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Can workers' compensation insurance be reimbursed off-site
The process of reimbursing workers' compensation insurance in other places is as follows:
1. Discharge summary, invoice and medication details issued by the hospital in the other place.
2, my ID card, health insurance card, the unit issued by the foreign medical certificate (to be stamped with the company's official seal), such as non-enterprise insurance does not need the unit issued by the foreign medical certificate.
3, local hospitals issued by the transfer certificate, the attending physician to open the certificate, and then the attending physician's director of the signature, and then go to the hospital health insurance office for the transfer certificate.
4. The local reimbursement for foreign medical treatment is 10% less than the local reimbursement, and 20% less if there is no transfer certificate issued by the local hospital.
5, bring the above information to the local health insurance office can be processed.
When an employee is injured in an accident or diagnosed or recognized as an occupational disease in accordance with the Law on Prevention and Control of Occupational Diseases, the employer shall, within 30 days from the date of the injury or the date of the diagnosis or recognition as an occupational disease, submit an application for recognition of the work-related injury to the administrative department of social insurance of the co-ordinating region. In the event of special circumstances, the time limit for application may be appropriately extended with the consent of the social insurance administrative department.
Legal basis:
Regulations on Work-Related Injuries Insurance
Article 30
Employees who suffer from accidents at work or who are suffering from an occupational disease shall be entitled to medical treatment for the work-related injuries.
The treatment of work-related injuries shall be carried out at medical institutions with which service agreements have been signed, and in case of emergency, the employee may first go to the nearest medical institution for first aid.
The expenses required for the treatment of work-related injuries shall be paid from the Work-Related Injury Insurance Fund if they are in line with the catalog of work-related injury insurance diagnosis and treatment items, the catalog of medicines for work-related injuries insurance, and the standard of work-related injury insurance hospitalization services. The catalog of diagnostic and therapeutic items for industrial injury insurance, the catalog of medicines for industrial injury insurance, and the standard of inpatient services for industrial injury insurance shall be stipulated by the social insurance administrative department of the State Council in conjunction with the health administrative department and the food and drug administration department of the State Council.
The meal allowance for the hospitalization of an employee for treatment of a work-related injury, as well as the transportation, board and lodging expenses for an injured employee to seek medical treatment outside the co-ordinated area as certified by the medical institution and reported to the agency for consent, shall be paid from the Work Injury Insurance Fund, and the specific standards for the payment of the fund shall be stipulated by the people's government of the co-ordinated area.
Article 38 of the Social Insurance Law
The following expenses incurred as a result of a work-related injury shall be paid from the Work-Related Injury Insurance Fund in accordance with the state regulations:
(1) medical expenses for treatment of work-related injuries, and rehabilitation expenses;
(2) hospitalization meal subsidy; and
(3) transportation, food and lodging expenses incurred in travelling outside the co-ordinated region for medical treatment;
(4) the costs of installing and configuring auxiliary aids for the disabled;
(5) the cost of nursing care confirmed by the Labor Capacity Appraisal Committee if the worker cannot take care of himself;
(6) the one-time disability benefit and the monthly disability allowance for Grade 1-4 disabled workers;
(7) the one-time medical subsidy for the worker who is entitled to it upon termination of the labor contract;
(8) the one-time medical subsidy for the worker who is entitled to it upon termination of the labor contract. (viii) funeral grant, dependent relatives' pension and death grant for work-related deaths;
(ix) labor capacity appraisal fee.
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