Work injury transfer hospital treatment affect reimbursement

The work injury transfer does not affect the reimbursement, as long as the transfer is recognized by the social security of the regular hospital, social security can still be normal reimbursement, but before the transfer, you need to the location of the Labor Appraisal Committee, Social Security Administration, the hospital to apply, indeed, because of the medical conditions can not satisfy the injury of the medical treatment, after the application is approved before the transfer of hospitals. The social security can not be reimbursed if the transfer is done privately.

I, what is the work injury insurance

Work injury insurance, refers to the workers in the work or in the provisions of the special circumstances, suffered an accidental injury or occupational disease resulting in temporary or permanent loss of capacity to work, as well as the death of the worker, the worker or his survivors from the state and society to obtain material help of a social insurance system.

Workers' compensation insurance: workers injured at work or occupational disease temporary or permanent loss of working capacity and death, work-related injuries, regardless of the cause, the responsibility for the individual or in the enterprise, are entitled to social insurance treatment, i.e., the principle of compensation is not to investigate the fault.

Workers' compensation insurance, also known as occupational injury insurance. Workers' compensation insurance is a social security system through the social integration method, the concentration of the employer's contribution to the workers' compensation insurance premiums, the establishment of the workers' compensation insurance fund, for workers in the production and business activities suffered accidental injuries or occupational diseases, and as a result caused by the death of the workers, temporary or permanent loss of working capacity, to give the workers and their utility of the legal medical treatment and the necessary economic compensation. This compensation includes both medical treatment, rehabilitation costs required, but also to protect the cost of basic life.

Second, which treatment costs can be reimbursed

Costs that can be reimbursed include examination fees, treatment fees, medication fees, and other costs required for the treatment of work-related injuries in accordance with the catalog of work-related injury insurance medicines, the catalog of work-related injury insurance diagnostic and therapeutic items, and the standard of work-related injury insurance hospitalization services, as well as the cost of rehabilitation for work-related injuries. It is important to note that if you are treated for a non-work-related injury at the same time as you are treated for a work-related injury, you will not be reimbursed by the Workers' Compensation Insurance Fund.

Three, the reimbursement of medical expenses for work-related injuries have a time limit

After the decision of the social insurance administrative department to recognize the work-related injuries, the injured employee or the employer should reimburse the medical expenses in a timely manner according to the regulations. You can consult with the local workers' compensation insurance agency for specific time requirements for submitting reimbursement materials.

Legal Basis

The Social Insurance Law of the People's Republic of China

Article 33 Employees shall participate in work-related injury insurance, and the employer shall pay the work-related injury insurance premiums, and the employees shall not pay the work-related injury insurance premiums.

Article 35 The employing unit shall pay work-related injury insurance premiums in accordance with the total wages of the employees in the unit and at the rate determined by the social insurance agency.

Regulations on Work-Related Injury Insurance

Article 30 An employee who suffers an accidental injury at work or suffers from an occupational disease and undergoes treatment shall be entitled to medical treatment for the work-related injury.

The treatment of work-related injuries shall be carried out at medical institutions with which service agreements have been signed, and in case of emergency, the employee may first go to the nearest medical institution for first aid.

The expenses for treating work-related injuries shall be paid from the Work-Related Injury Insurance Fund if they are in line with the catalog of work-related injury insurance diagnosis and treatment items, the catalog of work-related injury insurance medicines, and the standard of work-related injury insurance hospitalization services. The catalog of diagnostic and therapeutic items for industrial injury insurance, the catalog of medicines for industrial injury insurance, and the standard of inpatient services for industrial injury insurance shall be stipulated by the social insurance administrative department of the State Council in conjunction with the health administrative department and the food and drug administration department of the State Council.

The meal allowance for the hospitalization of an employee for treatment of a work-related injury, as well as the transportation, board and lodging expenses incurred by an injured employee for medical treatment outside the co-ordinated area, as certified by the medical institution and reported to the agency for consent, shall be paid from the Work Injury Insurance Fund, and the specific standards for the payment of the fund shall be stipulated by the people's governments of the co-ordinated areas.

Work-injured workers treating diseases not caused by work-related injuries are not entitled to medical treatment for work-related injuries, and are treated in accordance with basic medical insurance.

Expenses incurred by injured workers for rehabilitation of work-related injuries at medical institutions that have signed service agreements shall be paid from the Work-Related Injury Insurance Fund if they are in compliance with the regulations.