After joining the Children's Hospitalization Mutual Aid Fund, you can enjoy the following benefits: 1. If you are hospitalized due to injury or illness, in accordance with the designated medical regulations in the district, with the Children's Hospitalization Mutual Aid Fund medical certificate, a valid referral slip must be provided at the same time for inter-district outpatient admission.
The hospital mutual aid fund pays part of the medical expenses, which are settled by the hospital.
For those who participate in the "Urban and Rural Residents Medical Insurance", the reimbursable hospitalization medical expenses shall first be settled according to the provisions of the Urban and Rural Residents Medical Insurance; the mutual aid fund can reimburse the portion above the minimum payment standard of the residence insurance, deducting the expenses paid by the residence insurance and the mutual aid borne by the person.
After the fund starts paying the standard portion, the remaining fees are 100% paid by the mutual fund.
Those who do not participate in the "Urban and Rural Residents Medical Insurance" can be reimbursed for 50% of the hospitalization medical expenses. After deducting the minimum payment standard, 100% will be paid by the Children's Hospital Mutual Aid Fund.
Some diseases are subject to maximum price payment.
2. Expenses for specialist outpatient treatment after discharge from the hospital for a "serious illness".
For those who participate in the "Urban and Rural Residents Medical Insurance", the Children's Hospitalization Mutual Aid Fund will pay 100% of the expenses that are within the mutual aid fund's payment range after the Urban and Rural Residents' Medical Insurance pays; for those who do not participate in the "Urban and Rural Residents' Medical Insurance", the Children's Hospitalization Mutual Aid Fund will pay the reimbursable expenses.
50%.
3. Rare diseases: Specific drug costs for Gaucher's disease, Fabry's disease, Pompe disease, and mucopolysaccharidosis will be paid by the Children's Hospital Mutual Aid Fund for 50% of the reimbursable range.
4. The Children's Hospitalization Mutual Aid Fund has a maximum payment standard. For specific standards, you can open the application cloud and search for "Children's Hospitalization Fund".