Proportion of reimbursement for accidental injuries in residents' medical insurance

Legal analysis: 1. Accidental medical treatment: 70% of the insured's medical expenses below 6,000 yuan are reimbursed. The reimbursement rate of hospitalization medical expenses above 6000 yuan is 80%, and the maximum payment limit is 350000 yuan. 2. Accidental disability: If physical disability is caused by accident, a one-time subsidy will be given according to the specific situation. The specific standard is that if the disability level is identified as level 4, the subsidy will be 20,000 yuan; If the disability level is Grade III, the subsidy is 25,000 yuan; If the disability level is Grade II, the subsidy will be 30,000 yuan. 3. Accidental death: In case of accidental death, a one-time subsidy of 50,000 yuan will be provided.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.