Different provinces have different requirements on the scope of medical insurance reimbursement for accidental burns, which needs to be determined according to the policies formulated by each province. Usually burns belong to trauma and can be treated with medical insurance.

Burns and scalds are common accidents, only part of medical expenses are reimbursed, and accidental death or disability is not compensated. In addition, the accident clinic will not compensate. But accident insurance can be divided into accidental injury insurance and accidental injury medical insurance. Accident insurance covers death, disability and burns, and the amount of compensation for disability and burns is determined according to the level. Accidental injury medical treatment is used to reimburse the medical expenses caused by accidental injury. As for the risk of serious burns, it is not compensated. Even for products with slight liability, it only pays for burns, not burns.

The reimbursement process of hospitalization medical insurance is as follows:

1. When going through the hospitalization formalities, medical insurance patients should show their ID cards and medical insurance, and then go through the hospitalization formalities and register. Only in this way can we ensure that part of the expenses in the hospital are included in the scope of medical insurance reimbursement;

2. If you want to leave the hospital, you need the attending physician to issue a diagnosis certificate at this time, and stamp it at the outpatient charge office. The hospitalization notice, hospitalization deposit receipt, ID card and medical insurance card will take effect;

3. Take the above procedures and materials, go to the window for hospitalization procedures, and go through discharge and reimbursement;

4. After completion, the staff will give a discharge notice, including the details of various expenses, the scope of reimbursement, the amount of reimbursement, etc.

Legal basis: 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:

(a) shall 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.