勞工遭遇職業傷病，可申請自付差額特殊材料費用補助，降低負擔！

勞工職業災害保險及保護法上路後
提供更多安心保障

被保險人因職業傷病及其引起之疾病，經全民健康保險特約醫院或診所醫師認定有醫療上需要使用自付差額特殊材料品項者，於先行墊付自付差額後，得向勞工保險局申請核退該差額費用！

➊持由投保單位填發的「職業傷病門診單」或「職業傷病住院申請書」，並繳驗全民健康保險卡及國民身分證或其他足以證明身分的文件。

➋前往全民健康保險特約醫院或診所診療。

➌經醫師認定必須選用全民健康保險法第45條第1項所定自付差額特殊材料品項者，得向勞保局申請核退該差額費用。

​勞工職業災害保險自墊醫療費用核退申請書及給付收據：https://www.bli.gov.tw/0106798.html
​健保自付差額特材類別：https://bit.ly/3OleJT0
​更多醫療給付常見Q&A
https://www.bli.gov.tw/0106221.html

If the worker suffers occupational injury or disease, he or she may apply to the insurer(the Bureau of Labor Insurance) for the reimbursement of the amount of special materials and items difference to reduce the burden!

The “Labor Occupational Accident Insurance and Protection Act” came into effect on May 1, 2022. Provide more peace of mind.

If due to illness caused by occupational injuries and diseases the insured is identified as having medical needs by the physicians in the NHI hospital or clinic and such insured selects special materials and items, after paying the special materials and items difference in advance, he may apply to the insurer for the reimbursement of the amount of difference.

➊Hold an occupational injury or disease Clinic Visit Form or Hospitalization Application Form that filled out by the insured unit. And submit the Certificate of National Health Insurance and National Identity Card or other documents sufficient to prove the identity.

➋The insured person who suffers occupational injury or disease shall seek treatment from a contracted hospital or clinic of national health insurance.

➌If due to illness caused by occupational injuries and diseases the insured is identified as having medical needs by the physicians in the NHI hospital or clinic and such insured selects special materials and items specified in Paragraph 1 of Article 45 of the National Health Insurance Act(For example：Special material artificial hip joint), after paying the difference in advance, he may apply to the insurer for the reimbursement of the amount of difference.

​Labor Insurance Occupational Accident Insurance Up-front Medical Expense Reimbursement Application Form and benefit receipt：https://www.bli.gov.tw/en/0015936.html

​The special materials and items specified of the National Health Insurance Act：https://bit.ly/3OleJT0

​More frequently questions and answers about medical benefits
https://www.bli.gov.tw/0106221.html

圖片資料來源轉載自https://www.facebook.com/photo/?fbid=694301022732977&set=a.342124231283993

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