Can I be reimbursed by medical insurance if I am hospitalized for illness and hospitalization after

Updated on society 2024-06-11
9 answers
  1. Anonymous users2024-02-11

    Medicare reimbursement has nothing to do with car accidents.

    Medical reimbursement is time-limited and should generally be reimbursed within six months after the diagnosis and treatment. Generally, the first half of the year is reimbursed in the second half of the year, and the second half of the previous year is reimbursed in the first half of the year

    If the reimbursement is made in a timely manner at the time of discharge, it is sufficient to pay the part that is not reimbursed at the time of discharge.

    Medical insurance is divided into two accounts, personal account, the money embodied in the medical insurance card, can be used to buy drugs in designated pharmacies, the payment of outpatient expenses and the payment of the self-paid part of hospitalization expenses; The pooled account is managed by the medical insurance center, and the expenses incurred by the insured persons in line with the local medical insurance reimbursement are paid by the pooled account.

    Legal basis: Article 58 of the Social Insurance Law of the People's Republic of China stipulates that an employer shall apply to the social insurance agency for social insurance registration for its employees within 30 days from the date of employment. The basic medical insurance premium shall be paid jointly by the employer and the employee.

    Medical insurance can reimburse after a car accident claim.

    If you have insurance, you can be reimbursed.

    The maximum is not more than 20 years. If the person is unable to take care of himself completely after being discharged from the hospital and still needs to continue to take care of himself, the medical institution must issue a doctor's order certificate or a medical certificate to determine the nursing time and the number of nurses. Where care is still needed for more than 3 months, an appraisal (assessment) body should be applied to determine whether the person needs care.

    Where parties are unable to regain their ability to take care of themselves due to disability, a reasonable period of care may be determined on the basis of factors such as their age and health status.

    Article 19 of the Interpretation of the High People's Court on Several Issues Concerning the Application of Law in the Trial of Personal Injury Compensation Cases.

    Medical expenses are determined on the basis of the receipt vouchers for medical expenses, hospitalization fees, etc., issued by medical institutions, combined with relevant evidence such as medical records and diagnosis certificates. If the person obligated to indemnify has objections to the necessity and reasonableness of **, it shall bear the corresponding burden of proof. The amount of compensation for medical expenses shall be determined on the basis of the amount actually incurred before the conclusion of the debate in the court of first instance.

    The compensation rights holder may file a separate lawsuit for the necessary expenses for organ function recovery training, appropriate cosmetic surgery fees, and other follow-up expenses. However, if the expenses that are determined to be incurred on the basis of the medical certificate or appraisal conclusion, they may be compensated together with the medical expenses already incurred.

  2. Anonymous users2024-02-10

    In the event of a car accident and hospitalization after half a year of claims, medical insurance can also be reimbursed, and the two do not collide, thank you.

  3. Anonymous users2024-02-09

    After being discharged from the hospital, can I be reimbursed by medical insurance if I am hospitalized after half a year? This can be reimbursed by medical insurance, which has nothing to do with the car.

  4. Anonymous users2024-02-08

    Half a year after the car accident, you are sick and hospitalized, which has nothing to do with the car accident, so you can go through the procedures of medical insurance reimbursement at this time.

  5. Anonymous users2024-02-07

    Finally, if you get sick half a year after the claim is settled, then this medical insurance can be reimbursed.

  6. Anonymous users2024-02-06

    If you are sick and hospitalized half a year after the goods are discharged, you can be reimbursed by medical insurance, if you have paid medical insurance.

  7. Anonymous users2024-02-05

    Legal Analysis: Reimbursement for hospitalization after being discharged from a car accident. Hospitalized patients who have been injured due to an accident are also required to submit a certificate confirming the cause of the accidental injury signed and stamped by the village where their household registration is located, as well as a medical record from the hospital.

    Those who cannot provide valid proof and records will not be accepted. The reimbursement cycle shall be completed within 30 working days from the acceptance of the NCMS window of the District Administrative Service Center, and the reimbursement will be made after investigation and review by the inspectors of the NCMS Industry Management Center; If the responsibility is borne by a third party, no reimbursement will be made.

    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.

  8. Anonymous users2024-02-04

    Legal analysis: Yes, social medical insurance reimbursement is reimbursed after discharge or transfer.

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

    Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

    Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

    Article 28 In line with the basic medical insurance drug list, diagnosis and treatment 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 **.

  9. Anonymous users2024-02-03

    Summary. Hello, dear, the interval between the second admission is not enough, less than 15 days, and cannot be reimbursed by medical insurance.

    Hello, dear, the interval between the second admission is not enough, less than 15 days, and cannot be reimbursed by medical insurance.

    Kiss, provide traffic accident responsibility letter, expense list, invoice, diagnosis certificate, medical records, and the injured person's ID card and bank card. If a major traffic accident involves a disability appraisal, it is necessary to wait for the injured person to be ** half a year later, and then request the relevant departments to conduct a disability appraisal. According to the level of disability, nursing expenses, compensation for lost work, disability allowance, etc. are calculated.

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