National Health Insurance Act Article 54
If the Insurer determined medical services provided by the contracted medical care institutions to a beneficiary to be incompatible with the provisions of this Act, the expenses may not be charged to the beneficiary.
中文原文 全民健康保險法第54條
保險醫事服務機構對保險對象之醫療服務，經保險人審查認定不符合本法規定者，其費用不得向保險對象收取。