Job Recruitment Website - Social security inquiry - Accidentally use medical insurance card to settle work-related injuries.

Accidentally use medical insurance card to settle work-related injuries.

The medical insurance card is used to treat work-related injuries as follows:

1. When swiping the work-related injury medical insurance card, you can apply for reimbursement to the social insurance agency with medical invoices, expense lists and other materials;

2. Without insurance, apply for reimbursement to the employer. You can't use the medical insurance fund for work-related injuries, you can only pay in advance, and then apply for reimbursement at the work-related injury window of the Social Security Bureau with the original documents such as invoice list and appraisal certificate.

First, the steps of compensation for work-related injuries are as follows:

1. First, apply to the local labor department for industrial injury identification;

2. After the work-related injury is recognized as a work-related injury, after obtaining the work-related injury recognition decision issued by the labor department, the medical expenses shall be paid in full by the employer, and the wages during the shutdown period shall be paid according to the original treatment. During the period of unpaid leave, the nursing needs to be taken care of by the unit, and the food subsidy during hospitalization is paid according to local standards;

3. After the injury is stable, you can apply for labor ability appraisal, determine the level of work-related injury, and then ask the employer for disability compensation according to the level of disability.

Two, industrial injury disability grade appraisal standards are as follows:

1, first-degree disability, completely unable to take care of themselves in daily life;

2, secondary disability, daily life needs help at any time;

3, third-degree disability, can not live completely independently;

4, level 4 disability, and the ability of daily living is seriously limited;

5, level 5 disability, limited ability of daily living;

6, level 6 disability, limited ability of daily living;

Grade 7, 7 disability, long-term activities are limited, and working hours need to be significantly shortened;

8. Grade 8 disability, intermittent work, and limited social interaction;

Grade 9 and 9 disability, decreased work and study ability, and limited social communication ability;

10, level 10 disability, limited ability of daily activities, decreased ability of work and study, and limited ability of social communication.

Legal basis:

Regulations on industrial injury insurance

Article 33 If an employee suffers from an accident or occupational disease at work and needs to be suspended from work to receive medical treatment for work-related injuries, the original salary and welfare benefits will remain unchanged during the paid suspension, and the unit where he works will pay him monthly.

The paid shutdown period generally does not exceed 12 months. If the injury is serious or the situation is special, it may be appropriately extended upon confirmation by the Municipal Labor Ability Appraisal Committee with districts, but the extension time shall not exceed 12 months. After assessing the disability level, the injured workers shall stop the original treatment and enjoy the disability treatment in accordance with the relevant provisions of this chapter. Workers with work-related injuries who still need treatment after the expiration of paid shutdown shall continue to enjoy medical treatment for work-related injuries.

Workers with work-related injuries who can't take care of themselves need care during the paid shutdown period, and their units are responsible for it.