Regulations Governing the National Health Insurance Medical Care Article 8

Where a contracted medical care institution provides diagnostic and treatment services, such as outpatient, emergency, inpatient care or re-checks the NHI Card, it shall return the NHI Card to the cardholder after recording the medical record and the medical visit category (hereinafter referred as the “MVC”) of the cumulative medical-visit serial number (hereinafter referred as the “CMVSN”) into the NHI Card.If the medical service in the preceding paragraph is given during the same course of treatment, it shall be recorded only once for the MVC of CMVSN. In addition, if the same physician simultaneously provides other treatments, the recording should not be duplicated.The same course in the preceding paragraph refers to continuous treatment that is given within a specific period with the items listed below:1. Simple wounds: wound dressing change within 2 days.2. The therapeutic course is within 30 days from the first day of treatment: hemodialysis, peritoneal dialysis, community organization rehabilitation therapy for mental illness, psychotherapy for psychiatric illness, psychiatric activity therapy, psychiatric occupational therapy, cancer radiotherapy, hyperbaric oxygen therapy, immunotherapy, home nursing care or any other item designated by the Insurer.3. The therapeutic course has no more than six treatments and is within 30 days from the first day of treatment: western medicine rehabilitation therapy, photodynamic therapy, the same injection of non-chemotherapy drugs, removal of tartar of the same tooth treatment, operative dentistry of the same tooth (tooth filling), same tooth extraction, removal of stitches after operation, electrical stimulation treatment for urinary incontinence, pelvic muscle physical therapy, pulmonary rehabilitation traditional Chinese medicine acupuncture, fractures, wounds and restoration of dislocated bone of the same diagnosis that needs continuous treatment, and any other item designated by the Insurer;4. The therapeutic course has no more than six treatments and is from the first day of treatment to the end of next month: western medicine rehabilitation for children under 9 years old.5. The therapeutic course is within 60 days from the first day of treatment: endodontic therapy in the same location.Where the last day of treatment of the same therapeutic course is a weekend or public holiday, the last day of treatment should be automatically extended to the next business day.
中文原文 全民健康保險醫療辦法第8條
保險醫事服務機構於提供門診、急診或住院之診療服務或補驗健保卡時,應於健保卡登錄就醫紀錄及可累計就醫序號之就醫類別一次後發還。
前項診療服務屬同一療程者,應僅登錄可累計就醫序號之就醫類別一次,如為同一醫師併行其他診治,亦不得再重複登錄。
前項同一療程,指下列診療項目,於一定期間施行之連續治療療程:
一、簡單傷口:二日內之換藥。
二、自首次治療日起三十日內治療為療程者:血液透析、腹膜透析、精神疾病社區復健治療、精神科心理治療、精神科活動治療、精神科職能治療、癌症放射線治療、高壓氧治療、減敏治療、居家照護及其他經保險人指定之診療項目。
三、自首次治療日起三十日內,六次以內治療為療程者:西醫復健治療、皮症照光治療、非化學治療藥物同一針劑之注射、同牙位治療性牙結石清除、同牙位牙體復形(補牙)、同牙位拔牙治療、術後拆線、尿失禁電刺激治療、骨盆肌肉生理回饋訓練、肺復原治療、中醫針灸、傷科及脫臼整復同一診斷需連續治療者及其他經保險人指定之診療項目。
四、自首次治療日起至次月底前,六次以內治療為療程者:九歲以下兒童之西醫復健治療。
五、自首次治療日起六十日內治療為療程者:牙醫同部位之根管治療。
同一療程最後治療日為例假日者,順延之。

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