National Health Insurance Act Article 2

Terms used in this Act are defined as follows:1. Beneficiary: refers to the insured and his/her dependents.2. Dependents:(1) The insured ’s spouse who is not employed.(2) The insured ’s lineal blood ascendants who are not employed.(3) The insured’s lineal blood descendants within the second degree of kinship who are either minor and not employed or majority but incapable of making a living, including those who are in school without employment.3. Premium withholder: Refers to the individual from whom the premium is withheld according to the Income Tax Act.4. Benefit payments: refers to the remainder of total medical benefit payments minus the self-bearing medical fees of the beneficiary based on this Act.5. Insurance budget: Refers to the insurance benefit payments and reserve funds that shall be established or added.6. Medical Visit Advice: Refers to understanding the beneficiary’s medical visit practices, providing appropriate medical and health education, as well as arranging and assisting with medical visits when the beneficiary has been found to duplicate medical visits, undergo repetitive visits, and use inappropriate treatment.
中文原文 全民健康保險法第2條
本法用詞,定義如下:
一、保險對象:指被保險人及其眷屬。
二、眷屬:
(一)被保險人之配偶,且無職業者。
(二)被保險人之直系血親尊親屬,且無職業者。
(三)被保險人二親等內直系血親卑親屬未成年且無職業,或成年無謀生能力或仍在學就讀且無職業者。
三、扣費義務人:指所得稅法所定之扣繳義務人。
四、保險給付支出:指醫療給付費用總額扣除保險對象就醫時依本法應自行負擔費用後之餘額。
五、保險經費:指保險給付支出及應提列或增列之安全準備。
六、就醫輔導:指保險對象有重複就醫、多次就醫或不當醫療利用情形時,針對保險對象進行就醫行為瞭解、適當醫療衛教、就醫安排及協助。

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