Car accidents cannot be reimbursed by the new rural cooperative medical system. Car accidents are generally third-party accidents, and the perpetrators have to bear the expenses. It is not covered by the basic medical insurance fund, but can be paid by the basic medical insurance fund, and then recover from the actor.

Generally speaking, death compensation is based on the death of the deceased, and the compensation paid by the injuring party or the party responsible for the accident to the close relatives of the deceased has the nature of pension, while the right holder who obtains death compensation is the close relatives of the deceased rather than the deceased, so the compensation does not belong to inheritance.

Legacy is the personal legal property left by a natural person when he dies. It is generally believed that the legacy of the deceased refers to the personal property of the deceased before his death, and the death compensation paid by the accident perpetrator can only be a kind of spiritual comfort and economic compensation for the relatives of the deceased, rather than a civil liability for the deceased who is no longer a civil subject. Death benefits cannot be used as the inheritance of the deceased.

Materials required for reimbursement:

1. Outpatient reimbursement information: outpatient invoice, cooperative medical certificate calendar (or medical record).

2. Hospitalization reimbursement materials: hospitalization invoice, cooperative medical certificate (or medical record) calendar, detailed list of expenses, discharge summary and other relevant certificates.

3. Special disease outpatient reimbursement: invoices and calendars for special disease cooperative medical certificate outpatient service.

4. Information for handling special diseases: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos.

legal ground

According to the provisions of Article 30 of the Social Insurance Law, the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.