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No. In addition, work-related injuries are those who need to be employed in enterprises, and those who are employed in enterprises are required to participate in medical insurance instead of rural cooperative medical insurance.
You may have duplicate coverage of agricultural cooperative insurance and medical insurance, so you cannot be reimbursed even when reimbursing medical expenses.
That is to say, your agricultural cooperative system is paid for nothing, and you cannot enjoy the treatment.
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First, you can't.
Second, an ID number corresponds to a social insurance, you buy too much, it's useless, commercial insurance can buy more, not restricted, and social insurance reimbursement requires the original invoice, so you report the completion of the injury, in the reimbursement of rural areas, you can't provide the original invoice, and commercial insurance only needs a copy.
Thirdly, you buy one in the city, you buy one in your hometown, and you think very well, but the country is not stupid, and if everybody was like you, the country would have gone bankrupt. And commercial insurance does not have this restriction, such as if you buy an accident insurance, the work-related injury compensation is finished, and the commercial insurance can also compensate for one, and at the same time, the commercial insurance still pays money first, and does not see a doctor voluntarily.
Fourth, it is recommended that you buy more commercial insurance.
Fifth, if you have any questions, you can consult the local social insurance center **12333 Sixth, there are many kinds of online answers, and only local answers are the most authoritative and accurate.
Seventh, I wish you a smooth work, a prosperous career, a healthy life, and a happy family.
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NCMS stipulates that NCMS will not reimburse work-related injuries and other injuries caused by third-party liabilities.
So, even if you participate in rural cooperative medical care, work-related injuries cannot be reimbursed.
FYI.
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Summary. Dear, I'm honored to have your question The information that the teacher found for you here is: Can work-related injuries be reported to the cooperative medical care in rural areas?
Work-related injuries can be reported to the cooperative medical care in rural areas. The cost of the rural cooperative medical card test can be reimbursed. The reimbursement scope of the new 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, and nursing expenses.
Can I be reimbursed for my own expenses?
Dear, I'm honored to have your question The information that the teacher found for you here is: Can work-related injuries be reported to rural cooperative medical care: Work-related injuries can be reported to rural cooperative medical care.
The cost of the rural cooperative medical card test can be reimbursed. The reimbursement scope of the new hail bucket type rural cooperative medical care is the part that meets the reimbursement scope of the urban employee medical insurance (i.e., the source of effective medical expenses) such as the rental loss drug expenses, examination fees, laboratory fees, surgery fees, ** fees, and nursing expenses incurred by the participants in the designated hospitals for diagnosis and treatment due to illness during the overall planning period.
Self-paid work-related injuries can be reported to NCMS. The two are insurance of different natures, and there is only one medical invoice, and the reimbursement at the same time is not in practice.
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I don't know much about it.
Reimbursement.
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Summary. Hello dear, it is a pleasure to serve you <>
Work-related injuries can not be reported for rural cooperative medical treatment, self-paid work-related injuries can be reported for NCMS, work-related injuries can only choose one of the work-related injury insurance and NCMS, and cannot be reimbursed at the same time, and the two are insurance of different qualities.
Can work-related injuries be reported to rural cooperative medical care?
Hello dear, it is a pleasure to serve you <>
Work-related injuries can not be reported for rural cooperative medical treatment, self-paid work-related injuries can be reported for NCMS, work-related injuries can only choose one of the work-related injury insurance and NCMS, and cannot be reimbursed at the same time, and the two are insurance of different qualities.
Legal basis: Article 24 of the Social Insurance Law of the People's Republic of China stipulates that 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 7 of the Regulations on Work-related Injury Insurance** stipulates that work-related injury insurance** is composed of work-related injury insurance premiums paid by the employer, interest on work-related injury insurance** and other funds included in work-related injury insurance** in accordance with the law.
Legal basis: Article 38 of the Social Insurance Law of the People's Republic of China The following expenses incurred due to work-related injuries shall be paid from work-related injury insurance in accordance with national regulations: (1) medical expenses and expenses for work-related injuries; (2) Subsidies for in-hospital meals; (3) Transportation and lodging expenses for medical treatment outside the overall planning area; (4) The cost of installing and configuring assistive devices for the disabled; (5) For those who are unable to take care of themselves, the living care expenses confirmed by the Labor Ability Appraisal Committee; (6) A one-time disability allowance and a monthly disability allowance for employees with disabilities of grades 1 to 4; (7) When the labor contract is terminated or dissolved, the one-time xing medical subsidy shall be enjoyed; (8) In the case of work-related death, the funeral subsidy, pension for dependent relatives and work-related death subsidy received by the surviving family members; (9) Labor ability appraisal fee.
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Legal analysis of the stool: No, the medical expenses of work-related injuries shall be paid by the work-related injury insurance** if you participate in the work-related injury insurance of the cave travel in Calais; If they do not participate in the insurance, they shall be paid by the employer. Medical insurance** does not pay for work-related injury medical expenses.
If the party fabricates the fact of non-work-related injury and uses NCMS to reimburse the medical expenses of work-related injury, it is an illegal act of defrauding medical insurance** and will bear the corresponding legal consequences.
Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China 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 should be borne by public health;
4) Seeking medical treatment outside the country.
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.
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Legal analysis: work-related injury expenses can not be reimbursed in accordance with rural cooperative medical care, work-related injury expenses should be borne by the unit and work-related injury insurance, employees do not have to bear medical expenses, work-related injuries can not be reimbursed by other types of insurance, of course, if there is no work-related injury insurance, you can be purchased by the individual insurance or employee medical insurance to bear part of the cost.
