Regulations Governing the National Health Insurance Referral Article 11

If a beneficiary has any one of the following circumstances, the beneficiary shall be deemed as being referred without the need to hold a referral form:1. The first re-visit made after outpatient or emergency surgery;2. Other than the re-visit referred to in the preceding subparagraph, re-visits made with a referral form where the physician considers it necessary for the beneficiary to continue receiving outpatient treatment for the referring illness and all re-visits made within one month from the date of the medical visit of referral do not go beyond four times;3. The first re-visit made within six weeks of being discharged from the hospital following the delivery of a newborn;4. The first re-visit made within one month after being discharged from the hospital for a reason other than those set forth in the preceding subparagraph;5. Where a beneficiary undertakes a medical visit directly to a contracted hospital of his or her township (town, city, district) in the absence of a contracted clinic in the same township (town, city, district).The re-visit referred to in the preceding subparagraphs 1 to 4 is only limited to a visit made to the contracted hospital or clinic that accepts the referral, and such hospital or clinic shall issue a certificate by itself to the beneficiary or directly determine it a re-visit as a matter of fact based on the beneficiary’s medical records, as reference for being deemed as a referral.