Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 14
In the event that the contracted medical care institution provides a beneficiary with a medical device of difference payment, it shall request the beneficiary for payment in compliance with the following:1. The payment standard shall be submitted to and approved by the local competent health authority;2. The item, fee, product features, as well as side effects of the medical device, such as difference payment and curative effects compared to the medical devices reimbursed by the Insurance, shall be publicized on the website or a place easily seen in the institution.3. Except in the case of an emergency, the relevant manual should be delivered to the patient or the patient’s family two days prior to the operation or treatment. In addition, the institution shall give detailed explanations to the patient or the patient’s family, who should then fill out two counterparts of the consent form to the difference payment in person, with one copy held by the patient and the other kept with the patient’s medical records; andThe manual set forth in the preceding subparagraph shall clearly stipulate the fee, product features, reasons for use, warnings, as well as side effects of the medical device of difference payment and its curative effects compared to the medical devices reimbursed by the Insurance. The consent form shall clearly state the item name, item code, price listed by the institution, quantity, and difference.
中文原文 全民健康保險醫事服務機構特約及管理辦法第14條
保險醫事服務機構提供保險對象應自付差額之特殊材料,應向保險對象收取費用,並依下列規定辦理:
一、收費標準,應先報請所在地之衛生主管機關核定。
二、應自付差額之特殊材料品項及其費用、產品特性、副作用、與本保險已給付品項之療效比較,應公布於服務機構網際網路或明顯之處所。
三、除緊急情況外,應於手術或處置前二日,將相關說明書交付予病患或其親屬,同時應向病患或其親屬詳細解說,並由病患或其親屬填寫自付差額之同意書一式兩份,一份交由病患收執,一份併同病歷保存。
前項第三款說明書應載明自付差額品項費用及其產品特性、使用原因、應注意之事項、副作用,與本保險給付品項之療效比較等。
同意書應載明自付差額品項名稱、品項代碼、醫療院所單價、數量及自付之差額。
一、收費標準,應先報請所在地之衛生主管機關核定。
二、應自付差額之特殊材料品項及其費用、產品特性、副作用、與本保險已給付品項之療效比較,應公布於服務機構網際網路或明顯之處所。
三、除緊急情況外,應於手術或處置前二日,將相關說明書交付予病患或其親屬,同時應向病患或其親屬詳細解說,並由病患或其親屬填寫自付差額之同意書一式兩份,一份交由病患收執,一份併同病歷保存。
前項第三款說明書應載明自付差額品項費用及其產品特性、使用原因、應注意之事項、副作用,與本保險給付品項之療效比較等。
同意書應載明自付差額品項名稱、品項代碼、醫療院所單價、數量及自付之差額。