Is there reimbursement for accidental wrestling hospitalization?

First, understand the medical insurance policy

First of all, we should understand the local medical insurance policy, including the scope, proportion and conditions of reimbursement. Different regions and different types of medical insurance policies may be different. Therefore, it is necessary to consult relevant policy documents or consult the local medical insurance department to know whether medical insurance is reimbursed.

Second, confirm the cause of wrestling

There are many reasons for accidental wrestling, such as wet ground and unstable walking. If the wrestling is caused by personal negligence or accident and does not involve illegal or intentional behavior, then medical insurance can be reimbursed. However, if the cause of wrestling involves intentional behavior, illegal crime or drunk driving, medical insurance may not be reimbursed.

Third, prepare reimbursement materials.

During hospitalization, all relevant medical bills and medical records should be properly kept. These materials are an important basis for applying for medical insurance reimbursement. At the same time, you also need to provide personal identity cards, medical insurance cards and other related documents.

Fourth, apply for medical insurance reimbursement.

After discharge, you can submit an application for reimbursement to the local medical insurance department. When applying, you need to submit complete reimbursement materials and fill in the application form as required. The medical insurance department will review the application materials and reimburse those who meet the requirements.

Verb (abbreviation of verb) pay attention to the limitation of reimbursement.

Medical insurance reimbursement usually has a certain limit requirement, and the application needs to be submitted within the specified time. Therefore, you should know and abide by the relevant prescription regulations as soon as possible after discharge, so as not to miss the reimbursement opportunity.

To sum up:

Whether there is reimbursement for accidental wrestling hospitalization medical insurance needs to be judged according to the reasons of wrestling and the specific provisions of medical insurance policy. After understanding the medical insurance policy, confirming the cause of wrestling and preparing relevant materials, you can apply for reimbursement to the local medical insurance department. However, it should be noted that medical insurance reimbursement has certain quota requirements, and relevant regulations should be understood and observed as soon as possible.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28 provides that:

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

This clause clarifies the scope of payment of basic medical insurance and provides a legal basis for reimbursement of accidental wrestling hospitalization medical insurance. At the same time, local medical insurance policies will also be formulated and implemented according to this law. Therefore, when applying for medical insurance reimbursement, you need to refer to local specific policies and regulations.