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Apply for reimbursement to the social insurance agency with medical invoices, expense lists and other materials; If they are not insured, they shall apply to the employer for reimbursement.
Regulations on Work-related Injury Insurance
Article 30 Employees who are injured in accidents or suffer from occupational diseases due to work shall enjoy medical treatment for work-related injuries.
Employees who are injured at work shall seek medical treatment in a medical institution that has signed a service agreement, and in case of emergency, they can first go to the nearest medical institution for first aid.
**If the expenses required for work-related injuries meet the requirements of work-related injury insurance diagnosis and treatment items, work-related injury insurance drug lists, and work-related injury insurance hospitalization service standards, they shall be paid from work-related injury insurance**. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs, and the hospitalization service standards of work-related injury insurance shall be prescribed by the social insurance administrative department in conjunction with the health administrative department, the food and drug supervision and administration department and other departments.
The food subsidy for the hospitalization of the employee for the work-related injury, as well as the transportation, accommodation and accommodation expenses required for the work-related injury employee to seek medical treatment outside the co-ordination area shall be paid from the work-related injury insurance, and the specific standard of payment shall be stipulated by the people of the co-ordination area.
Injured employees are not entitled to medical treatment for work-related injuries and shall be dealt with in accordance with the basic medical insurance measures.
If the work-related injury employee goes to the medical institution that has signed the service agreement to carry out the work-related injury**, if it meets the requirements, it shall be paid from the work-related injury insurance**.
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The medical insurance center will not reimburse the drugs bought with the medical insurance card after the work-related injury, and it is recommended to conduct a work-related injury appraisal, and then you can enjoy the corresponding treatment. 1. Levels 1 to 4 Employees who are identified as Class 1 to Level 4 disability due to work-related disability shall retain the labor relationship, withdraw from the job, and enjoy the following benefits: 1. A one-time disability subsidy shall be paid from the work-related injury insurance** according to the level of disability.
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Legal analysis: If you have a work-related injury but use your own medical insurance card to pay the bill, then you need to bring the work-related injury identification certificate and the invoice for hospitalization to the local medical insurance bureau for processing. In the process of work-related injury medical treatment, it must be clearly stated to the medical institution that it is a work-related injury, do not use your own social security card, but go through the manual reimbursement process, first pay the medical expenses in full, and then reimburse the work-related injury, the general work-related injury reimbursement is medical expenses, nutrition and lost work expenses and mental loss expenses are not within the scope of reimbursement, according to the provisions of the employee in the event of a work-related accident, the company should also pay the employee's salary during the suspension period, and then negotiate with the company in accordance with the standard of disability identification. If both parties disagree with the agreement, they can apply for labor arbitration.
Legal basis: Regulations on Work-related Injury Insurance
Article 14 An employee shall be deemed to have suffered a work-related injury under any of the following circumstances:
1) Being injured in an accident during working hours and in the workplace due to work-related reasons;
2) Being injured in an accident while engaging in work-related preparatory or finishing work in the workplace before or after working hours;
3) Injured by violence or other accidents during working hours and in the workplace due to the performance of work duties;
4) Suffering from occupational diseases;
5) Injured or unaccounted for in an accident while away for work;
6) Injured in a traffic accident or an accident involving urban rail transit, passenger ferry, or train for which they are not primarily responsible;
7) Other circumstances that laws and administrative regulations provide shall be recognized as work-related injuries.
Article 44 Where an employee is dispatched out of the country to work and shall participate in the local work-related injury insurance in accordance with the laws of the country or region to which he is going, he or she shall participate in the local work-related injury insurance, and his domestic work-related injury insurance relationship shall be suspended; If they are unable to participate in the local work-related injury insurance, their domestic work-related injury insurance relationship shall not be suspended.
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With the continuous development of social economy, I believe that many friends will always encounter various problems in their lives, especially when many friends encounter work-related injuries and swipe their medical insurance personal accounts and want to get a refund, what should they do? In fact, in the face of this situation, we do not need to worry too much, in fact, at this time, we only need to hold the relevant materials and evidence, and apply to the social insurance office for reimbursement.
When we have this situation, we only need to hold medical invoices, expense lists and other relevant materials, and apply directly to the social insurance agency for reimbursement, if we do not participate in insurance, then it is also possible to apply directly to our own employer for relevant reimbursement, so we can understand a truth, the medical insurance card personal account is not returned after the relevant reimbursement, can only apply to the relevant unit for their own relevant reimbursement, This is the only way to reduce one's own economic losses.
When we understand this problem, we must go legally, to ensure their rights and interests, so we must understand what is a work-related injury, in our country has relevant regulations, employees because of work accidents injured, or suffering from occupational diseases, must enjoy the treatment of work-related injuries, when the employee is injured at work, to sign a service agreement for medical treatment, and in case of emergency, you can also go to advanced hospitals for relevant treatment, in the process of treatment, It must meet some relevant circumstances, and must comply with the list of work-related injury insurance diagnosis and treatment items and the list of work-related injury insurance drugs.
When we encounter these problems in our lives, we must not be anxious, and do not be afraid, only by calming down and telling ourselves, and slowly solving these problems, can we allow ourselves to obtain greater benefits, in order to protect our legitimate rights and interests, and not to be harmed, which is very important for each of us.
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At this time, you should go to the place where you apply for a medical insurance card to find the staff for a refund, and then take your ID card and materials to handle it directly.
