Social security accident insurance reimbursement standard

Legal analysis: the scope of accident insurance reimbursement of social security: the general outpatient, emergency and hospitalization expenses incurred by the insured in the designated medical insurance hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by individuals. Accidental injury insurance reimburses social security and emergency medical expenses: 50% of the medical expenses of on-the-job employees in the year (65438+ 10 ~ 65438+February 3 1) exceed 2,000 yuan, and the settlement ratio is 50% of the dispatched personnel who exceed 2,000 yuan during the contract period, and 50% of the individuals. Accidental injury insurance social security reimburses hospitalization medical expenses: the minimum compensation for the first hospitalization in a natural year is 1.300 yuan, and the proportion of reimbursement for each time in 650 yuan is 90% in the first-class hospital, 87% in the second-class hospital and 85% in the third-class hospital, with a cumulative hospitalization reimbursement of 300,000 yuan.

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

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.

The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.

The state supports social insurance through preferential tax policies.