1. What is the medical expenses for work-related injuries?
Work-related injury medical expenses refer to the medical expenses incurred by employees who are injured at work due to work-related reasons and need to go to the hospital for **. According to the Regulations on Work-related Injury Insurance, enterprises should purchase work-related injury insurance for their employees, so that if an employee is injured at work, his or her medical expenses should be reimbursed by work-related injury insurance**.
2. How to reimburse medical expenses for work-related injuries.
1.Seek prompt medical attention.
In the event of a work-related injury, the first thing to do is to seek medical attention in time and accept the hospital's **. Medical expenses are a prerequisite for reimbursement, so it is important to seek medical attention as soon as possible to avoid aggravation or sequelae due to delays**.
2.Keep the relevant supporting documents.
In the process of seeking medical treatment, it is necessary to keep all supporting materials, including outpatient medical records, medical invoices, drug lists, examination reports, etc. These supporting materials are necessary documents for reimbursement of medical expenses for work-related injuries, so they should be properly kept.
3.Apply for a work-related injury determination.
The unit shall, within 30 days from the date of occurrence of the accident injury, submit an application for recognition of work-related injury to the social insurance administrative department of the coordinating area. If the employer does not apply, the employee and his or her close relatives can apply for a work-related injury determination within 1 year. After the social insurance administrative department makes a decision on the determination of work-related injury, the employee or his close relatives shall apply to the agency participating in the work-related injury insurance for reimbursement of the work-related injury medical expenses with the relevant materials of the work-related injury medical treatment. If an employee has a disability that affects his or her ability to work, he or she shall be assessed for his or her ability to work. Units, employees or their close relatives may apply to the Labor Ability Appraisal Committee of the city divided into districts, and if it constitutes a disability level, they may apply to the handling agency for payment of relevant disability benefits.
4.Pay attention to the reimbursement time limit.
When reimbursing medical expenses for work-related injuries, it is necessary to pay attention to the time limit for reimbursement. According to the above, the maximum time limit for applying for a work-related injury determination is 1 year, which means that if you do not apply for a work-related injury determination for more than one year, the work-related injury expenses will not be reimbursed.
3. Reimbursement ratio and limit.
Work-related injury insurance policies vary from region to region, so the specific reimbursement ratio and limit will vary. Generally speaking, the reimbursement rate of medical expenses for work-related injuries is relatively high, up to more than 90%. At the same time, the reimbursement ratio will be different for different drugs and ** items. For the specific reimbursement ratio and limit, please consult the local social security bureau or relevant departments.
4. Other precautions.
1.If the employee has not purchased work-related injury insurance or is unable to reimburse the medical expenses for work-related injury due to other reasons, he or she can apply for subsidies or assistance from the enterprise or relevant departments. However, it should be noted that the policies of different regions are different, so the specific subsidy or assistance standards will also be different.
2.In the process of seeking medical treatment, it is necessary to choose a formal medical institution for ** and follow the doctor's ** advice. At the same time, it is necessary to keep all the supporting materials for subsequent reimbursement.
3.During the reimbursement process, fill in the reimbursement application form truthfully and submit complete supporting materials. If there is false declaration and other behaviors, the corresponding legal responsibility will be borne.