Act governing of Group lnsurance of Students at Schools at Senior Secondary Level or Below and Young Children at Educare Service lnstitutions Article 17
The following items are excluded from the scope of insurance benefits:1.Expenses for plastic surgery, reconstruction to treat a birth deformity, dental restoration or installing artificial teeth, artificial limbs, artificial eyes, eye glasses, hearing aids, or other adjunct items. This restriction does not apply if the expenses arose as a result of an injury sustained because of an accident, but such fitting expenses will only be covered once.2. Expenses for health checkups, recuperation, convalescence, drug addiction treatment, alcohol addiction treatment, nursing, or retirement that is nor for the purpose of direct diagnosis and treatment of the patient.3. Expenses incurred for registration, outpatient services, a medical certificate of the diagnosis, patient transportation, a ward attendant, or a designated doctor. This restriction does not apply to expenses paid for registration and outpatient services for a miscarriage or childbirth.4. Expenses incurred for treatment provided by a person who does not have a medical practitioner’s license.5. Dental surgery not performed for the purpose of treatment because of the accident that resulted in the current hospitalization.6. Any other item reviewed by the Insurance Premium Review Committee, and ratified and made public by the central competent authority.
中文原文 高級中等以下學校學生及教保服務機構幼兒團體保險條例第17條
下列項目不列入本保險給付範圍：
一、整形美容、天生畸形整復、牙科鑲補或裝設義齒、義肢、義眼、眼鏡、助聽器或其他附屬品之費用。
但因遭受意外傷害事故所致者，不在此限，且其裝設以一次為限。
二、健康檢查、療養、靜養、戒毒、戒酒、護理或養老之非以直接診治病人為目的之費用。
三、掛號、疾病門診、診斷書、傷患運送、病房陪護或指定醫師等費用。
但因流產或分娩所支出之掛號、門診費用，不在此限。
四、未領有醫師執業執照者之醫療費用。
五、非因當次住院事故治療之目的所進行之牙科手術。
六、其他由保險費審議會審議，經中央主管機關核定公告之項目。
一、整形美容、天生畸形整復、牙科鑲補或裝設義齒、義肢、義眼、眼鏡、助聽器或其他附屬品之費用。
但因遭受意外傷害事故所致者，不在此限，且其裝設以一次為限。
二、健康檢查、療養、靜養、戒毒、戒酒、護理或養老之非以直接診治病人為目的之費用。
三、掛號、疾病門診、診斷書、傷患運送、病房陪護或指定醫師等費用。
但因流產或分娩所支出之掛號、門診費用，不在此限。
四、未領有醫師執業執照者之醫療費用。
五、非因當次住院事故治療之目的所進行之牙科手術。
六、其他由保險費審議會審議，經中央主管機關核定公告之項目。