How to reimburse the expenses for work-related injury treatment?

The process of reimbursement of medical expenses for work-related injuries must first be determined by the employer or the injured employee applying to the Labor Bureau for work-related injuries. After being identified as a work-related injury, the disabled can apply for labor ability appraisal. Finally, prepare medical bills, employee social security cards and other materials, and apply for reimbursement to social security agencies.

After the work-related injury identification is completed, the medical expenses incurred by employees for work-related injuries shall be based on the conclusion of work-related injury identification and a copy of discharge summary, including the date of admission, chief complaint, past history, examination, diagnosis, treatment, operation, prognosis after treatment, matters needing attention after discharge, etc., stamped with the seal of the hospital, and a detailed list of medical expenses shall be listed, including the names, doses and times of drugs, examinations, treatments, operations and tests.

First, how to reimburse medical expenses for work-related injuries

The work-related injury reimbursement application process is as follows:

1. First of all, the employer shall file an application for work-related injury identification with the Labor Bureau within one month;

2. If the employer does not apply, the employee may apply to the local labor bureau for work-related injury identification within one year;

3. The Labor Bureau makes a decision on the determination of work-related injuries;

4. The injured person shall go to a qualified hospital for disability appraisal;

5. Give the hospital's disability appraisal to the Labor Bureau and the employing unit, and the Labor Bureau will issue the Notice of Work Injury Identification to the employing unit;

6. Prepare payment documents such as medical expenses, employee social security cards and other materials to apply for reimbursement to social security agencies;

7. Finally, the social security agency will calculate the expenses that should be reimbursed and pay them to the employees.

2. What are the compensation items that the employer should undertake?

The following work-related injury benefits are paid by the employer: wages and benefits of workers who have been injured during the work-related injury benefits; Disability allowance received by employees with work-related injuries of Grade V and VI on a monthly basis; A one-time disability employment subsidy that a worker should enjoy when terminating or dissolving a labor contract.

I hope the above contents are helpful to you. If in doubt, you can consult a professional lawyer.

Legal basis: Article 38 of People's Republic of China (PRC) Social Insurance Law.

The following expenses incurred due to work-related injuries shall be paid from the work-related injury insurance fund in accordance with state regulations:

(a) medical expenses and rehabilitation expenses for the treatment of work-related injuries;

(2) Hospitalization food subsidies;

(three) transportation and accommodation expenses for medical treatment outside the overall planning area;

(four) the cost of installing and configuring assistive devices for the disabled;

(five) life can not take care of themselves, confirmed by the labor ability appraisal committee of life care costs;

(6) One-time disability allowance and monthly disability allowance for disabled employees of Grade I to IV;

(seven) the one-time medical subsidy that should be enjoyed when the labor contract is terminated or dissolved;

(8) Funeral grants, dependent relatives' pensions and work-related death grants received by survivors of work-related deaths;

(nine) labor ability appraisal fee.

Article 30 of the Financial System of Social Insurance Fund

Expenditure of work-related injury insurance fund includes expenditure on work-related injury insurance benefits, expenditure on labor ability appraisal, expenditure on work-related injury prevention, expenditure on subsidizing subordinates, expenditure on solving superiors and other expenditures.

The treatment expenditure of work-related injury insurance refers to the expenditure that employees should enjoy from the work-related injury insurance fund after being identified as work-related injuries. Specifically, it includes medical expenses for work-related injuries, disability treatment expenses and work-related death treatment expenses. Among them, the medical expenses for work-related injuries refer to the medical expenses for the treatment of work-related injuries, rehabilitation expenses, the expenses for installing and configuring assistive devices for the disabled, the food subsidies for hospitalization, and the transportation and accommodation expenses for medical treatment outside the overall planning area; Disability treatment expenditure refers to the monthly living nursing expenses, one-time disability allowance, one-time medical subsidy received by employees with work-related injuries of 1 4, old-age insurance paid by the work-related injury insurance fund after reaching retirement age and going through retirement procedures, and the difference between the actual amount of disability allowance for employees with work-related injuries of 1 4 and the local minimum wage, which is made up by the work-related injury insurance fund; The expenditure on treatment of work-related injury death refers to the funeral subsidy, dependent relatives pension and one-time work-related death subsidy paid by the work-related injury insurance fund after the death of an employee.

Expenditure on labor ability appraisal refers to the expenditure generated by the initial appraisal, re-appraisal, re-appraisal and confirmation of the use of assistive devices by the labor ability appraisal committee, which shall be borne by the industrial injury insurance fund.

Expenditure on work-related injury prevention refers to the expenditure used for publicity and training of work-related injury prevention according to regulations.

Article 39 of People's Republic of China (PRC) Social Insurance Law

The following expenses incurred due to work-related injuries shall be paid by the employer in accordance with state regulations:

(a) wages and benefits during the treatment of work-related injuries;

(two) the monthly disability allowance for disabled employees of Grade 5 and Grade 6;

(3) One-time disability employment subsidy that should be enjoyed when the labor contract is terminated or dissolved.