Claims for payment of medical expenses for outpatient, emergency or inpatient care incurred outside the jurisdiction of the National Health Insurance Administration (including overseas and in China) are processed the same way as when NHI-contracted health care institutions make payment claims. The applications are professionally evaluated based on the appropriateness of the treatment, and the scope of coverage and payment conditions are the same as for domestic care and must conform to related National Health Insurance coverage regulations.
Reimbursements for out-of-pocket medical expenses are capped at the average cost for per outpatient visit, or per emergency care visit, or average cost of hospitalization per person per day at domestic hospital and clinic paid by the National Health Insurance Administration in the previous quarter.
item
year, month
|
Outpatient
(per treatement) |
Emergency
(per treatement) |
Hospitalization
(daily) |
114.01~114.03 |
NT $1,072 |
NT $3,455 |
NT $6,333 |
114.04~114.06 |
NT $1,034 |
NT $3,614 |
NT $6,396 |
item
year, month
|
Outpatient
(per treatement) |
Emergency
(per treatement) |
Hospitalization
(daily) |
113.01~113.03 |
NT $1,024 |
NT $3,298 |
NT $6,227 |
113.04~113.06 |
NT $980 |
NT $3,329 |
NT $6,353 |
113.07~113.09 |
NT $1,023 |
NT $3,403 |
NT $6,362 |
113.10~113.12 |
NT $1,034 |
NT $3,394 |
NT $6,493 |
item
year, month
|
Outpatient
(per treatement) |
Emergency
(per treatement) |
Hospitalization
(daily) |
112.01~112.03 |
NT $1,070 |
NT $3,571 |
NT $6,953 |
112.04~112.06 |
NT $1,088 |
NT $3,704 |
NT $7,315 |
112.07~112.09 |
NT $1,059 |
NT $3,552 |
NT $6,556 |
112.10~112.12 |
NT $1,037 |
NT $3,340 |
NT $6,575 |
item
year, month
|
Outpatient
(per treatement) |
Emergency
(per treatement) |
Hospitalization
(daily) |
111.01~111.03 |
NT $1,135 |
NT $3,641 |
NT $6,629 |
111.04~111.06 |
NT $1,122 |
NT $3,716 |
NT $6,789 |
111.07~111.09 |
NT $1,094 |
NT $3,619 |
NT $6,314 |
111.10~111.12 |
NT $1,159 |
NT $2,841 |
NT $6,796 |
|