If there is no third party responsible for the trauma, medical insurance can reimburse it.

According to the "Social Insurance Law of the People's Republic of China"

Article 30: The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) Should be paid from the work-related injury insurance fund;

(2) Should be borne by a third party;

(3) Should be borne by the public health department;

(4) Seeking medical treatment abroad.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first. After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.

Extended information

Reimbursement conditions:

Article 28 of the "Social Insurance Law" stipulates that it complies with the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facilities Standard medical expenses as well as emergency and rescue medical expenses shall be paid from the basic medical insurance fund in accordance with national regulations.

According to the basic requirements for the payment of basic medical insurance benefits in my country, insured persons who go to medical insurance institutions to reimburse themselves for medical expenses must generally meet the following conditions:

(1) Insured persons must go to the designated medical institutions of the basic medical insurance to purchase medicines, or go to designated retail pharmacies determined by the social insurance agency to purchase medicines with medical prescriptions issued by doctors in designated hospitals.

(2) The medical expenses incurred by insured persons during their medical treatment must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards before they can be covered by the basic medical insurance. Funds are disbursed in accordance with regulations.

(3) Among the medical expenses of insured persons that are within the payment scope of basic medical insurance, the portion of the expenses above the minimum payment standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a uniform proportion .

Reference materials:

Baidu Encyclopedia-Medical Insurance