Can the NCMS medical insurance still be reimbursed after the reimbursement of the work related injur

Commercial insurance for work-related injuries.

Reimbursement after NCMS.

Can medical insurance still be reimbursed?

After the work-related injury commercial insurance has been reimbursed, it is not possible to reimburse the NCMS medical insurance, and the two insurances cannot be reimbursed at the same time.

In principle, social medical insurance (including medical insurance for urban workers and medical insurance for urban residents) and NCMS can only participate in one type and cannot be repeated. If you participate repeatedly, you can only enjoy one type of medical expense reimbursement and compensation treatment, and you cannot enjoy it repeatedly. As for what kind of medical insurance benefits to enjoy, it is up to the parties to choose.

Therefore, after the social security reimbursement expenses, the remaining expenses cannot be reimbursed by NCMS.

and workers' compensation insurance.

It can only be paid by the unit, and cannot be paid by an individual. The company has already paid the work-related injury insurance for you, and the full amount will be paid by the unit and the work-related injury ** after the work-related injury, and NCMS cannot be reimbursed separately.

To put it simply, if a person buys personal medical insurance, and his company insures him with commercial medical insurance, then if he has a work-related injury during work, the first thing is to use the insurance bought by his company to reimburse, and the rest of the department can make the company responsible, in short, it cannot be reimbursed by his own medical insurance.

Basic medical insurance.

It cannot be reported together with work-related injury insurance, because basic medical insurance mainly protects the basic medical needs of employees due to illness or non-work-related injuries, while work-related injury insurance is mainly for employees who are injured or suffer from occupational diseases due to work.

to provide medical treatment and financial compensation.

If you are reimbursed by the insurance company after a work-related injury, you can no longer apply for your own medical insurance reimbursement, because the two are conflicting and you can only choose one or the other. Otherwise, if the reimbursement is made in violation of the medical insurance measures, the social insurance administrative department shall order the return of the basic medical security ** expenditure obtained by fraud, and impose a fine of not less than two times but not more than five times the amount obtained by fraud.

Therefore, for the subject's situation, it is recommended not to reimburse the NCMS medical insurance, even if you get the insurance money, it is a very serious violation.

In addition, the hospital only has one receipt, and if you want to reimburse yourself, you need to forge another one, which creates a new violation.

If you have an accident insurance in the insurance company, when you are injured at work, the insurance company will reimburse you according to the situation of your work-related injury, but it must be the original invoice, if you have acquaintances, after the insurance company reimburses, the rest can be reimbursed by NCMS, according to the regulations, NCMS cannot be reimbursed!

No. The New Rural Cooperative Medical System for Work-related Injuries cannot be reimbursed by work-related injury insurance, and the expenses of work-related injuries of employees are paid by work-related injury insurance, and medical insurance does not pay for work-related injuries. NCMS refers to the organization, guidance and support of the first country, the voluntary participation of farmers, and the financing of individuals and collectives.

It is a system of mutual medical assistance and mutual aid for farmers based on the overall planning of serious diseases.

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 subsidies (3) Transportation and accommodation expenses for medical treatment outside the overall planning area (4) Expenses required for the installation and configuration of disability assistive devices (5) Living care expenses confirmed by the Labor Ability Appraisal Committee for those who cannot take care of themselves (6) One-time disability subsidies and monthly disability allowances received by disabled employees of grades 1 to 4 (7) One-time medical subsidies that should be enjoyed when the labor contract is terminated or terminated (8) Death due to work, Funeral allowances, pensions for dependent relatives and work-related death allowances received by their surviving family members (9) Labor ability appraisal fees.

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 period of work-related injury (2) Disability allowance received by employees with grade 5 and grade 6 disabilities on a monthly basis (3) A one-time disability employment subsidy that should 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 injury 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.

