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Public Service

5. What are the documents required to apply for medical expense reimbursements?

In the event that the insured persons who suffer from an occupational injury or sickness and go to National Health Insurance contracted medical institution for hospitalization or outpatient treatment, are unable to provide necessary documents within ten business days after receiving medical treatments or before hospital discharge as the result of any circumstances not of their own faults, shall submit following documents to BLI for applying medical expense reimbursements within five years from the date of receiving outpatient medical treatment or hospital discharge.

  1. Labor Insurance Occupational Accident Medical Expense Reimbursement Form.
  2. Labor Insurance Occupational Accident Outpatient Form or Hospitalization Form. (May be exempted if the Reimbursement Form is sealed by the insured unit.)
  3. Original medical expense receipts and expense details. (In case the receipt and expense detail are lost or used for other purposes, the photocopies of the receipt and expenses details shall be sealed by the issuing medical institution to prove that they are identical to the originals.)
  4. Medical diagnosis report or other proof documents. (If the documents are in a foreign language, the Chinese translation shall also be submitted.)
  5. If an insured person suffered an occupational accident outside the jurisdiction area of Labor Insurance Act, the photocopies of documents evidencing the entry and exit of the country or evidence provided by the insured person’s company shall be submitted.
  6. For those who want to apply for reimbursement of medical expenses for their more than 5 day hospitalization in mainland China area, their medical proof documents (original copy of the medical expense receipt, details of expenses, medical diagnosis report or other proof documents) must be notarized by a Public Notary Office in mainland China area, and then they should apply for verification to Strait Exchange Foundation with the original copy of the Notary certificate. After the documents are verified, then they could be used to apply for the reimbursement.
  7. If an accident occurred during an insured person’s commute between his/her home and work, the “Certificate of Proof for Injury due to Commuting Accident” shall be submitted along with the photocopies of the front and back of the insured person’s driver’s license.
     
Last Update:2019-08-20
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