motor vehicle and causes personal and property losses to the victim other than the vehicle personnel and the insured, the insurance company shall compensate within the liability limit of the compulsory insurance for motor vehicle traffic accident liability in accordance with the law.

If the damage caused by the road traffic accident is intentionally caused by the victim, the insurance company will not compensate for it.

2. How to deal with traffic accident compensation.

Traffic accident compensation is handled as follows:

1. On-site investigation by the transportation department. After the traffic police department reviews the on-site investigation records, it shall require the parties or witnesses to sign the scene map. For the purpose of inspection, the vehicle involved in the accident and the relevant documents of the parties may be detained;

2. Determination of traffic accident responsibility by the traffic department. After investigation, the traffic police department shall determine the responsibility of the parties according to the role of the party's behavior in the traffic accident and the severity of the fault;

3. The transportation department organizes compensation mediation;

4. Entrust a lawyer or file a lawsuit with the people's court on your own, and generally file a lawsuit in the basic people's court where the accident occurred. During the court proceedings, the parties may mediate under the auspices of the court and reach a mediation agreement. If mediation fails, the court shall make a judgment in accordance with law.

Yes, but only for valid medical expenses.

During the overall planning period, the drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing expenses and other parts that meet the reimbursement scope of urban employee medical insurance (i.e., effective medical expenses) incurred by the participants in the designated hospital due to illness are incurred.

The new type of rural cooperative medical care** payment establishes a minimum payment standard and a maximum payment limit. Hospitalization expenses below the hospital's annual payment standard shall be paid by the individual. If the minimum payment standard is reached during the same pooling period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively.

Hospitalization expenses exceeding the minimum payment standard shall be calculated in stages and reimbursed cumulatively, with a maximum limit for cumulative reimbursement per person per year.

Legal analysis: A traffic accident is an accidental car accident for the victim, and the accidental car accident is an expense borne by a third party, and the scope of reimbursement by rural cooperative medical care is deployed.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China Article 28 Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, and emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The social insurance administrative department and the health administrative department shall establish a system for the settlement of medical expenses for medical treatment in other places, and Fang Changchai will enjoy the basic medical insurance treatment for the insured persons. Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**; (2) It shall be borne by a third party; (3) It shall be borne by public health; (4) Seeking medical treatment outside the country.

Medical expenses shall be borne by a third party in accordance with the law, if the three people do not pay or the third party cannot be determined, the basic medical insurance ** pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

Article 31 According to the needs of management services, social insurance agencies may sign service agreements with medical institutions and drug business units to standardize medical services.

Hello, I am happy to serve you and give you the following answers: A: Can rural cooperative medical care be reimbursed for traffic accidents?

Yes, traffic accidents can be reimbursed. According to the Regulations of the People's Republic of China on Compulsory Insurance for Traffic Accident Liability, victims can seek medical treatment at rural cooperative medical institutions, and the insurance company will reimburse them for medical expenses. Reason:

Traffic accident victims can be treated in rural cooperative medical institutions because rural cooperative medical institutions have professional medical equipment and technology that can provide high-quality medical services, and ** is relatively low, and victims can save medical costs. Workaround and practice steps:1

Victims may seek medical treatment at rural cooperative medical institutions, and prepare relevant diagnosis and treatment materials, such as the victim's ID card, compulsory insurance certificate for traffic accident liability, etc. 2.During the visit, the victim can explain his or her situation to the doctor and prepare the relevant diagnosis report and a list of expenses.

3.Submit the diagnostic report and the ** list of expenses to the insurance company, which will reimburse according to the reimbursement regulations. Teaching and personal experience:

Traffic accident victims can be treated at rural cooperative medical institutions, which can save on medical costs and at the same time receive high-quality medical services. However, during the return process, the victim should prepare the relevant medical information and explain his or her situation to the doctor, so that the insurance company can accurately reimburse the medical expenses. Tips:

1.Traffic accident victims can seek medical treatment at rural cooperative medical institutions.