Can BSS reimburse for disability from a previous car accident?

Certain cases of traffic accidents can be reimbursed.

The Interim Measures for Prior Payment by the Social Insurance Fund:

Article 2: If an employee or a resident (hereinafter referred to as an individual) participating in basic medical insurance suffers an injury or illness due to the tortuous behavior of a third party, the medical expenses shall be borne by the third party in accordance with the size of the responsibility determined in accordance with the law. Medical expenses in excess of the third party's liability shall be paid by the basic medical insurance fund in accordance with state regulations.

If the medical expenses in the preceding paragraph should be paid by the third party, and the third party does not pay or cannot be identified, when the medical expenses are settled, the individual may apply in writing to the social insurance administration organization in the place where he/she is insured for the payment of the basic medical insurance fund in advance, informing of the reasons for his/her injuries and illnesses as well as of the third party's non-payment of the medical expenses or the impossibility of identifying the third party.

Article 3: Upon receipt of an individual's application under the provisions of Article 2, the social insurance administration organization shall, if it determines upon examination that he or she is enrolled in basic medical insurance, pay the corresponding portion of the medical expenses in advance in accordance with the provisions on payment by the basic medical insurance fund of the co-ordinated area.

Article 4 If an individual is recognized as having sustained a work-related injury due to an injury or illness caused by the tortious act of a third person, and the third person does not pay the medical expenses of the work-related injury or is unable to identify the third person, the individual or his or her close relatives may apply in writing with the decision on the recognition of the work-related injury and the relevant materials to the social insurance agency to have the Work Injury Insurance Fund pay the expenses in advance, and to be informed of the non-payment by the third person or of the inability to identify the third person.

Article 11 Where an individual has already received medical expenses, medical expenses for work-related injuries or work-related injury insurance treatment from a third person or an employing unit, he or she shall take the initiative to return the portion of the amount of the first payment that should be borne by the third person or the work-related injury insurance treatment first paid by the work-related injury insurance fund to the basic medical insurance fund or the work-related injury insurance fund, and the social insurance agency shall no longer recover the amount of the first payment from the third person or the employing unit. the employer.

If an individual refuses to return the benefits, the social insurance agency may deduct the amount to be returned from the benefits to be paid in the future, or file a lawsuit with the people's court.