Current location - Trademark Inquiry Complete Network - Tian Tian Fund - Is the work-related injury reimbursement a full reimbursement?
Is the work-related injury reimbursement a full reimbursement?
Legal analysis: According to the laws of our country, the industrial injury is fully reimbursed, and the medical expenses incurred by the injured workers due to treatment, rehabilitation and installation of assistive devices can be reimbursed. Food subsidies for employees hospitalized due to work-related injuries, as well as certificates issued by medical institutions, shall be reported to the agency for approval. The transportation, accommodation and expenses required for medical treatment outside the overall planning area are paid from the industrial injury insurance fund. During the treatment period, the original shutdown and unpaid treatment will remain unchanged, and the unit will pay it monthly. But it shall not exceed 65,438+02 months. If the injury is serious or the situation is special, it may be appropriately extended after being confirmed by the municipal labor ability appraisal committee with districts, but the extension time shall not exceed 12 months. In addition, if the disability level is assessed and the labor ability appraisal committee confirms that life care is needed, the life care fee will be paid by the industrial injury insurance fund on a monthly basis. Workers with work-related injuries are entitled to the treatment of work-related injury medical expenses, which is one of the benefits of work-related injury insurance. It mainly includes the following contents: (1) The registration fees, hospitalization fees, medical expenses, medicine fees and medical expenses required by workers with work-related injuries or occupational diseases are fully reimbursed; (2) If the injured workers need hospitalization, they shall be given hospitalization food subsidy according to 2/3 of the local food subsidy standard for business trips; If it is approved to be transferred to other places for treatment, the required transportation expenses and accommodation expenses shall be reimbursed according to the standards for business trips of employees of this enterprise. It should be noted that the medical expenses for the treatment of diseases that do not belong to the scope of work-related injuries cannot be solved by the medical expenses for work-related injuries, and should be implemented in accordance with the provisions of medical insurance.

Legal basis: Regulations on Industrial Injury Insurance

Thirtieth employees who suffer from accidents or occupational diseases at work shall enjoy medical treatment for work-related injuries. Workers with work-related injuries should seek medical treatment in medical institutions that have signed service agreements. In case of emergency, they can go to the nearest medical institution for first aid. If the expenses required for work-related injury treatment meet the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance, they shall be paid from the work-related injury insurance fund. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance shall be stipulated by the social insurance administrative department of the State Council in conjunction with the health administrative department of the State Council, the food and drug supervision and management department and other departments. Food subsidies for hospitalization of workers with work-related injuries, and certificates issued by medical institutions and approved by agencies. The transportation and accommodation expenses required for workers with work-related injuries to seek medical treatment outside the overall planning area shall be paid by the work-related injury insurance fund, and the specific standards for fund payment shall be stipulated by the people's government of the overall planning area. Workers with work-related injuries who treat diseases caused by non-work-related injuries do not enjoy medical treatment for work-related injuries, and are treated according to the basic medical insurance method. The expenses for work-related injury rehabilitation treatment for workers with work-related injuries to medical institutions that have signed service agreements shall be paid by the work-related injury insurance fund if they meet the requirements.

Article 32 Workers with work-related injuries may install artificial limbs, orthotics, artificial eyes, dentures, wheelchairs and other assistive devices due to their daily life or employment needs, and the required expenses shall be paid from the work-related injury insurance fund according to the standards stipulated by the state.

Article 33 If an employee suffers from an accident or occupational disease at work and needs to be suspended from work to receive work-related injury medical treatment, the original salary and welfare benefits will remain unchanged during the paid suspension, and the unit where he works will pay him monthly. The paid shutdown period generally does not exceed 12 months. If the injury is serious or the situation is special, it may be appropriately extended upon confirmation by the Municipal Labor Ability Appraisal Committee with districts, but the extension time shall not exceed 12 months. After assessing the disability level, the injured workers shall stop the original treatment and enjoy the disability treatment in accordance with the relevant provisions of this chapter. Workers with work-related injuries who still need treatment after the expiration of paid shutdown shall continue to enjoy medical treatment for work-related injuries. Workers with work-related injuries who can't take care of themselves need care during the paid shutdown period, and their units are responsible for it.

Thirty-fourth workers with work-related injuries who have been assessed as disabled and confirmed by the labor ability appraisal committee need life care, the work-related injury insurance fund will pay the life care fee on a monthly basis. Life care fees are paid according to three different levels: completely unable to take care of themselves, mostly unable to take care of themselves or partially unable to take care of themselves, and their standards are 50%, 40% or 30% of the average monthly salary of employees in the overall planning area respectively.