Regulations Governing the Exemption of the National Health Insurance Beneficiaries from the Co-Payment Article 6

Where a beneficiary undertakes a medical visit with a valid certificate of major illness and injury within an effective period, the scope of the exemption of his or her co-payment is as follows:1. The treatment is related to the illness and injury recorded in the certificate of major illness and injury or the diagnosis confirmed by the responsible physician;2. Other treatments provided by the same outpatient physician who provides medical care for the major illness and injury; or3. Other concurrent treatments with the treatment for major illness and injury required due to the beneficiary’s hospitalization caused by a major illness and injury or the beneficiary’s medical condition during his or her hospitalization.Where a beneficiary is hospitalized due to a major illness and injury and has successfully applied for the certificate of major illness and injury for the said illness and injury during his or her hospitalization, he or she will be exempted from co-payment for his or her current hospitalization. If an examination report is conducted during a beneficiary’s hospitalization, it subsequently confirms that the disease is a major illness and injury after the beneficiary is discharged from the hospital. The beneficiary has successfully applied for the certificate of major illness and injury with the aforementioned examination report, as well as the co-payments arising from the hospitalization when the examination is undertaken. The relevant outpatient visits which follow the beneficiary’s discharge from the hospital are all exempted.The period of the exemption of co-payment for hospitalization in the preceding paragraph shall commence on the first day of the beneficiary’s hospitalization until the expiry date of his or her certificate of major illness and injury. If a beneficiary is hospitalized after being referred from the emergency department, the aforementioned period shall commence on the first day when he or she receives emergency care.