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Care worker's 24-hour escort fee
Is there any medical insurance reimbursement for nursing expenses?
No reimbursement is allowed. Medical expenses must conform to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and payment standards, in order to use medical insurance to pay according to regulations. The excess cannot be paid by medical insurance; For medical expenses that meet the scope of medical insurance payment, it is necessary to distinguish whether they belong to the scope of overall fund payment or personal account payment. The medical expenses that fall within the scope of the overall fund payment can only be paid by the overall fund in proportion if they exceed the Qifubiaozhun, and the maximum payment limit is the capping line.
The general compensation methods for nursing expenses are as follows:
(1) If the nursing staff has income, it shall be calculated with reference to the provisions on lost time. That is, if the nursing staff has a fixed income, it shall be calculated according to their actual income;
(2) If the nursing staff have no fixed income, the nursing expenses shall be calculated according to their average income in the last three years. If the nursing staff has no income or does not employ nursing staff, it shall be calculated with reference to the local labor remuneration standard for nursing staff at the same level.
I hope the above content can help you. If in doubt, please consult a professional lawyer.
Legal basis:
Article 21 of the Interpretation of the Supreme People's Court on the Trial of Personal Injury Compensation Cases.
The nursing fee is determined according to the income of nursing staff, the number of nurses and the nursing period.
If the nursing staff has income, it shall be calculated with reference to the provisions of the lost time fee; If the nursing staff has no income or employs nursing staff, it shall be calculated with reference to the local labor remuneration standard for nursing staff at the same level.
In principle, there are 1 nursing staff, but if medical institutions or appraisal institutions have clear opinions, the number of nursing staff can be determined by reference. The nursing period should be calculated until the victim recovers his self-care ability.
If the victim can't recover his self-care ability due to disability, a reasonable nursing period can be determined according to his age, health status and other factors, but the longest period is no more than 20 years. After the victim is disabled, the nursing level should be determined according to the degree of nursing dependence and the preparation of disability AIDS. The specific cost standard can also be determined according to the traffic accident compensation standard issued by the provincial public security department where the court accepts the case.
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