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What should I do if I misuse medical insurance at work?

Misuse of work-related injury medical insurance shall be handled in the following ways:

1. Report to the employer in time: After the industrial injury occurs, you need to report to the employer in time to explain that you have misused medical insurance. The employer needs to record and put on record.

2. Apply to the medical insurance institution for adjustment: the applicant can apply to the local medical insurance institution for adjustment, and the misappropriated medical insurance fee will be converted into work-related injury insurance payment. Generally, it is necessary to provide relevant certification materials, such as work-related injury certificates and medical expenses lists.

3. Follow-up processing progress: The applicant needs to follow up the processing progress to ensure that the relevant funds have been transferred.

The information to be prepared for medical insurance is as follows:

1, ID card: The original and photocopy of my ID card are required for medical insurance;

2. Household registration book: generally, it is necessary to provide the original and photocopy of the household registration book for checking identity information;

3. Application Form: You need to fill in the medical insurance application form, which can generally be collected at the medical insurance office or hospital;

4. Social Security Card: The social security card holder needs to provide the original and copy of the social security card;

5. Other supporting materials: such as work permit and salary flow required by employees of the unit or business license and tax registration certificate required by individual industrial and commercial households.

To sum up, industrial injury insurance and medical insurance are two different types of insurance, with different scope of application and reimbursement standards. If a work-related injury occurs, it needs to be identified and handled in time, and medical insurance cannot be abused. If you misuse medical insurance, you need to apply for adjustment as soon as possible to ensure that your rights and interests are protected.

Legal basis:

Article 32 of People's Republic of China (PRC) Social Insurance Law

If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.

Article 9 of the Regulations for the Implementation of the Labor Contract Law of the People's Republic of China

The starting time of continuous work 10 year stipulated in the second paragraph of Article 14 of the Labor Contract Law is calculated from the date of employment by the employer, including the working years before the implementation of the Labor Contract Law.