According to national regulations, the medical expenses caused by accidental injuries are not within the scope of reimbursement of residents' medical insurance and urban workers' medical insurance, and are not within the scope of reimbursement of medical insurance. The scope of reimbursement that does not belong to medical insurance is as follows: 1. Suicide and self-mutilation (except mental illness); Two, fighting, drinking, drug abuse and damage caused by illegal crimes or violations of public security; Three, belonging to the maternity insurance or industrial injury insurance payment range; Four, without approval in the non designated retail pharmacies to buy drugs, dispensing or in non designated medical institutions for medical treatment; Five, accidents, traffic accidents, medical accidents and other parts that are clearly borne by others; Six, in Hongkong, Macao Special Administrative Region and Taiwan Province Province; Seven, according to the relevant provisions of other circumstances not to pay. According to the relevant regulations, if there is no clear responsibility for the medical expenses borne by others, it belongs to the scope of reimbursement of urban medical insurance.

Legal objectivity:

Article 30 of the Social Insurance Law of People's Republic of China (PRC) The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should 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.