Legal analysis: the reimbursement rate of accidental injury in rural cooperative medical system: the deductible line of hospitals in towns and towns in the city is 3 yuan, and the compensation above 3 yuan is 6%; The county-level deductible line in the city is 9 yuan, and the compensation above 9 yuan is 45%; Municipal (city) deductible is 25 yuan, more than 25 yuan by 4% compensation; Above the provincial level (within) the deductible is 4 yuan, and more than 4 yuan is compensated by 35%; Above the provincial level (outside) deductible is 9 yuan, more than 9 yuan by 3% compensation. Accidental injury refers to the physical injury directly caused by external, sudden, unintentional and non-disease objective events without third-party responsibility. After an accident in the city, you should call 95519 (human and financial insurance) or 95518 (life insurance) for the record within 24 hours. Pay attention to the town where you are when you call to see if it belongs to the town where the insurance company is responsible.

Legal basis: "Administrative Measures for the Protection of Accidental Injury in Social Medical Insurance" Article 4 The medical expenses of accidental injury incurred by the insured due to the following circumstances can be included in the payment scope of the social medical insurance fund: (1) The accidental injury occurred by the insured without the responsible person; (2) Accidental injury that the insured bears part of the responsibility as determined by the relevant departments; (3) In criminal or public security cases in which the insured person is injured due to illegal acts of others, the responsible person fails to make full compensation after the judgment or ruling of the people's court, or the case has not been solved for six months since the injury occurred, and the responsible person cannot be determined; (four) after the judgment or ruling of the people's court, the responsible person fails to make full compensation.

article 5 of the measures for the administration of accidental injury protection of social medical insurance the accidental injury of the insured person conforms to the provisions of article 4, but in any of the following circumstances, the medical expenses for accidental injury shall not be included in the payment scope of the social medical insurance fund: (1) concealment and fraud, including providing false trauma time, place, accident cause, treatment process, false certification materials and forged trauma medical documents; (two) the implementation of drug abuse, the use of controlled drugs (except as prescribed by the doctor), fighting, drunkenness and other illegal acts; (3) It shall be borne by the responsible person, except for the circumstances specified in Items (3) and (4) of Article 4 of these Measures; (4) Motor vehicle road traffic accidents; (five) shall be paid from the industrial injury insurance fund or maternity insurance fund; (six) shall be borne by the public health; (7) Medical expenses incurred overseas.