1. Expenses required for industrial injury treatment: registration fee, hospitalization fee, medical fee and medicine fee.

This expense is reimbursed according to the facts and paid by the industrial injury insurance fund. However, it is limited by the hospitalization service standard of work-related injury insurance, the catalogue of work-related injury insurance treatment items and the catalogue of work-related injury insurance drugs. If the injured worker agrees to use the out-of-directory treatment fee, it shall be borne by the worker himself or the employer. Among them, we need to pay attention to two points. First, workers with work-related injuries should be reimbursed if they exceed the catalogue limit during the first aid; Second, some provinces stipulate that opinions issued by hospitals (which are really needed for treatment) can be reimbursed even if they exceed the standard. The above three documents are formulated by the social insurance administrative department of the State Council in conjunction with the health administrative department of the State Council and the food and drug supervision and administration department.

Two, inductrial injury worker hospitalization food subsidies.

This fee standard shall be stipulated by the people's government of the overall planning area and paid by the industrial injury insurance fund.

Three. Transportation and accommodation expenses (transportation expenses, accommodation expenses) required by the injured workers for medical treatment outside the overall planning area.

The specific standards shall be stipulated by the people's government of the overall planning area and paid by the industrial injury insurance fund. The premise of this expense reimbursement is that the medical institution will issue a certificate and report it to the agency for approval. Generally speaking, the agency is the administrative agency for industrial injury insurance.

Four, the disabled assistive devices configuration

Specific allocation methods The specific allocation methods shall be formulated by the administrative department of social insurance of the State Council in conjunction with the administrative department of health and the civil affairs department of the State Council respectively (not yet formulated, but there are provisions in various places), and the expenses shall be paid directly by the industrial injury insurance fund to the auxiliary equipment allocation institution that signed the service agreement, without going through the employees. Mom's general configuration method is: first, the industrial injury insurance agency and the auxiliary equipment configuration agency sign an agreement; Secondly, employees apply to the industrial injury insurance agency for configuration; Finally, the injured workers go to the assistive device configuration organization with the approval documents of the agency, and the employees do not need to pay fees. At present, it should be noted that the local basic provisions of the auxiliary equipment cost limit standards.

5. Wages and benefits during the period of shutdown with pay.

Generally enjoy 12 months, the longest is not more than 24 months, and the standard is consistent with the standard of wages and benefits before work injury, which shall be paid by the employer. In addition, after assessing the disability level, stop enjoying the paid shutdown treatment, even if you don't enjoy 12 or 24 months.

Six, nursing treatment during treatment

The employer of the employee is responsible for the nursing during the treatment. That is, first, the employer only has the obligation and responsibility to provide nursing treatment, but has no responsibility and obligation to pay the expenses directly; Second, the employer and the employee can directly pay the expenses through consultation and be taken care of by their families. If negotiation fails, the employer will take care of them. Three, the treatment period refers to the period of work-related injuries and the need to continue treatment after work stoppage; Fourth, only the injured workers who can't take care of themselves during the treatment period can enjoy this treatment;

Seven, after the assessment of the level of work-related injuries, that need nursing care.

Level 3, that is, completely unable to take care of themselves, most of them cannot take care of themselves, and some of them cannot take care of themselves. The payment standard is 50%, 40% and 30% of the average monthly salary of employees in the overall planning area, which is paid by the industrial injury insurance fund on a monthly basis. Whether nursing is needed or not, the level of nursing is confirmed by the labor ability appraisal Committee.

VIII. Disability Allowance (1-4)

1 and 1-4 The disability allowance standard for work-related injuries is 90% of my salary for first-degree disability, 85% for second-degree disability, 80% for third-degree disability and 75% for fourth-degree disability. At the same time, enjoy a one-time disability subsidy, and do not enjoy a one-time work-related injury medical subsidy and a one-time disability employment subsidy. If the actual amount of disability allowance is lower than the local minimum wage standard, the industrial injury insurance fund will make up the difference;

2, inductrial injury worker reached retirement age and retirement formalities, stop disability allowance, enjoy the basic old-age insurance benefits in accordance with the relevant provisions of the state. If the basic old-age insurance benefits are lower than the disability allowance, the industrial injury insurance fund will make up the difference.

3, by the employer and individual employees to disability allowance as the base, pay the basic medical insurance.

Nine, disability allowance (5 to 6)

1. Where labor relations are maintained with the employer, the employer shall arrange appropriate work; If it is difficult to arrange the work, the employer shall pay the disability allowance monthly. The standard is: level 5 disability is 70% of my salary, and level 6 disability is 60%; If the actual amount of disability allowance is lower than the local minimum wage, the employer shall make up the difference.

2. The employer shall pay the social insurance premiums payable for it according to the regulations.

3. Upon the employee's own proposal, the employee can terminate or terminate the labor relationship with the employer, and enjoy one-time disability allowance, one-time work-related injury medical allowance and one-time disability employment allowance;

X. One-time disability allowance

This standard is uniformly stipulated by the Regulations on Industrial Injury Insurance, which is consistent throughout the country and paid by the Industrial Injury Insurance Fund. Based on my monthly salary, I am disabled for 27 months in the first grade, 25 months in the second grade, 23 months in the third grade, 2 1 month in the fourth grade, 0/8 months in the fifth grade, 0/6 months in the sixth grade, 0/3 months in the seventh grade and 65/3 months in the eighth grade.

Eleven, one-time work-related injury medical subsidies and one-time disability employment subsidies.

Specific standards shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government. When the labor relationship is terminated, upon the application of the employee, the industrial injury insurance fund will pay a one-time medical subsidy for work-related injuries, and the employer will pay a one-time disability employment subsidy.

reference data

Standard and calculation method of industrial injury compensation: falvboke.com/falv/32.html