Job Recruitment Website - Social security inquiry - Can the social security part be reimbursed for work-related injuries after reporting?
Can the social security part be reimbursed for work-related injuries after reporting?
1. Can the social security department reimburse the work-related injury after reporting it?
You can declare work-related injury reimbursement.
Units that pay work-related injury insurance for employees shall be based on the Regulations on Work-related Injury Insurance.
The expenses incurred before the identification of work-related injuries can be paid in various ways. However, after the work-related injury identification is issued, the work-related injury method will be used for settlement, and the previous expenses will be reimbursed to the payer according to the different payment methods.
However, if there are expenses that should be paid by a third party, you can't declare work-related injury reimbursement.
Work-related injury insurance reimbursement method:
1, usually go through the procedures of work-related injury identification, work-related injury expense reimbursement and disability appraisal. When a work-related injury is identified, it is necessary to fill in the application form for work-related injury identification, and provide the first diagnosis certificate, work-related injury employee ID card and other materials. It is recommended to go to the local industrial injury department to get the application form and all materials.
2. In the process of medical treatment for work-related injuries, employees with work-related injuries are required to explain to medical institutions that it is a work-related injury, 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.
"Regulations on Work-related Injury Insurance" Article 29 Employees who suffer from accidents or occupational diseases at work shall receive treatment and enjoy medical treatment for work-related injuries.
Workers with work-related injuries should seek medical treatment in medical institutions that have signed service agreements. In case of emergency, they can go to the nearest medical institution for first aid.
If the expenses required for work-related injury treatment meet the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance, they shall be paid from the work-related injury insurance fund. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance shall be stipulated by the administrative department of labor and social security of the State Council in conjunction with the administrative department of health and the drug supervision and administration department of the State Council.
If an injured worker is hospitalized, the unit to which he belongs shall issue a hospital food subsidy according to 70% of the food subsidy standard of the unit on business trip; Medical institutions issue certificates and report them to the agency for approval. If the injured workers go to the outside of the overall planning area for medical treatment, the required transportation, accommodation and expenses shall be reimbursed by the unit according to the standard of employees' business trip.
Workers with work-related injuries who treat diseases caused by non-work-related injuries do not enjoy medical treatment for work-related injuries, and are treated according to the basic medical insurance method.
The expenses for rehabilitation treatment of injured workers in medical institutions that have signed service agreements shall be paid by the industrial injury insurance fund if they meet the provisions of the third paragraph of this article.
Two. Classification of industrial injury insurance:
The liability of industrial injury insurance is compensatory. In other words, workers' rights to life and health, survival and labor are affected, damaged or even deprived. Therefore, work-related injury insurance is a social insurance system based on paying compensation to workers injured at work, while other social insurances are based on helping and paying compensation to workers' life difficulties.
Industrial injury insurance implements the principle of no-fault liability. No matter whether the responsibility for industrial accidents belongs to the employer, the individual employee or the third party, the employer should bear the insurance responsibility.
Industrial injury insurance is different from endowment insurance. Workers do not pay insurance premiums, and all expenses are borne by the employer. That is, the applicant for work-related injury insurance is the employer.
As a social welfare, the coverage of industrial injury insurance is richer than that of commercial accident insurance. In addition to accidental injuries at work, it also includes occupational disease reimbursement, acute sudden death insurance and funeral subsidies (work-related deaths).
Commercial accident insurance provides protection against accidental injuries during work and rest, and its advantages are reflected in the breadth of time and space. For example, accidents encountered on the way to and from work, if they are motor vehicle traffic accidents, can be compensated through work-related injuries, and other accidental injuries do not belong to the scope of work-related injuries.
The occurrence of work-related injuries is tragic, but it has already happened. Try your best to safeguard your rights and interests afterwards. Therefore, we must apply to the relevant units for work-related injury identification, first identify, and then apply for identification if the injury is serious. If we reach disability level, we can get more compensation. After social security reimbursement, you can also find compensation from work-related injury insurance.
- Previous article:Is there a social security office in Du Nan Town, liyang city?
- Next article:How to reimburse abortion allowance?
- Related articles
- Stock Sentence Making, Grade Two, Volume Two
- The pamphlet on endowment insurance is gone. Can you reissue it?
- Dongguan social security can apply for surrender.
- Is there a social security card all over the country?
- Yantai social security payment base 2023
- I have never applied for a social security card. Where can I go?
- Proportion of medical expenses reimbursed by social security in different places
- What does the amount transferred to personal account mean? Social security fees have been deposited in employee accounts.
- What's the telephone number of Hongshan Social Security Bureau?
- Nanchang talent subsidy, resignation, paid and flexible employment, okay?