Legal basis: Article 38 of the Social Insurance Law of the People's Republic of China The following expenses incurred due to work-related injuries shall be paid from work-related injury insurance in accordance with national regulations: (1) medical expenses and expenses for work-related injuries; (2) Subsidies for in-hospital meals; (3) Transportation and lodging expenses for medical treatment outside the overall planning area; (4) The cost of installing and configuring assistive devices for the disabled; (5) For those who are unable to take care of themselves, the living care expenses confirmed by the Labor Ability Appraisal Committee; (6) A one-time disability subsidy and a monthly disability allowance for disabled employees of grades 1 to 4; (7) A one-time medical subsidy to be enjoyed when the labor contract is terminated or dissolved; (8) In the case of work-related death, the funeral allowance, pension for dependent relatives and work-related death allowance received by the surviving family members; (9) Labor ability appraisal fee.
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Legal Analysis: After an accident, the rural cooperative medical unit and the work-related injury insurance cannot be reported at the same time.
Legal basis: Regulations on Work-related Injury Insurance
Article 4 The employer shall publicize the relevant information on the participation in work-related injury insurance in the employer.
Employers and employees shall abide by the laws and regulations on work safety and the prevention and treatment of occupational diseases, implement safety and health regulations and standards, prevent the occurrence of work-related accidents, and avoid and reduce the hazards of occupational diseases.
When an employee suffers a work-related injury, the employer shall take measures to ensure that the injured employee receives timely treatment.
Article 5 The social insurance administrative department is responsible for the work-related injury insurance work nationwide.
The local people's social insurance administrative departments at or above the county level shall be responsible for the work-related injury insurance work within their respective administrative areas.
The social insurance agency established by the social insurance administrative department in accordance with the relevant provisions of the social insurance department (hereinafter referred to as the handling agency in the form of a loss-making model) specifically undertakes work-related injury insurance affairs.
Article 6 The social insurance administrative departments and other departments shall solicit the opinions of trade union organizations and representatives of employers when formulating policies and standards for work-related injury insurance.
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Work-related injury expenses cannot be reimbursed according to the number of agricultural cooperative cooperative enterprises, and work-related injury expenses should be borne jointly by the unit and work-related injury insurance**, and employees do not have to bear medical expenses, nor can they make other breakthroughs for reimbursement.
In accordance with the Social Insurance Law
Article 38 The following expenses incurred as a result of work-related injuries shall be paid from work-related injury insurance in accordance with the provisions of the state:
1. Medical expenses and expenses for work-related injury treatment;
2. Hospital food subsidy;
3. Transportation and accommodation expenses for medical treatment outside the master planning area;
4. The cost of installation and configuration of the damage number.
5. Unable to take care of oneself in daily life, and have been appraised for labor ability.
The cost of living for the care as confirmed by the committee;
6. One-time disability allowance for work-related injuries and monthly disability allowance for employees with work-related injuries of grade 1 to 4;
7. One-time medical subsidy to be enjoyed when the labor contract is terminated or dissolved;
8. In the event of a work-related death, the survivors shall receive funeral subsidies and pensions for dependent relatives.
and work-related death benefits;
9. Labor ability appraisal fee.
Article 39 The following expenses incurred as a result of work-related injuries shall be paid by the employer in accordance with the provisions of the state:
1. Wages and benefits during the work-related injury period;
2. Disability allowance received by disabled employees of grade 5 and grade 6 on a monthly basis;
3. A one-time disability employment subsidy that should be enjoyed when the labor contract is terminated or dissolved.
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Rural cooperative medical care for work-related injuries cannot be reimbursed. Whether it is the cost of the early stage, the later stage, or the old injury, if it meets the requirements of the work-related injury insurance diagnosis and treatment project catalog, the work-related injury insurance drug catalog, and the work-related injury insurance hospitalization service standard, the work-related injury insurance will be paid by the world. If the employer does not participate in the insurance, the employer must pay according to the prescribed standard.
It is not covered by the reimbursement of rural cooperative medical care.
The compensation standards for work-related accidents are as follows:
1. According to the self-care disability, pay % of the average monthly salary of employees in the overall area in the previous year or 30% of Huaihui Limb as living care expenses;
2. The funeral subsidy is 6 months of the average monthly salary of employees in the overall area in the previous year;
3. The standard of one-time work-related death subsidy is 20 times of the per capita disposable income of urban residents in the previous year.
The process of work-related injury identification is as follows:
1. The injured employee or his employer shall submit an application for labor ability appraisal in a timely manner;
2. An expert group composed of experts from the relevant departments of the injured employee shall conduct the appraisal;
3. Make a conclusion on the appraisal of labor ability according to the appraisal opinion of the expert group;
4. Within a certain period of time from the date of making the appraisal conclusion, the labor ability appraisal conclusion shall be sent to the injured employee and his employer in a timely manner, and a copy shall be sent to the social insurance agency.
Legal basisArticle 14 of the Regulations on Work-related Injury Insurance.
If an employee has any of the following circumstances, it shall be recognized as a work-related injury:
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.
Legal analysis: The new rural cooperative medical care can be used across provinces, but the reimbursement must be returned to the place where the household registration is located, and it cannot be reported across provinces. >>>More
Legal analysis: The new rural cooperative medical care can be used across provinces, but the reimbursement must be returned to the place where the household registration is located, and it cannot be reported across provinces. >>>More
Legal Analysis: Inquiries can be made in the following ways: >>>More
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The specific refund process is as follows:
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