Legal basis: "Regulations on Work-related Injury Insurance"
Article 14 If an employee has any of the following circumstances, he shall be deemed to be a work-related injury:
(1) In Injured by an accident during working hours and in the workplace;
(2) Injured by an accident while engaged in work-related preparatory or finishing work in the workplace before and after working hours;
>(3) Suffering from violence or other accidental injuries while performing work duties during working hours and workplaces;
(4) Suffering from occupational diseases;
(5) During a business trip, someone is injured or his whereabouts are unknown due to work reasons;
(6) On the way to work, he is injured by a traffic accident that is not his main responsibility or an urban rail transit, passenger ferry, or train accident;
(7) Other circumstances that should be recognized as work-related injuries according to laws and administrative regulations.
Article 30 Employees who are injured in accidents or suffer from occupational diseases at work shall enjoy medical treatment for work-related injuries.
Employees injured at work should seek medical treatment at a medical institution that has signed a service agreement for treatment of work-related injuries. In case of emergency, they can go to the nearest medical facility for first aid.
If the cost of work-related injury treatment meets the work-related injury insurance diagnosis and treatment item catalog, the work-related injury insurance drug list and the work-related injury insurance hospitalization service standards, it will be paid from the work-related injury insurance fund. The catalog of work-related injury insurance diagnosis and treatment items, the work-related injury insurance drug catalog and the work-related injury insurance hospitalization service standards shall be stipulated by the social insurance administrative department of the State Council in conjunction with the health administrative department of the State Council, the food and drug regulatory department and other departments.
The food subsidy for hospitalization of workers injured at work, as well as the certificate issued by the medical institution and submitted to the handling agency for approval, and the transportation and accommodation expenses required for workers injured at work to seek medical treatment outside the coordinated area shall be paid by the work injury insurance fund. The specific standards for fund payment shall be stipulated by the people's government of the coordinating region.
Work-injured employees who are treated for non-work-related diseases are not entitled to work-related injury medical treatment and are treated according to the basic medical insurance methods.
The cost of work-related injury rehabilitation treatment for workers injured at work at a medical institution that has signed a service agreement will be paid by the work-related injury insurance fund if the conditions are met.