Is accidental injury insurance covered by social security?

In case of accidental injury, the insured should go to the designated medical institution of the municipal medical insurance for medical treatment, and the accidental injury insurance belongs to the scope of social security. Under what circumstances does the accidental injury medical expenses not belong to the scope of compensation? Insured persons or designated medical institutions who practise fraud, once verified, will be punished in accordance with the relevant provisions in addition to recovering their settlement fees. 1. What is accident insurance? A: After consulting the Municipal Medical Insurance Center, it is known that the insured persons of the basic medical insurance for urban workers suffer from external, sudden, unintentional and non-disease-related physical injuries, and the medical expenses incurred are paid by commercial insurance companies as supplementary medical insurance. 2. What is the coverage of accident insurance? Answer: After consultation with the Municipal Medical Insurance Center, the accidental injury insurance covers all insured persons (including insured workers and employed insured persons) who participate in the basic medical insurance for urban workers at the same level in Qinhuangdao City, that is, the insured. This insurance is insured by Qinhuangdao Medical Insurance Fund Management Center, collectively insured by commercial insurance companies as insurers, and the beneficiary is the insured. 3. Excuse me. A: After consulting the municipal medical insurance center, I learned that accidental injury insurance belongs to the scope of social security. 4. Excuse me, is there any hospital-wide restriction on reimbursement of accidental injury insurance? A: After consulting the municipal medical insurance center, it is known that the insured should go to the designated medical institution of the municipal medical insurance for medical treatment in case of accidental injury. 5. Excuse me, under what circumstances does the medical expenses of accidental injury not fall within the scope of compensation? A: After consulting the municipal medical insurance center, I learned that: (1) medical expenses caused by non-accidental injuries. (two) the cost of orthopedics, cosmetic surgery, beauty, psychological counseling, organ transplantation or repair, installation and purchase of appliances for the disabled (such as wheelchairs, artificial limbs, hearing AIDS, artificial eyes, glasses, etc.). (3) The expenses of the insured for physical examination, recuperation, rehabilitation, pregnancy, abortion and delivery. (4) The expenses of the insured for treatment in non-designated medical institutions. (5) Transportation expenses, accommodation expenses, living allowance, lost time and special nursing expenses paid by the insured. (6) Various medical expenses incurred by the insured due to work-related injuries. (7) The insured violates the law, intentionally commits a crime or resists arrest. (eight) the insured fights, drunkenness, suicide, intentional self-injury, and taking, smoking or injecting drugs. (9) Accidents of the insured under the influence of alcohol, drugs and controlled drugs. (ten) the insured drunk driving, driving without a license and driving a motor vehicle without a valid driver's license. (eleven) the insured did not follow the doctor's advice, taking, smearing or injecting drugs without permission. (12) The insured engages in high-risk sports and activities such as diving, skydiving, rock climbing, adventure, martial arts, wrestling, stunts, horse racing and racing. (13) The insured suffers from AIDS or is infected with HIV (HIV positive). (14) Missing for reasons other than accidental injury or natural disaster and being declared dead by the court. If the insured or the designated medical institutions practise fraud and the medical expenses that do not belong to accidental injury insurance are included in the scope of payment, or the medical expenses that should be paid by the basic medical insurance are paid by accidental injury insurance, once verified, in addition to recovering the settlement expenses, they will be punished accordingly in accordance with the relevant provisions, and the responsibility of the parties will be investigated. Accidental injury insurance management is included in the annual assessment scope of designated medical institutions.