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The problem of car accident claim. Can social security and auto insurance be reimbursed together?
In practice, after a traffic accident, it is generally treated as a motor vehicle traffic accident, and it is difficult to seek compensation from the perpetrators. It is difficult to reimburse in medical insurance, and the medical expenses you bear in traffic accidents are also difficult to reimburse in medical insurance. However, there are two situations where medical insurance can be used to reimburse some medical expenses:
First, medical expenses shall 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.
Two, the traffic accident itself is fully responsible, and the medical expenses caused by the injury caused by its own fault are not included in the scope of payment of the basic medical insurance fund, and the medical insurance department must reimburse it.
Legal basis:
People's Republic of China (PRC) social insurance law
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall 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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