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If you want a refund, bring your ID card and your relevant documents. Then go to the relevant local place to get it done. You can get a refund.
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Generally speaking, the two cannot be done at the same time, as long as the medical insurance personal account is swiped, the refund cannot be processed.
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There is no way to get a refund, you can take the invoice to the company and ask the company for the money.
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Legal analysis: After the work-related injury is carried out with a medical card, the medical reimbursement part cannot be reviewed for work-related injury benefits, and the work-related injury reimbursement cannot be carried out. However, it will not affect the employee's work-related injury and disability benefits.
If you are hospitalized with an injury, the attending doctor will ask if you are injured at work, and the medical expense process for your own injury and work-related injury is different. If you really swipe your medical insurance card and then report work-related injury insurance, it may be a little troublesome, but the social security policies are different in different places, and you should consult the local social security department for details.
Legal basis: Article 48 of the Regulations of the People's Republic of China on Work-related Injury Insurance The handling agency shall verify the use of medical expenses, expenses and assistive devices for injured employees in accordance with the agreement and relevant national catalogs and standards, and settle the expenses on time and in full.
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Summary. Yes, if you have a work-related injury and use your medical insurance card to pay the bill, you need to bring the work-related injury identification certificate and the invoice for hospitalization to the local medical insurance bureau for processing.
If I swipe my medical insurance card for a work injury, can I get a refund and change it to self-pay?
Is the health insurance bureau in the hospital?
Hello dear, glad to answer for you. If I have a medical insurance card for a work-related injury, can I get a refund and change it to self-pay?
Yes. Yes, if you have a work-related injury but use your medical insurance Zhaozhen card to pay the bill, then you need to bring the work-related injury identification certificate to the local medical insurance bureau for processing.
Yes, is the Health Insurance Bureau in the hospital?
No, it's at the Social Security Administration.
Social security**.
What can you use without a public injury identification certificate**?
Employees injured at work or their immediate family members may also entrust ** person to assist in handling it. It is not the person who handles the determination of work-related injury.
I mean, I don't have a work-related injury certificate, so what invoice can I take?
It was caused by a car accident.
After a traffic accident occurs, the traffic police will issue a traffic accident liability determination within a certain period of time to divide the primary and secondary responsibilities of the accident, and the compensation for the traffic accident is determined according to the division of responsibility for the accident liability certificate. What invoice should be used to insure in the event of a traffic accident?
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Summary. Hello, dear, I swiped my medical insurance card for a work injury, and I can refund it and change it to self-pay. If you want to change the expenses that should have been paid by work-related injury insurance to out-of-pocket expenses, you need to go to your employer or the local labor and social security department to determine whether the expenses are work-related injuries.
If it is determined to be a work-related injury, it shall be paid by work-related injury insurance**; If it is not a work-related injury, you can choose to pay for it out of pocket.
If I swipe my medical insurance card for a work injury, can I get a refund and change it to self-pay?
Hello, dear, I swiped my medical insurance card for a work injury, and I can refund it and change it to self-pay. If you want to change the expenses that should have been paid by work-related injury insurance to out-of-pocket expenses, you need to go to the employer or the local labor and social security department to determine whether the work-related injury is a work-related injury. If it is determined to be a work-related injury, it shall be paid by work-related injury insurance**; If it is not a work-related injury, you can choose to pay at your own expense.
Hello dear! The medical expenses for the work-related injury should be paid by the work-related injury insurance**, not by the personal medical insurance account. If when using the medical insurance card, the work-related injury expenses are paid by the personal account due to the fact that the work-related injury determination picnic is not handled in time or for other reasons, then you can apply to the medical insurance center for a refund.
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Summary. If you have a work-related injury and use your medical insurance card to pay the bill, you need to bring the work-related injury identification certificate and the invoice for hospitalization to the local medical insurance bureau for processing. In the process of work-related injury medical treatment, you must clearly indicate to the medical institution that it is a work-related injury, do not use your own social security card, go through the manual reimbursement process, first pay the medical expenses in full, and then reimburse the work-related injury, the general work-related injury reimbursement is medical expenses, nutrition and lost work expenses and mental loss expenses are not within the scope of reimbursement, according to the provisions of the employee in the event of a work-related accident, the company should also pay the employee's salary during the suspension period, and then negotiate with the company in accordance with the standard of disability identification. If both parties disagree with the agreement, they can apply for labor arbitration.
If I swipe my medical insurance card for a work injury, can I get a refund and change it to self-pay?
Hello dear, yes, if you have a work-related injury but use filial piety to make your own medical insurance card to pay the bill, then you need to bring the work-related injury certificate and the invoice of hospitalization to the local medical insurance bureau for processing. In the process of work-related injury medical treatment, we must make it clear to the medical institution that it is a work-related injury, do not use your own social security card, go through the manual reimbursement process, first pay the medical expenses in full, and then reimburse the work-related injury, the general work-related injury reimbursement is medical expenses, nutrition and lost work expenses and mental loss expenses are not within the scope of reimbursement, according to the provisions of the employee in the event of a work-related accident, the company should also pay the employee's salary during the suspension period, and then negotiate with the company in accordance with the disability identification standard. If both parties disagree with the agreement, they can apply for labor arbitration.
According to Article 30 of the Regulations on Work-related Injury Insurance, employees who are injured in accidents or suffer from occupational diseases due to work can enjoy work-related injury medical treatment.
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