I. Medical expenses 1. If the expenses required for work-related injury treatment meet the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance, they shall be paid from the work-related injury insurance fund. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance shall be stipulated by the administrative department of labor and social security of the State Council in conjunction with the administrative department of health and the drug supervision and administration department of the State Council. 2, agencies and medical institutions, auxiliary equipment configuration institutions signed a service agreement on the basis of equal consultation, and announced the list of medical institutions and auxiliary equipment configuration institutions signed a service agreement. The specific measures shall be formulated by the administrative department of labor and social security of the State Council jointly with the administrative department of health and the civil affairs department of the State Council respectively. 3, agencies in accordance with the agreement and the relevant national directory, standard of inductrial injury worker medical expenses, rehabilitation costs, the use of assistive devices for verification, and timely and full settlement costs. 4. It is a prerequisite for the victim to obtain compensation for medical expenses of work-related injuries, that is, except for emergencies, employees should seek medical treatment in medical institutions that have signed service agreements, and all expenses should conform to the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance. After meeting the above conditions, the victim can get compensation for medical expenses. 2. Food allowance 1. It is really necessary for the victims to go to other places for treatment. A reasonable part of the accommodation expenses actually incurred by the victim and his entourage due to objective reasons shall be compensated. 2. In principle, the compensation period of food allowance is the hospitalization period, that is, the number of days of food allowance is calculated according to the victim's hospitalization period and multiplied by the daily standard of the general staff of the local state organs, and the specific food allowance can be obtained. 3. Transportation and accommodation expenses 1, and transportation expenses for doctors' visits. If the doctor visits the victim, if the transportation fee for the visit has been included in the medical expenses, the victim gets compensation from the medical expenses and does not need to be included in the transportation fee. If it is not included in the visiting expenses and is paid separately by the victim, the expenses shall be compensated according to the transportation expenses. 2. About the expenses for the victims or their accompanying persons to use private cars. If you use a private car as a means of transportation when you go to a hospital for treatment or transfer to a hospital, you should compensate yourself for normal and actual expenses, such as corresponding and reasonable fuel costs, parking fees, tolls, etc. 3. Calculation standard of transportation fee. In practice, it is generally believed that transportation expenses should be paid according to the standard of travel expenses of ordinary staff of state organs where the infringement occurred. However, it should also be flexibly mastered according to the actual situation of the victims and the actual needs of treatment. 1. Ordinary buses are the main means of transportation. Under special circumstances, you can take an ambulance, taxi, etc. , but the victim should explain the rationality of the use. 2, when taking the train, should give priority to with ordinary hard seat train, under special circumstances, need to take a soft seat, sleeper, should also be allowed, but the victim should explain its rationality. In case of emergency, you should also be allowed to fly, and the victim should also explain its justified reasons. Four. Nursing expenses If the injured workers are assessed with disability grade and confirmed to need life nursing by the labor ability appraisal committee, the life nursing expenses shall be paid by the industrial injury insurance fund on a monthly basis. Life care fees are paid according to three different levels: completely unable to take care of themselves, mostly unable to take care of themselves or partially unable to take care of themselves, and their standards are 50%, 40% or 30% of the average monthly salary of employees in the overall planning area respectively. 5. If the salary during the shutdown period is 1, and the employee has been working in this unit for 12 months before the work injury, the original salary standard shall be calculated according to the monthly average salary (including basic salary, bonus, subsidy and overtime) of 12 months before the work injury; 2. If the employee has been working in this unit for less than 12 months before the work-related injury, the original salary standard shall be calculated according to the actual monthly average salary before the work-related injury. 3. If the employee's work before the work injury is less than 1 month, the original salary standard shall be calculated according to the monthly salary agreed in the contract; If the original salary is not agreed upon or cannot be determined, the original salary standard shall be calculated at not less than 60% of the average monthly salary of employees in this Municipality in the previous year. Expenses of AIDS for intransitive verbs Workers injured at work may install artificial limbs, orthotics, artificial eyes, dentures and wheelchairs due to their daily life or employment needs, and the required expenses shall be paid from the industrial injury insurance fund according to the standards stipulated by the state. Seven, one-time disability allowance 1, the actual amount of disability allowance is lower than the local minimum wage, make up the difference; Keep labor relations and quit your job. Workers with work-related injuries who reach retirement age and go through retirement formalities will stop receiving disability allowance and enjoy basic old-age insurance benefits. If the basic old-age insurance benefits are lower than the disability allowance, make up the difference. Employers and employees pay basic medical insurance premiums based on disability allowance. 2. My salary refers to the average monthly payment salary of the injured workers 12 months before they suffer from accidents or occupational diseases. If my salary is higher than 300% of the average wage of employees in the overall planning area, it shall be calculated according to 300% of the average wage of employees in the overall planning area; If my salary is lower than 60% of the average wage of employees in the overall planning area, it shall be calculated according to 60% of the average wage of employees in the overall planning area. Eight, disability allowance to retain the labor relationship with the employer, the employer shall arrange appropriate work. If it is difficult to arrange the work, the employer shall issue a monthly disability allowance, and the employer shall pay the social insurance premiums payable for it in accordance with the regulations. If the actual amount of disability allowance is lower than the local minimum wage, the employer shall make up the difference. Nine, a one-time work-related injury Medicaid 1, a one-time work-related injury Medicaid. According to the difference between the average life expectancy of the local population and the age at the time of dissolution and termination of labor relations, the average salary of local employees is 1.4 months for each full year; Grade 6, the average salary of local employees is paid to 1.2 months every full year; Grade seven, the average salary of local employees is paid to 1 month every full year; Eight, every full year to 0.8 months the average wage of local workers; Grade 9, the average salary of local employees is 0.4 months every full year; Ten, every full year to the local average wage of 0.2 months. Less than one year, according to one year. 2, workers suffering from occupational diseases, one-time medical subsidies for work-related injuries on the basis of the above standard additional 40%. X. One-time disability employment subsidy One-time disability employment subsidy. Based on the average salary of local employees, according to the disability level and the age at the time of dissolution and termination of labor relations, a one-time disability employment subsidy is given 1-36 months respectively.
Legal objectivity:
Article 38 of the Social Insurance Law
The following expenses incurred due to work-related injuries shall be paid from the work-related injury insurance fund in accordance with state regulations:
(a) medical expenses and rehabilitation expenses for the treatment of work-related injuries;
(2) Hospitalization food subsidies;
(three) transportation and accommodation expenses for medical treatment outside the overall planning area;
(four) the cost of installing and configuring assistive devices for the disabled;
(five) life can not take care of themselves, confirmed by the labor ability appraisal committee of life care costs;
(6) One-time disability allowance and monthly disability allowance for disabled employees of Grade I to IV;
(seven) the one-time medical subsidy that should be enjoyed when the labor contract is terminated or dissolved;
(8) Funeral grants, dependent relatives' pensions and work-related death grants received by survivors of work-related deaths;
(nine) labor ability appraisal fee.