National Health Insurance Act Article 81
The person who applies for reimbursements or claims medical expenses through improper conduct or makes false certification, report, or misrepresentation shall be fined equivalent to two to twenty times the benefits or medical expenses received. If a criminal offense is involved, he/she shall also be referred to the court. Any medical expenses so received by contracted medical care institutions may be deductible from the expenses claimed or receivable by it.If a contracted medical care institution behaves in the way mentioned in the preceding paragraph, the Insurer may announce the name of the institution, responsible medical personnel, or the name of the individual and the nature of the violation, depending on the severity of the situation.
中文原文 全民健康保險法第81條
以不正當行為或以虛偽之證明、報告、陳述而領取保險給付、申請核退或申報醫療費用者,處以其領取之保險給付、申請核退或申報之醫療費用二倍至二十倍之罰鍰;其涉及刑責者,移送司法機關辦理。
保險醫事服務機構因該事由已領取之醫療費用,得在其申報之應領醫療費用內扣除。
保險醫事服務機構有前項規定行為,其情節重大者,保險人應公告其名稱、負責醫事人員或行為人姓名及違法事實。
保險醫事服務機構因該事由已領取之醫療費用,得在其申報之應領醫療費用內扣除。
保險醫事服務機構有前項規定行為,其情節重大者,保險人應公告其名稱、負責醫事人員或行為人姓名及違法事實。