1, if the other party did not pay your losses, you did not give the invoice to the other party, the insurance company will not pay the losses you suffered to him.
2, if the other party has paid your losses, you did not give the invoice to the other party, but he has your receipt or have to pay you the relevant documents, then he may also be compensated by the insurance company.
3, based on the "People's Republic of China *** and the State Insurance Law" Article 65: Liability insurance insured to the third party caused damage, the insured did not pay compensation to the third party, the insurer shall not be compensated for the insurance premiums to the insured.
The first thing you need to do is to get the money back from the insurance company.
However, there are invoices, and if you have been reimbursed in one place first, then you will be provided with a reimbursement split, and you can be reimbursed in the insurance company with the reimbursement split.
Why is the traffic accident victim not reimbursed with the invoice of the medical insurance
The reasons for not reimbursing are as follows:
There are four types of medical expenses that are not included in the scope of payment of the basic medical insurance fund:
Should be paid out of the Workers' Compensation Insurance Fund;
Should be borne by the third party;
Should be borne by the public ****health;
Should be borne by the public health; <
Medical treatment outside the country. Therefore, if you are injured in a traffic accident, the burden should be borne by the tortfeasor.
One of the reasons for not being reimbursed: the policy provides that traffic accident medical expenses are not reimbursed by the health insurance is reasonable, the damage caused by traffic accidents are generally compensated by the tortfeasor, if the health insurance and then pay for this part of the cost, the victim will get double compensation, but also reduces the payment of the health insurance fund and reduces the risk of fraudulent insurance.
Participating in the basic health insurance employees or residents due to the third party's tortious behavior caused by the injury, medical costs should be borne by the third party in accordance with the size of the responsibility determined by law. More than the third party's responsibility for the part of the medical costs, paid by the medical insurance fund in accordance with state regulations.
As long as you can provide a formal invoice, regardless of whether you are in private or public hospitals can be, must be in accordance with the responsibility of the traffic accident to compensate for reimbursement, if not compensation for reimbursement can go to court.
Traffic accidents, repair invoices and parts of the residual value
Oh, no repair invoices how to determine your loss, the insurance company will certainly not pay you.
How is a traffic accident reimbursed by compulsory insurance?
The compulsory insurance is a law that has clear limits for claims.
In the case of liability, the limit for property is $2,000, the limit for medical expenses for personal injuries is $10,000, and the limit for death and disability is 110,000 yuan.
In the case of no-fault, the property limit is $100, the personal injury medical expenses limit is $1,000, and the death and disability limit is $11,000.
Who should be reimbursed for medical invoices for traffic accidents.
First of all, in the case of the other party is responsible for the other party's compulsory insurance medical expenses compensation limit of reasonable expenses compensation of 10,000 yuan, more than 10,000 yuan according to the responsibility of both parties to share the proportion (primary and secondary responsibility 3:7 or 2:8, 4:6, equal responsibility 5:5).
Note: The insurance coverage of 10,000 yuan for medical expenses includes medical expenses, nutritional expenses, hospital food subsidies, follow-up medical expenses, and so on.
The insurance coverage of death and disability costs of 110,000 including lost wages, nursing costs, transportation costs, disability compensation, death compensation, funeral expenses, accommodation costs and other reasonable expenses.
The traffic insurance property damage coverage of 2000 yuan, including the other side of the vehicle, financial losses and other property damage.
Traffic accidents, the invoice provided by the party not responsible is falseReport to the tax authorities.
Traffic accident victims for discharge, invoices, no medical records can be reimbursedHello:
According to your description and the provisions of the law, should still be able to require each other to compensate. If the other side of the request for a case, you can also ask the hospital to re-issue.
What kind of things do you buy? If the daily necessities, do not need to invoice, invoice can not be reimbursed.
In the traffic accident compensation, one is the compensation for medical expenses, hospitalization meal allowance, nutrition (no internal organ damage is not compensated for nutrition). Second, the injured person's lost wages, nursing costs, transportation costs, disability compensation (no identification on the level of compensation) and other compensation, the purchase of goods can not be compensated. Third, property damage compensation, property damage must be the accident scene caused by direct loss, like non-motorized vehicles, watches, cell phones and so on.
So if you buy items, there is no need to develop invoices, open also not compensated.