Act of Assistance for Family in Hardship Article 9
The family that fits the situations described in Article 4 and is under one of the follow situations can apply for medical subsidy:1. The applicant and his/her children or grandchildren over 6 years old & less 18 years have joined the national health insurance program and cannot afford the medical expense over NT$30,000 the last three months, furthermore did not obtain any other subsidy or insurance benefit.2. His/her children or grandchildren under 6 years old have joined the national health insurance program and cannot afford the partial medical expense born by patient.Standards for medical subsidies due to illness or injury are as follows:1. For the applicant and their children or grandchildren aged six and above but under eighteen: 70% of the portion of out-of-pocket medical expenses exceeding NT$30,000 may be subsidized, up to a maximum of NT$120,000 per person per year.2. For the children or grandchildren less 6 years old: The maximum subsidy of partial medical expense born by patient is NT$120 thousand yearly per person in accordance with the Article 33 and Article 35 of National Health Insurance Act for the expense of out-patient service, emergency treatment and hospitalization in NHI contracted medical institutions.For applying the medical subsidy, the applicant shall file the application enclosing the related documents within 3 months from the occurrence of the injury/illness, one copy of both side of heath card, diagnosis certificate and original receipts of medical expenses to the local authority; the application for medical subsidy certificate of less 6 years old children or grandchildren shall be filed to the domiciliary township (city, district) house and then the applicant can go to the NHI contracted medical institution, the medical institution shall compile register by month apply the medical subsidy to the competent authority of special municipality or county (city).
中文原文 特殊境遇家庭扶助條例第9條
符合第四條規定,而有下列情形之一,得申請傷病醫療補助:
一、本人及六歲以上未滿十八歲之子女或孫子女參加全民健保,最近三個月內自行負擔醫療費用超過新臺幣三萬元,無力負擔且未獲其他補助或保險給付者。
二、未滿六歲之子女或孫子女,參加全民健保,無力負擔自行負擔之費用者。
傷病醫療補助之標準如下:
一、本人及六歲以上未滿十八歲之子女或孫子女:自行負擔醫療費用超過新臺幣三萬元之部分,最高補助百分之七十,每人每年最高補助新臺幣十二萬元。
二、未滿六歲之子女或孫子女:凡在健保特約之醫療院所接受門診、急診及住院診治者,依全民健康保險法第三十三條及第三十五條之規定應自行負擔之費用,每人每年最高補助新臺幣十二萬元。
申請傷病醫療補助,應於傷病發生後三個月內,檢具相關證明文件、健保卡正、反面影本、診斷證明書及醫療費用收據正本,向戶籍所在地主管機關提出申請;未滿六歲之子女或孫子女傷病醫療補助申請,應向戶籍所在地之鄉(鎮、市、區)公所申請醫療補助證後,逕赴保險人特約之醫療院所就診,並由醫療院所按月造冊向直轄市、縣(市)主管機關申請。
一、本人及六歲以上未滿十八歲之子女或孫子女參加全民健保,最近三個月內自行負擔醫療費用超過新臺幣三萬元,無力負擔且未獲其他補助或保險給付者。
二、未滿六歲之子女或孫子女,參加全民健保,無力負擔自行負擔之費用者。
傷病醫療補助之標準如下:
一、本人及六歲以上未滿十八歲之子女或孫子女:自行負擔醫療費用超過新臺幣三萬元之部分,最高補助百分之七十,每人每年最高補助新臺幣十二萬元。
二、未滿六歲之子女或孫子女:凡在健保特約之醫療院所接受門診、急診及住院診治者,依全民健康保險法第三十三條及第三十五條之規定應自行負擔之費用,每人每年最高補助新臺幣十二萬元。
申請傷病醫療補助,應於傷病發生後三個月內,檢具相關證明文件、健保卡正、反面影本、診斷證明書及醫療費用收據正本,向戶籍所在地主管機關提出申請;未滿六歲之子女或孫子女傷病醫療補助申請,應向戶籍所在地之鄉(鎮、市、區)公所申請醫療補助證後,逕赴保險人特約之醫療院所就診,並由醫療院所按月造冊向直轄市、縣(市)主管機關申請。