Regulations Governing the National Health Insurance Medical Care Article 7

Where a contracted medical care institution provides medical service for a beneficiary, it shall check the required document set forth in Paragraph 1 and Paragraph 2 of Article 3. In the event of any discrepancy, the contracted medical care institution shall refuse to treat a patient in the capacity of a beneficiary. Notwithstanding, a chronic patient who requires long-term medication and is with any of the following special circumstances but cannot physically pay the medical visit may, provided that this is for receiving the same prescription, authorize another person to state his or her medical condition to a physician, who shall only prescribe the same prescription after making sound judgment based on his or her expertise and fully grasping the state of the patient’s condition:1. Immobility determined by a physician or supported by an affidavit provided by the trustee;2. The beneficiary is at sea for engagement in distant water fisheries operations or services on a vessel on an international route, which is supported by an affidavit submitted by the trustee;3. Has been placed under guardianship or assistantship by a court’s order, and the trustee has provided a copy of the court order;4. Has been determined by a physician to be a patient with dementia; or5. Any other special circumstance determined by the Insurer.
中文原文 全民健康保險醫療辦法第7條
保險醫事服務機構接受保險對象就醫時,應查核其本人依第三條第一項及第二項應繳驗之文件;其有不符時,應拒絕其以保險對象身分就醫。
但須長期用藥之慢性病人,有下列特殊情況之一而無法親自就醫者,以繼續領取相同方劑為限,得委請他人向醫師陳述病情,醫師依其專業知識之判斷,確信可以掌握病情,始能開給相同方劑:
一、行動不便,經醫師認定或經受託人提供切結文件。
二、已出海,為遠洋漁業作業或在國際航線航行之船舶上服務,經受託人提供切結文件。
三、受監護或輔助宣告,經受託人提供法院裁定文件影本。
四、經醫師認定之失智症病人。
五、其他經保險人認定之特殊情形。

English translation for reference only; the Chinese text prevails. Not legal advice.