全民健保制度 National Health Insurance System

全民健保

National Health Insurance

二代健保

2nd Generation NHI

保險人

Insurer

被保險人（保險對象）

Insured

給付項目、給付內容或給付標準

Benefit items, contents, or payment schedules

給付範圍

Scope of benefits

投保身分、投保單位與保險費 Enrollment and Premiums

投保單位

Group insurance applicant

投保類別

Insured classification

第一類……第六類

First category…sixth category

投保金額（分級表）

Payroll Bracket Table

保險費

Premium

補充性保險費

Supplementary premium

費基

Premium calculation base

保險費分攤比率

Premium contribution share

保費補助

Premium subsidies

分期攤繳

Installment plans

紓困貸款

Relief fund loans

弱勢及特定身分族群 Disadvantaged and Special Population Groups

弱勢族群

Disadvantaged groups

低收入戶

Low-income households

中低收入戶

Middle-low-income

Households

身心障礙者

People with Disabilities

原住民

Indigenous people

重大傷病

Catastrophic illness; major illness

罕見疾病

Rare disease

轉介公益團體補助保險費

Referral to Charitable Groups for Premium Subsidies

高診次病患

Frequent users of outpatient services

部分負擔及醫療給付 Copayments and Healthcare Benefits

部分負擔

Copayment

免除部分負擔

Copayment exemptions

門診照護

Outpatient care

住院照護

Inpatient care

日間照護

Day care

居家照護

Home care

慢性病連續處方箋

Refillable prescriptions for patients with chronic illnesses

中醫

Traditional Chinese medicine

職能治療

Occupational therapy

支付制度 Payment Systems

支付制度

Payment systems

總額支付制度

Global budget payment system

論量計酬

Fee-for-service

論病例計酬

Case payment

論質計酬

Pay for performance

藥品及藥價 Drugs and Drug Pricing

藥價調查

Drug price survey

藥品核價制度

Drug pricing system

處方藥

Prescription drugs

成藥

Over-the-counter drugs

醫事服務機構 Healthcare Institutions

居家照護機構

Home nursing care institutions

醫事檢驗所

Medical laboratories

醫事放射線機構

Medical radiology institutions

助產所

Midwifery clinics

藥局

Pharmacies

物理治療所

Physical therapy clinics

精神科社區復健機構

Psychiatric community rehabilitation centers

偏鄉、山地離島及巡迴醫療 Healthcare in Remote Areas

山地離島地區醫療給付效益提昇計畫

Integrated Delivery System (IDS) Program

偏遠地區醫療

Medical services in remote areas

山地離島地區醫療

Medical services in mountainous areas and offshore islands

巡迴醫療

Mobile health care

醫療審查、品質及資訊 Medical Review, Quality, and Information Services

醫療審查

Medical claims review

醫療品質

Healthcare quality

檔案分析

Profile analysis

健保卡

NHI card

健保雲端查詢系統

Medicloud

全民健保行動快易通│健康存摺APP

My Health Bank