At present, there are four types of medical expenses that are not included in the basic medical insurance fund: 1, which should be paid by the industrial injury insurance fund; 2, should be borne by a third person; 3, should be borne by public health; 4. Go abroad for medical treatment.

According to the provisions of relevant laws, the person participating in the basic medical insurance is injured due to tort (traffic accident, etc.). ) of the third person, medical expenses shall be borne by the third person according to the determined responsibility. Medical expenses exceeding the liability of third parties shall be paid by the medical insurance fund in accordance with state regulations.

Therefore, if someone is injured in a traffic accident, the legal institution should distinguish the responsibility. If it is an individual, the responsibility is not clear. One of the reasons why this can't be reimbursed is that damages caused by traffic accidents are generally compensated by infringers. If the medical insurance fund pays this part of the expenses again, the victims will get double indemnity. This provision can also reduce the payment of medical insurance funds and reduce the risk of being cheated.