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Can foot fracture be reimbursed by medical insurance?
According to China's "Social Insurance Law" and related laws and regulations, the behavior of the actor's own fall and fracture hospitalization can be included in the scope of medical insurance. The behaviors that medical insurance cannot be reimbursed in China's Social Insurance Law mainly include the following situations: 1, and the reimbursement amount has been paid from the industrial injury insurance fund; 2. The reimbursement amount has been borne by a third party; 3. Reimbursement of medical expenses; 4. Medical insurance for overseas medical treatment cannot be reimbursed.
Legal objectivity:
"Social Insurance Law" 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 state regulations. Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. Article 30 of the Social Insurance Law The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) expenses that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (3) borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
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