Regulations Governing the Exemption of the National Health Insurance Beneficiaries from the Co-Payment Article 4

If an applicant disagrees with the decision that the Insurer has made regarding his or her application for the certificate of major injury and illness, he or she may file a written application for review within 30 days after receiving the notice from the Insurer, who in turn shall determine the review result within 30 days after it receives the review application.In the event that the applicant disagrees with the determination made by the Insurer according to Paragraph 1 of the preceding article or the review results made pursuant to the preceding paragraph, he or she may apply for dispute mediation according to the Regulations Governing the National Health Insurance Dispute Mediation Committee.Where a dispute mediation application in the preceding paragraph is declined, the applicant shall submit a new examination, test, or pathological section report before he or she may re-apply for the certificate of major illness and injury.Where medical records of the applicant or the relevant diagnostic documents are required from the contracted medical care institution, the calculation of the time to determine an application in Paragraph 1 shall begin from the delivery of the aforementioned records or documents to the Insurer.