Legal analysis: 1. Not reimbursed within the specified time: the current reimbursement system is that the medical expenses of the current year can only be reimbursed in the current year. Expired, as invalid. If you go abroad for medical treatment, you need to submit an expense account within six months, but you can't delay this matter for too long. After all, the current reimbursement process is more convenient. Second, there are compensation units or individuals: if you are injured on duty or others are injured, the medical expenses will be compensated by others or units. This kind of situation will not be reimbursed, but the specific situation can of course be reported according to yourself. These are well known to all. 3. Medical expenses caused by illegal acts: If theft, drunk driving and fighting occur, all medical expenses will not be reimbursed. Fourth, medical expenses caused by non-disease reasons: such as plastic surgery, slimming, beauty, etc. Medical expenses caused by non-diseases shall not be reimbursed. Five, subjective abortion, medical expenses incurred by abortion. Sixth, medical institutions are not designated units: the principle of proximity should be adopted to participate in rural cooperative medical insurance. If you seek medical treatment in other places, it is not in line with the regulations to go back to the local area for reimbursement. If the local medical institution needs to be transferred under the condition of limited level, it must also issue a transfer certificate to successfully reimburse.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Seventeenth individuals who participate in the basic old-age insurance, due to illness or non-work-related death, their survivors can receive funeral grants and pensions; Persons who have completely lost their ability to work due to illness or non-work-related disability before reaching the statutory retirement age can receive disability allowance. The required funds are paid from the basic old-age insurance fund. .
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.