Medicare insurance reimburses hospitalization for burns.

Different provinces have different requirements for the scope of medical insurance, and the specific requirements need to be determined according to the policies formulated by different provinces. Typically, burns are considered traumatic injuries and can be treated with Medicare. Burns and scalds are common accidents. Only part of the medical expenses are reimbursed, and no compensation is provided for accidental death or disability. In addition, accidental outpatient services will not be compensated. However, accident insurance can be divided into two types: accidental injury insurance and accidental injury medical insurance. Accidental injury insurance covers death, disability, burns and scalds, and the compensation amount for disability and burns and scalds is determined based on the level. Accidental injury medical treatment is used to reimburse medical expenses incurred due to accidental injuries. As for burns and critical illness insurance, it does not cover burns. Even products with liability for minor illnesses will only pay for burns, not burns.

The hospitalization medical insurance reimbursement process is as follows:

1. When going through the hospitalization procedures, patients with medical insurance must show their ID cards and medical guarantees, then go through the hospitalization procedures and register for hospitalization. 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 be discharged from the hospital, you need the attending physician to issue a diagnosis certificate at this time, go to the outpatient fee office to have it stamped and take effect, the hospitalization notice, and the hospitalization certificate. Deposit slip receipt, ID card, medical insurance card;

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

4. The process is completed , the staff will give you a discharge notice, including details of various expenses, reimbursement scope, reimbursement amount, etc.

To sum up, the medical records of hospitalization in the hospital, disease diagnosis certificates, detailed list of hospitalization expenses, discharge summary, and valid hospitalization invoices should be brought to the medical insurance center for review. If approved, they can be reimbursed. Accidental injuries can be reimbursed as long as there is no third party responsible.

Legal basis:

Article 30 of the "Social Insurance Law of the People's Republic of China"

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 paid by Those who bear the public health burden;

(4) Those who seek 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.