Regulations Governing the National Health Insurance Medical Care Article 27
Where a beneficiary conducts repetitive medical visits or improperly uses medical resources, the Insurer shall provide supervision for such beneficiary, figure out the reason for the beneficiary’s medical visits, provide adequate medical and health education, arrange medical visits, and offer necessary assistance to the beneficiary. The Insurer may request the beneficiary to receive medical service in a contracted medical care institution designated by the Insurer as his or her medical condition requires.Where the beneficiary in the preceding paragraph fails to pay a medical visit to the contracted medical care institution designated by the Insurer’s supervision, the beneficiary is not entitled to benefit payment except in the case of emergencies.The supervision in Paragraph 1 may be conducted by way of a caring letter, telephone interview, home visit, utilization of relevant social resources, or other methods.
中文原文 全民健康保險醫療辦法第27條
保險對象有重複就醫或不當利用醫療資源之情形者，保險人應予以輔導，瞭解其就醫原因、提供適當醫療衛教、安排就醫及給予必要之協助，並得依其病情，指定其至特定之保險醫事服務機構接受診療服務。
前項保險對象未依保險人輔導，於指定之保險醫事服務機構就醫者，除情況緊急外，不予給付。
第一項輔導，得以郵寄關懷函、電訪、訪視、運用相關社會資源或其他方式進行。
前項保險對象未依保險人輔導，於指定之保險醫事服務機構就醫者，除情況緊急外，不予給付。
第一項輔導，得以郵寄關懷函、電訪、訪視、運用相關社會資源或其他方式進行。