Medical insurance bureau trauma investigation where to investigate

Medicare Bureau trauma investigations can be, log on to the local health insurance bureau website to check, you can also call the local social security consulting phone 12333 consulting.

Medical insurance generally refers to the basic medical insurance, is to compensate workers for the economic losses caused by the risk of disease and the establishment of a social insurance system. Through the employer and individual contributions, the establishment of a medical insurance fund, the insured person sick visit medical expenses incurred by the medical insurance organization to give them a certain amount of economic compensation.

Commercial medical insurance can be divided into reimbursement medical insurance and compensation medical insurance.

Reimbursement medical insurance refers to the reimbursement of medical expenses incurred by the patient in the hospital by the insurance company, generally divided into outpatient medical insurance and inpatient medical insurance.

Compensatory medical insurance means that the patient is clearly diagnosed by the hospital as suffering from a disease specified in the contract, and the insurance company pays the patient according to the amount of money agreed in the contract for treatment and care. It is generally divided into single disease insurance and major disease insurance.

The above two types of medical insurance have similarities but also differences, the same point is that you can only get insurance benefits if you are sick, and the differences are: general medical insurance is a full type of insurance benefits for all types of diseases. Specialized medical insurance is a specialized type, i.e., only certain diseases or surgeries specified in the insurance contract are covered. Insurance companies often offer medical insurance that combines some of these two types of insurance.

Legal Basis

The People's Republic of China Social Insurance Law

Article 28: Medical expenses that conform to the basic medical insurance drug list, diagnostic and therapeutic items, medical service facility standards, and those for emergency and rescue shall be paid out of the basic medical insurance fund in accordance with state regulations. Article 30 The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:

(1) those that should be paid from the Workers' Compensation Insurance Fund;

(2) those that should be borne by a third party;

(3) those that should be borne by the public ****health;

(4) those who seek medical treatment outside China.

Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.