[Legal Analysis].NCMS reimbursement is not eligible. The cost of work-related injury of the injured employee shall be paid by the work-related injury insurance, and the employer shall pay for the work-related injury if he is not insured, and the medical insurance shall not pay the work-related injury expenses. If the party fabricates the fact that it is not injured due to work, and uses NCMS to reimburse the medical expenses of work-related injuries, it is an illegal act of defrauding social insurance**, and the social insurance administrative department shall impose a fine of two to five times the fine, and if it constitutes a crime, criminal responsibility shall be investigated.

[Legal basis].Social Insurance Law of the People's Republic of China

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 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.

Article 88: Where social insurance benefits are obtained by fraud, falsification of supporting materials, or other means, the social insurance administrative department shall order the return of the social insurance money obtained by fraud and impose a fine of not less than two times but not more than five times the amount obtained by fraud.

Article 94: Where the provisions of this Law are violated and a crime is constituted, criminal responsibility shall be pursued in accordance with law.

Summary. 1. Work-related injuries are reimbursed by work-related injury insurance, which is not the same thing as urban medical insurance.

No, work-related injuries cannot be reported to NCMS.

1. Work-related injuries are reimbursed by work-related injury insurance, which is not the same thing as urban medical insurance.

2. Work-related injury insurance is compulsory by the state. 3. The relevant provisions can be specifically described in Article 62 of the Regulations on Work-related Injury Insurance. For the determination of work-related injuries, please refer to the "Measures for the Determination of Work-related Injuries":

The employer should apply to the Industrial Injury Department of the Social Security Bureau for you within 30 days, if the employer can apply for it regardless of itself, but the valid expired social security within one year cannot be managed.

4. If the cost of a work-related accident is in the early stage, in the later stage, or in the old injury, it shall be paid by the work-related injury insurance if it meets the requirements of the work-related injury insurance diagnosis and treatment items, the work-related injury insurance drug list, and the work-related injury insurance hospitalization service standards. If the employer does not participate in the insurance, the employer shall pay according to the prescribed standard. It is not within the scope of NCMS reimbursement.

5. If an injured employee obtains an invoice through improper means after making a claim for work-related injury insurance, and then applies for reimbursement to NCMS, it is a fraud in social insurance, and according to the provisions of the Social Insurance Law, in addition to recovering the amount obtained by fraud, a fine of two to five times the amount obtained by fraud shall be punished; where the standards for the crime of fraud are met, criminal responsibility is pursued.

Work-related injuries can be reimbursed by NCMS, and the reimbursement process is as follows:

1. Prepare the discharge summary, invoice, and medication schedule issued by the hospital;

2. My ID card, medical insurance card, and medical certificate issued by the unit (with the company's official seal), if the enterprise is not insured, the medical certificate issued by the unit is not required;

3. Bring the above information to the local medical insurance office.

NCMS medical insurance card application process:

1. Prepare application materials, original and copy of ID card, one inch **, resignation procedures, copy of household register, renewal medical insurance card, medical records;

2. Then go to the pension insurance institution where the household registration is located to receive the social insurance financial subsidy form, fill it out and hand it in, and submit all the information prepared;

3. The staff will conduct a review of the information provided, which can be completed on the same day and issue payment documents; According to the bank information on the payment slip, regular transfers are sufficient; Bring the first payment slip to the medical insurance hall to get the medical insurance card, some places will have medical records, the medical record is affixed with ** and has a steel seal, you can bring it when you see a doctor.

Legal basis: Article 29 of the Social Insurance Law of the People's Republic of China.

The part of the medical expenses that should be paid by the medical insurance shall be settled directly by the social insurance agency and the medical institution and the drug business unit.

The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Article 7. The social insurance administrative department is responsible for the management of social banking and insurance throughout the country, and other relevant departments are responsible for the relevant social insurance work within the scope of their respective duties.

The local people's social insurance administrative departments at or above the county level are responsible for the social insurance management work in their respective administrative regions, and other relevant departments of the local people's social insurance at or above the county level are responsible for the relevant social insurance work within the scope of their respective duties.