Legal analysis: Fracture can be reimbursed by medical insurance. The rural cooperative medical insurance clinic can report a little. If the hospitalization time exceeds 3 days and the medical expenses exceed 1000 yuan, it can be reimbursed by 60%. Medical hospitalization of urban workers can only be reported, and outpatient clinics are generally not reported. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription fee is 100 yuan; The reimbursement for medical treatment in secondary hospitals is 30%, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan. The typical manifestations of fracture patients are local deformation after injury, abnormal limb movement and bone friction when moving limbs. In addition, the wound has severe pain, local swelling and congestion, and dyskinesia occurs after the injury. The ultimate goal of fracture treatment is to restore the function of the injured limb to the maximum extent.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
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.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.