Can traffic accident social security report medical expenses?

Legal analysis: reimbursement of traffic accident medical expenses can be reimbursed by medical insurance, as long as it is within the scope of medical insurance. The medical expenses of traffic accidents can be directly prosecuted by the perpetrators and the insurance company for full compensation.

1, medical insurance payment can be inquired on the local social security website, and you need to go to a designated medical institution to enjoy medical insurance benefits.

2. Not all medical insurance can be reimbursed, and individuals have to bear part of it, and there is a maximum payment limit.

3. Personal burdens include:

(1) General outpatient (emergency) consultation fee

(2) Drug purchase expenses of designated retail pharmacies

(3) hospitalization (outpatient disease) part of the cost should also be paid.

4. The maximum payment limit refers to the maximum amount of medical expenses paid by the basic medical insurance fund to the insured within a medical year.

Second, how to reimburse medical expenses after a car accident?

But insurance companies have compensation limits. The compensation limit of the insurance company. After negotiation, it is agreed that the owner will accompany the insurance company to calculate the compensation amount, and the insurance company will bear the responsibility of traffic accident compensation within the scope of compulsory insurance. The compensation amount for medical expenses is 65,438 yuan+0,000 yuan, the compensation limit for casualties is 65,438 yuan+0,654 yuan, and the compensation limit for property is RMB. If the vehicle involved in the accident is insured by the third party liability insurance, the insufficient compensation within the scope of the third party liability insurance shall be borne by the accident owner in proportion to the responsibility.

Motor vehicles are responsible in road traffic accidents, and the compensation limit for medical expenses is:

8000 yuan. Motor vehicles have no responsibility in road traffic accidents, and the compensation limit for medical expenses is:

1, 600 yuan RMB.

Three, the medical expenses compensation limit:

Refers to the maximum amount of compensation borne by the insurer for the medical expenses of all victims of each insured accident when the insured motor vehicle has a traffic accident. Medical expenses include medical expenses, medical expenses, hospitalization expenses, food subsidies for hospitalization, necessary and reasonable follow-up treatment expenses, cosmetic expenses, nutrition expenses, etc.

The insurance company shall make compensation within the insurance scope according to the reasonable medical expenses actually incurred by the injured, and non-medical insurance drugs shall not be claimed. In addition, regardless of the size of the liability, the insurance company will pay the medical expenses within the scope of compulsory insurance of 1 10,000 yuan, and the insufficient part will be borne by the insurance company within the scope of commercial insurance according to the size of the liability. However, there is no deductible for commercial insurance payment (there is no deductible without insurance).

Legal basis: Article 76 of the Road Traffic Safety Law of the People's Republic of China: If a motor vehicle accident causes personal injury or property loss, the insurance company shall compensate the insufficient part within the limit of compulsory motor vehicle third-party liability insurance, and shall be liable for compensation in accordance with the following provisions:

(1) In case of a traffic accident between motor vehicles, the party at fault shall be liable for compensation. If both parties are at fault, they shall share the responsibility in proportion to their respective faults.

(two) motor vehicles and non-motor vehicle drivers and pedestrians have traffic accidents, and the non-motor vehicle drivers and pedestrians are not at fault, and the motor vehicle party shall be liable for compensation; If there is evidence that non-motor vehicle drivers and pedestrians are at fault, the liability for compensation of the motor vehicle party shall be appropriately reduced according to the degree of fault; If the motor vehicle party is not at fault, it shall be liable for compensation not exceeding 10%.

The loss of traffic accidents is caused by non-motor vehicle drivers and pedestrians deliberately colliding with motor vehicles, and the motor vehicle party is not liable for compensation.

Article 19: After the occurrence of an insurance accident, the insurer shall, according to the compensation scope, items and standards stipulated by relevant national laws and regulations and the stipulations of the compulsory insurance contract, and according to the Guidelines for Clinical Diagnosis and Treatment of Traffic Accident Injuries and the national basic medical insurance standards formulated by the health authorities in the State Council, verify the amount of personal injury compensation within the compulsory insurance liability limit.

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