一、事项名称

        工伤保险待遇申报

二、设定依据

        参保职工发生工伤事故后，根据工伤保险政策法规享受相应的工伤待遇。

三、办理条件

       职工参加工伤保险后发生的工伤事故，且由人社局鉴定为工伤才能进行工伤待遇申报。

四、办理材料

 1、工伤门诊、住院药费申报

 ①、工伤认定书原件；②、已备案的工伤事故报告；③、门诊病历及处方；④、住院病历及费用清单；⑤、原始发票；⑥、单位银行账号（户名、账号、开户行、加盖公章）

 备注：门诊病历与发票日期一致，门诊病历必须为原件，书写规范且有医生签字

 2、工伤旧伤复发（后续治疗）待遇申报

 ①、工伤（职业病）人员旧伤复发认定结论通知书（由人社局鉴定确认）②、工伤事故认定书复印件；

③、工伤旧伤复发住院（转）审批表；

④、门诊、住院病历及费用清单；

⑤、住院费用原始发票

⑥、单位账号（户名、账号、开户行、加盖公章）                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 3、工伤保险一次性待遇申报

 ①、职工劳动能力鉴定结论书 ；②、工伤事故认定书复印件③、单位银行账号（户名、账号、开户行、加盖公章）；④、解除劳动关系协议书（备注：如未解决劳动关系，则不可申报一次性医疗补助金）

 4、工伤保险工亡待遇申报

 ①、工伤工亡认定决定书；②、供养亲属户口及身份证复印件；③、火化证明

五、办理地点

        鄂州市医疗保险局厅

六、办理时间及时限

        工伤认定鉴定后三个月内前来办理，审批流程约 30 个工日。

七、办理流程

        参保人员发生工伤事故后、24 小时内需向市医保局电话报告工伤事故情况，3 个工作日内将工伤事故以书面形式报市医保局工伤科备案。职工工伤后必须由市人社局进行工伤认定，认定为工伤才能进行工伤待遇申报。

 八、咨询电话

 大厅窗口：0711-3252119 工伤生育科办公室：07113251526 

QQ群：571261190（工伤事故报告盖章后，可发送此群进行报备，报销时再送科室签字）

 九、注意事项

        工伤保险报销费用及待遇全部通过对公单位银行账号转账，如有特殊情况单位无法提供对公银行账号的，需由单位出示委托书,并注明转入账号用途。