Can social security be reimbursed if there is an accident?

Generally, social security cannot be reimbursed in case of accidents, but some accidental medical insurance can be reimbursed: 1, and the insured has no liability; 2. It is determined by the relevant departments that the insured is partly responsible for the accidental injury; 3. After the judgment and ruling of the people's court, the person responsible for the criminal and public security cases in which the insured was injured due to the illegal acts of others has not fully compensated or has not solved the case for six months since the date of the injury, and it is impossible to determine the person responsible; 4. After the judgment or ruling of the people's court, the responsible person fails to make full compensation. If a traffic accident occurs during commuting hours, it can be identified as a work-related injury and needs to be reported to the local labor bureau for identification. According to national regulations, the medical expenses caused by accidental injuries are generally not within the reimbursement scope of residents' medical insurance and urban workers' medical insurance.

Legal basis:

"People's Republic of China (PRC) social insurance law" thirtieth the following medical expenses are not included in the scope of payment of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Derivative problem:

How to pay the social security money?

When the social security payment is interrupted, the social security payment can be made in the following three ways:

1, paid by the social security bureau

For locals, they can go directly to the Social Security Bureau and pay social security for urban workers or urban residents.

2. Intermediary payment

Choosing a suitable social security institution to pay is the most direct and worry-free remedy. The expenses to be paid include not only the necessary expenses of social security, but also the service fees of social security agencies.

3. Subsequent payments

The years of pension and medical insurance can be accumulated. If you pay it off, you can only pay it back later.