Legal analysis: accidental falls can be reimbursed. In addition to fights, traffic accidents, suicide, self-inflicted injuries, work (public) injuries and accidental injuries with the responsible party. New rural cooperative reimbursement ratio for the participating hospitalized patients one-time policy within the scope of hospitalization medical expenses exceeding 50,000 yuan of participating patients, the new rural cooperative implementation of segmented compensation, within the scope of the new rural cooperative reimbursement, the new rural cooperative reimbursement ratio of 50,000 yuan (including 50,000 yuan) part of the proportion of the corresponding level of health care institutions according to the provisions of the proportion of compensation, 50,000 ~ 80,000 yuan (including 80,000 yuan) part of the proportion of the compensation by 80%, 80,000 yuan or more part of the proportion of the compensation by 90% of the total amount will be reimbursed. In addition, for patients who are referred to medical institutions outside the province for hospitalization and whose actual compensation rate is too low, the policy of guaranteed compensation will continue to be adhered to, and the total cost of hospitalized medical treatment will be guaranteed at a rate of no less than 30% of the reimbursement rate of the New Rural Cooperative Medical Program after the removal of the starting line.
Legal basis: The Social Insurance Law of the People's Republic of China
Article 2 The State establishes a social insurance system for basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment or maternity.
Article 3 The social insurance system adheres to the policy of broad coverage, basic protection, multi-level and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development.
Article 4 Employers and individuals within the territory of the People's Republic of China*** and the State pay social insurance premiums in accordance with the law, and have the right to inquire about the records of payment of premiums and the records of individual rights and interests, and to demand that the social insurance administration agencies provide social insurance counseling and other related services. Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of contributions for them by their own units.