How does social security medical service reimburse work-related injuries and fractures?

Reimbursement method of work-related injury insurance: 1. Usually, it is necessary to carry out procedures such as work-related injury identification, work-related injury expense reimbursement and disability identification. When it is necessary to carry out work-related injury identification, an application form for work-related injury identification shall be filled in, and materials such as initial diagnosis certificate and ID card of workers with work-related injuries shall be provided. It is recommended to go to the local industrial injury department to get the application form and all the materials. 2. Workers with work-related injuries should explain to medical institutions that it is a work-related injury in the process of medical treatment for work-related injuries, and hospitals will pay attention to it when using drugs. At this time, be careful not to draw a social security card, take the manual reimbursement process, pay the medical expenses in full first, and then reimburse the work-related injury. 3. General work-related injury reimbursement 100%. Of course, this is only medical expenses, and the company will pay employees as usual during the paid period of shutdown. In case of disability, the disabled employment subsidy shall be paid at the time of termination (in some cases, the company cannot voluntarily terminate the disability) or termination. In addition to medical expenses, the industrial injury fund also pays disability benefits and disability medical benefits. 4. A social security system that provides legal medical care and necessary economic compensation for workers in case of death or temporary or permanent incapacity. Article 17 of the Regulations on Work-related Injury Insurance, if an employee suffers an accident injury or is diagnosed and identified as an occupational disease in accordance with the provisions of the Law on the Prevention and Control of Occupational Diseases, the unit to which he belongs shall, within 30 days from the date of the accident injury or the date of diagnosis and identification as an occupational disease, apply to the social insurance administrative department in the overall planning area for work-related injury identification. Under special circumstances, with the consent of the administrative department of social insurance, the application time limit may be appropriately extended. If the employing unit fails to apply for work-related injury identification in accordance with the provisions of the preceding paragraph, the employees with work-related injuries or their immediate family members and trade unions may apply for work-related injury identification directly to the administrative department of labor and social security in the area where the employing unit is located within 1 year from the date of accident injury or occupational disease diagnosis and identification. In accordance with the provisions of the first paragraph of this article, matters that should be identified by the provincial social insurance administrative department shall be handled by the municipal social insurance administrative department located in the district where the employer is located in accordance with the principle of territoriality. If the employer fails to file an application for work-related injury identification within the time limit specified in the first paragraph of this article, the employer shall bear the relevant expenses such as work-related injury treatment in accordance with the provisions of these regulations during this period.

Legal objectivity:

Article 17 of the Regulations on Work-related Injury Insurance, if an employee suffers an accident injury or is diagnosed and identified as an occupational disease in accordance with the provisions of the Law on the Prevention and Control of Occupational Diseases, the unit to which he belongs shall, within 30 days from the date of the accident injury or the date of diagnosis and identification as an occupational disease, apply to the social insurance administrative department in the overall planning area for work-related injury identification. Under special circumstances, with the consent of the administrative department of social insurance, the application time limit may be appropriately extended. If the employing unit fails to apply for work-related injury identification in accordance with the provisions of the preceding paragraph, the employees with work-related injuries or their close relatives and trade unions may directly apply for work-related injury identification to the social insurance administrative department where the employing unit is located within 1 year from the date of the accident injury or the date of being diagnosed as an occupational disease.