National Health Insurance Act Article 45
The Insurer shall fix a maximum amount for special materials as well as the maximum amount charged by contracted medical care institutions as a difference. The Insurer shall pay the same amount for special materials of the same functional type.The beneficiary shall choose the special material designated by the Insurer as the maximum benefit when deemed necessary by the physician from the contracted medical care institutions and pay for the difference.For the special material items, in which the beneficiary pays the difference, the permit holder shall apply to the Insurer and, upon agreement of the Insurer, present jointly with implementation date to the NHIC for discussion before submission to the Competent Authority for approval.
中文原文 全民健康保險法第45條
本保險給付之特殊材料，保險人得訂定給付上限及保險醫事服務機構得收取差額之上限；屬於同功能類別之特殊材料，保險人得支付同一價格。
保險對象得於經保險醫事服務機構之醫師認定有醫療上需要時，選用保險人定有給付上限之特殊材料，並自付其差額。
前項自付差額之特殊材料品項，應由其許可證持有者向保險人申請，經保險人同意後，併同其實施日期，提健保會討論，報主管機關核定公告。
保險對象得於經保險醫事服務機構之醫師認定有醫療上需要時，選用保險人定有給付上限之特殊材料，並自付其差額。
前項自付差額之特殊材料品項，應由其許可證持有者向保險人申請，經保險人同意後，併同其實施日期，提健保會討論，報主管機關核定公告。