1、youderenqudingdianyiliaojigoujiuyi，suiranshiyongdeyaopinzaiyibaomululi，benniandudeleijiyiliaofeiyongdadaoleqifuxiandanhaimeidaofengdingxian，weishenmezaiyouxieqingkuangxia，yibaohaishibunengbaoxiao？

da：woguo《shehuibaoxianfa》disanshitiaoguidingxialieyiliaofeiyongbunarujibenyiliaobaoxianjijinzhifufanwei：

（一）应当从工伤保险基金中支付的；
（二）应当由第三人负担的；

（san）yingdangyougonggongweishengfudande；

（四）在境外就医的。
比如因打架斗殴产生的医疗费用，就属于上述不纳入基本医疗保险基金支付范围的“应当由第三人负担的”情形，因此不能予以基本医疗保险基金报销。如果医院在治疗费用结算时使用了医保报销，则医院的行为是违法的。

2、车祸的医保报销也有很多情况，不是所有的车祸都可以用医保报销。自己无过错情况下发生的车祸，医保能报销吗？

da：yibanlaishuo，zheizhongqingkuangxia，yibaobunengbaoxiao。genjuwoguo《shehuibaoxianfa》disanshitiaodeguiding，jiaotongshigudengcunzaidisanfangzerenrendeqingkuang，yingyoudisanfangzerenrenchengdanyiliaofeiyong，yibaobunengyuyibaoxiao。ruguoyoudisanfangzerenrendeqingkuangxia，canbaorenzixingdaoyiyuanjiuyi，buduiyishengshuomingshoushangdezhenshiyuanyin，ershirangyishenganzhaozijiyiwaidiedaodengyuanyinlaijizijizhiliaobingliyongyibaobaoxiao，jiushejidaoleqizhapianbao，shiweifaxingwei。

3、如果第三方责任人逃逸，目前找不到，医疗费用只能自己出吗？

da：ruguozhaoshizhetaoyiwufazhaodao，yibaojijinkeyixianxingzhifucanbaorendeyiliaofeiyong。genju《shehuibaoxianfa》disanshitiaodierkuanguiding：“yiliaofeiyongyifayingdangyoudisanrenfudan，disanrenbuzhifuhuozhewufaquedingdisanrende，youjibenyiliaobaoxianjijinxianxingzhifu。jibenyiliaobaoxianjijinxianxingzhifuhou，youquanxiangdisanrenzhuichang。”

4、如果是上班途中发生的车祸，是否由医保来支付？

da：shangbantuzhongfashengdechehuo，shouxianyaoanzhaoshigudezerenlaiquedingyiliaofeiyongdezhifuzhuti。ruguoshiduifangchengdanquanbuzerenhuozhuyaozeren，zeyouduifangzhifuyiliaofeiyong;ruguozhaoshizhetaoyi，zeyaoyougongshangbaoxianxianxingzhifucanbaorendeyiliaofeiyong，gongshangbaoxianyouquanshihouzhuichang。ruguocanbaorenzaijiaotongshiguzerenrendingzhongchengdanzhuyaozeren，zewufarendingweigongshang，yiliaofeiyongyingyouyiliaobaoxianzhifu。