Reimbursement process of hospitalization work-related injury insurance

Medical expenses for work-related injuries are generally paid by the work-related injury insurance fund. If the employer fails to pay the work-related injury insurance as required, it shall be paid by the employer. If the employer fails to pay, it shall pay in advance from the industrial injury insurance fund and be repaid by the employer. If the work-related injury is caused by a third person, and the third person fails to pay the medical expenses for the work-related injury or cannot identify the third person, the work-related injury insurance fund shall pay in advance. After the industrial injury insurance fund is paid in advance, it has the right to recover from the third party. Generally, the unit manager carries the required information to the social security agency for reimbursement, or directly settles the account when leaving the hospital. The specific handling procedures shall be implemented in accordance with local policies. 2 units to participate in work-related injury insurance, work-related injury treatment costs are all paid by the work-related injury insurance fund. According to the Regulations on Work-related Injury Insurance, 100% will be paid for those who meet the three types of work-related injuries.

Legal basis:

"Regulations on Work-related Injury Insurance" Article 29 Employees who suffer from accidents or occupational diseases at work shall receive treatment and enjoy medical treatment for work-related injuries. If the expenses required for work-related injury treatment meet the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance, they shall be paid from the work-related injury insurance fund.

"Trial Measures for Industrial Injury Insurance for Enterprise Employees" Article 17 Employees who are injured at work shall enjoy medical treatment for industrial injuries.

The registration fee, hospitalization fee, medical expenses, medical expenses and medical expenses required for the treatment of work-related injuries or occupational diseases shall be fully reimbursed.

Workers with work-related injuries who need hospitalization shall be given hospitalization food subsidies according to two-thirds of the local food subsidies for business trips; If it is approved to be transferred to other places for treatment, the required transportation expenses and accommodation expenses shall be reimbursed according to the standards for business trips of employees of this enterprise.

Workers with work-related injuries who treat diseases that do not fall within the scope of work-related injuries shall pay medical expenses in accordance with the provisions of medical insurance.