In the end, the other party was hospitalized in a fight, and finally went to medical insurance, was

After fighting and the other party was hospitalized and finally went to medical insurance, was it not because I was hospitalized because I broke it? No, maybe it was because the person who was beaten felt that he had health insurance and was hospitalized with health insurance. Or the person who was beaten, seeing that you can't afford the medical bills, moved by compassion, so you don't want to be lucky, if you win, you should be responsible.

In the fight, the other party was hospitalized, and finally went to medical insurance, but because someone deliberately injured him, medical insurance may not be able to bear it. You were hospitalized because you broke it, so you also have to compensate the other party for medical expenses.

Isn't it because I broke the last Monday report that everyone was hospitalized? In hospitalization. You were hospitalized because you broke it, but you hit. Let the hospitalized. It is not a medical insurance.

Let the other party be hospitalized, and finally go to medical insurance, is it not because I broke down that I was hospitalized? No, it has a direct relationship with what you called, and then call the police to deal with the matter.

The other party's use of medical insurance has nothing to do with the cause of the injury, if it is caused by a fight between the two parties, then if it has been determined that the division of responsibility between the two parties is, it is how much.

People are willing to take medical insurance, it is to save money for you, this cannot be used as a basis for you to break the insurance, and you should still pay for the money after applying for insurance.

In fact, in this case, even if someone else takes medical insurance, then you still have to compensate for the compensation you should have.

Tell you. In this case, you will not be reimbursed by medical insurance.

Because fighting is an illegal act, and the medical insurance review will definitely not pass.

Pursue the legal responsibility of the perpetrators. Your amount is small and has not yet met the criteria for filing a case. You can sue the court to get your money back.

You have to go through the appraisal to know.

No... The main thing is to see what the condition is.

Legal analysis: 1. Under normal circumstances, when you report the case and file a case, you take the initiative to ask for criminal responsibility, and the police will go to the brother to find the two people. If you don't hold them accountable, the police won't go to trouble anyone else.

2. In general, even if it is an administrative responsibility (from practical life), but strictly speaking, it is a crime of intentional injury (others) in terms of criminal responsibility, and this crime should be sentenced according to the level of injury.

Legal basis: "Public Security Punishment Law of the People's Republic of China" Article 9: Where violations of the administration of public security, such as fights or damage to other people's property caused by civil disputes, are relatively minor, the public security organs may mediate and handle them. Where, after mediation by the public security organs, the parties reach an agreement, they are not to be punished.

Where no agreement is reached through mediation or no performance is made after an agreement is reached, the public security organs shall punish the violators of the administration of public security in accordance with the requirements of this Law, and inform the parties that they may file a civil lawsuit in the people's court in accordance with law regarding the civil dispute.

Legal analysis: You can't have a medical insurance card, you want cash and keep the invoice, you can be reimbursed. If the injury caused by a fight after paying the medical insurance is carried out by the third-party responsible person, the third-party responsible person shall be responsible for the medical expenses, and the medical insurance will not reimburse it.

In line with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, as well as emergency, rescue lead medical expenses, in accordance with national regulations from the basic medical insurance ** payment.

Legal basis: Social Insurance Law of the People's Republic of China

Article 28 In line with the basic medical insurance drug list, diagnosis and hail therapy items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**: (A) shall be paid from work-related injury insurance**; (2) It shall be borne by a third party; (3) It shall be borne by public health; (Sihuai Changyuan) seeking medical treatment abroad. 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 basic medical insurance shall pay in advance.

After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

OK. To the extent that the medical insurance does not compensate, the insured can still claim compensation from the infringer.

1. Can I still sue after using medical insurance?

After using medical insurance to reimburse relevant medical expenses, if a civil dispute arises, the parties may file a lawsuit with the people's court if they meet the conditions for filing a lawsuit.

Civil Procedure Law of the People's Republic of China

Article 3 Scope of Application.

The provisions of this Law shall be applied to the acceptance of civil lawsuits brought by citizens, legal persons, other organizations, and between them on the basis of property and personal relationships.

Article 119:Requirements for prosecution.

The following conditions must be met for a prosecution:

1) The plaintiff is a citizen, legal person, or other organization that has a direct interest in the case;

2) There is a clear defendant;

3) There are specific litigation claims, facts, and reasons;

4) It is within the scope of civil litigation accepted by the people's court and the jurisdiction of the people's court receiving the lawsuit.

Article 120:Form of prosecution.

A complaint shall be submitted to the people's court, and copies shall be submitted in accordance with the number of defendants. Where it is truly difficult to write a complaint, the complaint may be filed orally, and the people's court will record it in the record and inform the opposing party.

2. How to reimburse medical insurance and what are the reimbursement conditions.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

According to the basic requirements for the payment of basic medical insurance benefits in China, the insured shall go to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment, and generally meet the following conditions:

1) The insured person must go to the designated medical institution of the basic medical insurance to seek medical treatment and purchase drugs, or hold the medical prescription issued by the doctor of the designated hospital to the designated retail pharmacy determined by the social insurance institution to purchase drugs.

