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工伤保险基金不予支付的医疗费用该由谁买单

发布时间:2018-07-08 08:47

  本文选题:不予支付 + 基金支付 ; 参考:《中国劳动》2014年04期


【摘要】:正案情简介1997年,吕某学校毕业后就职某卫生院,从事医务工作,卫生院按规定为其缴纳了各种社会保险。2011年8月,吕某下班途中驾驶摩托车发生不负事故责任的交通事故,对方逃逸。吕某共花去医疗费用27215元。2011年10月,吕某被认定为工伤;2011年12月,鉴定为九级伤残。2012年5月,吕某提出辞职后离开卫生院。工伤保险基金及单位为其支付了该支付的所有费用,其中医疗费用基金支付了13462元,剩余13753元由于是高档次及进口药品等,工伤保险基金不予支付,单位也不同意支付。2013年4月,吕某提出仲裁申请,要求单位支付工伤保险基金不予支付的医疗费用。
[Abstract]:In 1997, Lu Mou school graduated from a certain health center, engaged in medical work, the hospital according to the regulations to pay a variety of social insurance. August 2011, Lu driving motorcycles on the way to work an irresponsible traffic accident, The other side ran away. Lu spent 27215 yuan on medical expenses. In October 2011, Lu was recognized as a work-related injury; in December 2011, he was identified as a Grade 9 disability. In May 2012, Lu proposed to resign and left the hospital. The work-related injury insurance fund and the unit paid all the expenses paid for it, of which the medical expenses fund paid 13462 yuan, and the remaining 13753 yuan was not paid by the industrial injury insurance fund because it was a high-grade and imported medicine. Unit also does not agree to pay. In April 2013, Lu Mou puts forward arbitration application, ask unit to pay inductrial injury insurance fund does not pay medical treatment cost that does not pay.
【作者单位】: 浙江省东阳市劳动人事争议仲裁院;
【分类号】:D922.55;D920.5

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