Regulations for the National Health Insurance Reimbursement of the Self-advanced Medical Expenses Article 3

The scope of emergent injury or illness stipulated in Subparagraphs 1 and 2 of Article 55 is as follows:1. Acute diarrhea, vomiting, or dehydration;2. Acute abdominal pain, chest pain, headache, back pain (lower back or pain in the lumbar and hypochondriac region), arthralgia, or toothache, which needs emergency treatment to identify the pathogenic factors;3. Haematemesis, hemafecia, rhinorrhagia, hemoptysis, hemolysis, hematuria, colporrhagia, or acute traumatic bleeding;4. Acute toxic reaction or acute anaphylactic reaction;5. Paroxysmal temperature disorder;6. Dyspnea, asthma, cyanotic lips or fingertips;7. Unconsciousness, coma, convulsion, limb malfunction;8. Foreign bodies left in or blocking the eye, ear, respiratory tract, gastrointestinal tract and genitourinary tract;9. Psychosis that threatens the patient’s or other people’s lives or psychotic symptoms that require immediate treatment;10. Acute injury caused by a major accident;11. Unstable vital signs or other symptoms that may endanger the patient’s life; and12. Legal or reported infectious diseases that require immediate treatment.
中文原文 全民健康保險自墊醫療費用核退辦法第3條
本法第五十五條第一款及第二款所定緊急傷病,其範圍如下:
一、急性腹瀉、嘔吐或脫水現象者。
二、急性腹痛、胸痛、頭痛、背痛(下背、腰痛)、關節痛或牙痛,需要緊急處理以辨明病因者。
三、吐血、便血、鼻出血、咳血、溶血、血尿、陰道出血或急性外傷出血者。
四、急性中毒或急性過敏反應者。
五、突發性體溫不穩定者。
六、呼吸困難、喘鳴、口唇或指端發紺者。
七、意識不清、昏迷、痙攣或肢體運動功能失調者。
八、眼、耳、呼吸道、胃腸道、泌尿生殖道異物存留或因體內病變導致阻塞者。
九、精神病病人有危及他人或自己之安全,或呈現精神疾病症狀須緊急處置者。
十、重大意外導致之急性傷害。
十一、生命徵象不穩定或其他可能造成生命危急症狀者。
十二、應立即處理之法定傳染病或報告傳染病。

English translation for reference only; the Chinese text prevails. Not legal advice.