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Medicare does not cover expenses such as traffic accidents, fights, drunkenness, self-harm, suicide, third-party injury, work-related injuries, etc.
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Summary. If it is a work-related injury, it will be reimbursed by work-related injury insurance after the work-related injury is determined and identified, which is more than the reimbursement of medical insurance. Moreover, if there is a level of disability identification, the work-related injury insurance and the employer must pay a one-time subsidy.
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Hello, glad you have a problem with an injury in the unit that is taken by workers' compensation insurance.
The company asked me to be reimbursed by medical insurance.
If it is a work-related injury, it will be reimbursed by work-related injury insurance after the work-related injury is recognized, which is more than the medical insurance reimbursement. Moreover, if the disability appraisal has a large level, the work-related injury insurance and the unit must pay a one-time subsidy.
If you go to medical insurance, you can no longer report work-related injuries.
I used a cutting machine to cut iron filings into my eyes, and I went to the hospital myself to take them out.
According to the actual situation, it must be reported with a work-related injury.
If the employer doesn't want you to go to work-related injuries, it must involve the issue of compensation.
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Legal Analysis: No. It is social insurance and compulsory insurance.
Work-related injury insurance refers to a social insurance system in which workers or their surviving family members receive material assistance from the state and society when they suffer from accidental injuries or occupational diseases resulting in temporary or permanent loss of working ability and death at work or under specified special circumstances.
Legal basis: Social Insurance Law of the People's Republic of China
Article 38 The following expenses incurred due to 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 injuries;
2) Hospitalization meal subsidy;
3) Transportation and accommodation 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) 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.
Article 39 The following expenses incurred due to 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;
2) The monthly disability allowance received by employees with high disabilities in grades 5 and 6;
3) A one-time disability employment subsidy that shall be enjoyed when the labor contract is terminated or dissolved.
Article 41 Where an employee's employer fails to pay work-related injury insurance premiums in accordance with law, and a work-related accident occurs, the employer shall pay work-related injury insurance benefits. If the employer does not pay, it shall be paid in advance from the work-related injury insurance**.
The work-related injury insurance benefits paid in advance from the work-related injury insurance** shall be reimbursed by the employer. If the employer fails to repay, the social insurance agency may recover compensation in accordance with the provisions of Article 63 of this Law.
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According to Article 21 of the Insurance Law of the People's Republic of China, the policyholder, the insured or the beneficiary shall notify the insurer in a timely manner after knowing that the insured has occurred. If the nature, cause, and extent of loss of the insured accident are difficult to determine, due to intentional or gross negligence, the insurer shall not be liable for compensation or payment of insurance money for the part that cannot be determined, except where the insurer has known or should have known about the occurrence of the insured accident in a timely manner through other means.
Article 21 of the Insurance Law of the People's Republic of China The policyholder, the insured or the beneficiary shall notify the insurer in a timely manner after knowing that the insured event has occurred. If the nature, cause, and extent of loss of the insured accident are difficult to determine, due to intentional or gross negligence, the insurer shall not be liable for compensation or payment of insurance money for the part that cannot be determined, except where the insurer has known or should have known about the occurrence of the insured accident in a timely manner through other means. Jian Xian.
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Work-related accidents, as far as Lubei is a work-related accident, there is no work-related accident. First, for work-related accidents, Article 1 of the Regulations on Work-related Injury Insurance stipulates that: "These Regulations are formulated in order to ensure that employees who are injured in accidents or suffer from occupational diseases as a result of their work receive medical treatment and economic compensation.
According to the basic spirit of the "Regulations", the work-related accidents referred to in China's work-related accidents refer to the situation in which an employee is injured or suffers from an occupational disease because of his or her work; Second, an accident or accident refers to the fact that although the actor's behavior objectively causes damage, it is not caused by the actor's intention or negligence, but is caused by irresistible or unforeseeable reasons.
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