Job Recruitment Website - Social security inquiry - Is there any medical insurance reimbursement for your own injuries?

Is there any medical insurance reimbursement for your own injuries?

Your own injuries can be reimbursed through medical insurance.

The premise is that the injury is due to unintentional reasons, such as a fall, and it is treated in a hospital designated by medical insurance. It should be noted that medical insurance reimbursement is usually limited by deductible, that is, the expenses must exceed a certain amount to be reimbursed. In addition, when reimbursing, you need to tell the cause of the injury truthfully, so as not to violate the law. There is still a time limit for medical insurance reimbursement, so it is best to settle the expenses and reimburse them at the end of medical treatment or discharge. If the injury involves the responsibility of a third party, such as a traffic accident or injury, then the medical expenses cannot be reimbursed through medical insurance and should be borne by the responsible party. Intentional injuries such as self-injury, self-injury and suicide are also not covered by medical insurance reimbursement.

What does the social security contribution base mean?

Social security payment base refers to the social insurance payment base of employees in a social security year. The social security payment base will be determined according to the average monthly income tax declared by employees in the previous year, which is an important basis for paying social security.

After the same payment year is determined, the social security payment base cannot be changed. February to May of each year is the time to declare the social security base of the next settlement year.

There are upper and lower limits on the social security payment base. The upper limit means that the part whose salary exceeds 300% of the average monthly salary of employees in the previous year is not included in the social security base. The lower limit means that if the salary is lower than 60% of the average monthly salary of employees in the previous year, 60% of the average monthly salary of employees in the previous year will be used as the social security base.

I hope the above questions can help you. If you have other legal questions, please consult a professional lawyer.

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

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.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.