2) The medical expenses incurred by the insured in the process of seeing a doctor must meet the scope and payment standards of the basic medical insurance insurance drug catalog, diagnosis and treatment items, medical service facility standards, and can be paid by the basic medical insurance ** according to the regulations.

3) Among the medical expenses of the insured persons who meet the scope of payment of basic medical insurance, the part of the expenses above the minimum payment standard of social medical co-ordination and below the maximum payment limit shall be paid by the social medical co-ordination ** in a unified proportion.

Legal basis: According to the third paragraph of Article 60 of the Insurance Law of the People's Republic of China, the insurer's exercise of the right to claim compensation by subrogation in accordance with the provisions of the first paragraph of this article does not affect the insured's right to claim compensation from a third party for the part of the compensation that has not been obtained.

If you are hospitalized with injuries in a fight, you cannot apply for medical insurance.

du, because it is not covered by medical insurance. zhi

The following ten items are not covered by the medical insurance DAO:

1. In the application of special medical expenses, the cost of organ and tissue transplantation due to illness, the cost of purchasing organs and tissues, and the cost of using anti-rejection drugs and immunomodulatory drugs beyond the scope of drug reimbursement of Zhenjiang Municipal Employee Medical Insurance;

2. Work-related injuries and occupational diseases;

3. Female workers give birth;

4. Hooligan brawls;

5. Injuries caused by alcoholism;

6. Traffic accidents;

7. Intentional injury by others;

8. Medical malpractice;

9. Beauty and health examination;

10. Other expenses that are not covered by social medical insurance**.

No, the responsible party is responsible for compensation. This is like a vehicle accident, if you drive your car and hit the wall, then your own insurance company will pay for it; But if the other party hits you, your insurance company will not care and will ask the other party or the other party's insurance company to pay for it.

You can't apply for medical insurance. Injuries caused by fights, alcoholism, self-harm, suicide, work injuries, and traffic accidents are not covered by medical insurance.

Medical insurance refers to the basic medical insurance premiums that should be paid in full and on time by the employer and the individual employee in accordance with the principle of compulsory social insurance through national legislation. If you do not pay in full and on time, regardless of your personal account, the basic medical insurance coordinator will not pay your medical expenses. Take the proportion of medical insurance contributions in Beijing as an example:

The employer shall pay 10% of the total payment base every month, and the employee shall pay 2% of his salary + 3 yuan for serious illness.

Medical insurance is a type of insurance that compensates for the medical expenses incurred by illness. Social insurance is a social insurance in which an employee is provided with necessary medical services or material assistance by the society or enterprise when he or she is sick, injured or gives birth. For example, China's publicly-funded medical care and labor insurance medical care.

The medical expenses of Chinese employees are jointly borne by the state, units and individuals, so as to reduce the burden on enterprises and avoid waste. In the event of an insurance liability event, it is necessary to pay the insurance premium on a pro-rata basis.

First of all, the medical insurance is responsible for the reimbursement of diseases; Secondly, the fight is a criminal responsibility, let alone reimbursement.

According to the judgment of the injury, that is, whoever is heavier will get more compensation.

First of all, if both parties have minor injuries, this is a joint violation of the Public Security Administration Law, and you are beating each other, and you must be punished jointly!

The second is to look at the party with serious injuries to see if the minor or serious injuries can be identified, if it is sufficient, then it constitutes a crime, and the criminal responsibility of the wrongdoer must be investigated; 1. If it constitutes a minor injury, the two parties can mediate and deal with it, and 2. If it constitutes a heavy responsibility, it will be transferred to the public prosecution by the investigating organ for prosecution after investigation. As for medical expenses, both parties can negotiate the expenses that can be used; It can also be resolved directly with the court.

The examination is how to judge the cost of sick medicine.

Legal analysis: The compensation for fights and brawls should be judged according to the severity of the complex: 1. If the circumstances of the fight are minor and there are no serious consequences, the "Public Security Punishment Law" will be used to impose public security punishments; 2. If the circumstances are serious and cause serious consequences, they shall be punished as the crime of assembling a crowd to fight in accordance with the provisions of the Criminal Law.

Depending on the severity of the circumstances, if the offender causes a commotion and causes more than minor injuries, it constitutes the crime of intentional injury and is subject to a sentence.

Legal basis: Law of the People's Republic of China on Public Security Administration Punishments

Article 8: Where conduct violating the administration of public security causes harm to others, the perpetrator or his guardian shall bear civil liability in accordance with law.

Article 9: Where the circumstances are more minor, the public security organs may mediate and deal with violations of the administration of public security, such as fights or damage to other people's property caused by civil disputes. Where, after mediation by the public security organs, the parties reach an agreement, they are not to be punished. Where no agreement is reached through mediation, or where an agreement is not performed after reaching an agreement on the promotion of public security, the public security organs shall punish the violators of the administration of public security in accordance with the provisions of this Law, and inform the parties that they may lawfully initiate a civil lawsuit in the people's court regarding the civil dispute.