Home >> FAQ >> Medicare >> Insurance
In which cases would a clinical treatment undergo a review?

A review shall be carried out in abnormal cases of clinical expenses and occurrences that insurance participants incur during clinical treatments in dedicated medical insurance institutions in Shanghai, including those with:

(1) More than 15 clinical treatments accumulated in one month;

(2) more than 30 clinical treatments accumulated in three consecutive months;

(3) more than RMB 5,000.00 accumulatively paid for in one clinic in one month, or

(4) more than RMB 20,000.00 on clinical expenses in one sole medical insurance year.