Does lanshan district Cooperative Medical Care reimburse the elderly for riding motorcycles and falling down?

Whether the reimbursement of motorcycle riding for the elderly in Lanshan cooperative medical care needs specific analysis;

1, motorcycle falls can generally be reimbursed by rural cooperative medical care;

2. If a third party is responsible for the accident, the medical expenses caused by personal injury, such as traffic accidents, medical accidents and work-related injuries, shall be borne by the third party according to law. And rural cooperative medical care cannot be reimbursed.

The medical insurance reimbursement process is as follows:

1. See a doctor: If you need to see a doctor when you are sick, you can go to a local hospital or clinic;

2. Payment and settlement: During medical treatment, you need to pay related expenses to the hospital or clinic, including registration fee, medicine fee, examination fee, treatment fee, etc.

3. Get a list of expenses: After the expenses are settled, the hospital or clinic will provide a list of expenses, including the details of the expenses you paid;

4. Fill in the reimbursement application form: you need to get the medical insurance reimbursement application form from the local medical insurance center or social security bureau, and fill in relevant information, such as name, ID number, description of illness, details of medical expenses, etc.

5. Submit reimbursement materials: submit the completed reimbursement application form, related expense list, invoices and other materials to the local medical insurance center or social security bureau.

Materials required for reimbursement of rural cooperative medical care:

1. Original and photocopy of ID card or household registration book;

2, the new rural cooperative medical insurance card;

3. Original and photocopy of outpatient medical records and discharge summary;

4. Original receipt of medical expenses;

5. Detailed list of expenses;

6. If you entrust others to handle reimbursement, you need to provide the ID card and a copy of the trustee. To sum up, motorcycle falls can generally be reimbursed through rural cooperative medical care, but if there is a third-party accident liability, the medical expenses caused by personal injury shall be borne by the third-party responsible party according to law, such as traffic accidents, medical accidents and work-related injuries. Rural cooperative medical care cannot be reimbursed.

Legal basis:

Article 30 of People's Republic of China (PRC) Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(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.