兒童及少年醫療補助辦法

This Regulation is enacted pursuant to Paragraph 2 of Article 27 for the Protection of Children and Youths Welfare and Rights Act.

The subsidy items stipulated for the regulations are as below: 1. The self-born expense is stipulated in Article 43 and 47 of the National Health Insurance Act. 2. The self-born insurance premium is stipulated in Article 27 of the National Health Insurance Act.

National health insured children under 3 years of age and the recipients of the subsidy stipulated in the subparagraph 1 of the preceding article. If the recipients for the subsidy stipulated in the preceding paragraph reach 3 years of age during the hospitalization period, the subsidy shall be continued until the day of discharge from the hospital.

The recipients for the subsidy stipulated in subparagraph 2, Article 2 shall be the children or youth in mid and low income families.

Medical treatment of the recipients who receive the subsidy stipulated in subparagraph 1, Article 2 shall be proceeded according to regulations of the National Health Insurance Act.

The subsidy recipients stipulated in subparagraph 1, Article 2 pay the subsidy in advance because unattributable reasons may apply according to regulations of the National Health Insurance Act to National Health Insurance Administration, Ministry of Health and Welfare (initialed as NHIA) for a refund.

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The competent authority of municipality or county (city) governments shall send basic information electronically of the children and youth in mid and low-income families to the Health Insurance Administration before the 5th of each month. This also applies to data changes. If subsidy qualification is still valid after the household registration change, the effective date for the change shall be carried back to the move-in date listed by the household registration office. The regulations for the exchange of electronic information stated in paragraph 1 are to be defined by the Health Insurance Administration.

The insurance premium subsidy will not be permitted under any of the following conditions. If a recipient with the following conditions received a subsidy, the competent authority of municipality or county (city) governments shall ask for a subsidy refund from the recipient. 1. Those who do not submit the required documents as stipulated in the regulations. 2. Those who have received a government insurance premium subsidy pursuant to other regulations for the same incident. 3. Those who use fake certificates or improper behavior to apply for or acquire the subsidy. 4. Those who are not eligible for the subsidy according to the stipulated regulations. However, the abovementioned points are not applicable to applicants who are not accountable for the incidents and where applications have been rectified according to the regulations.

The subsidized insurance premium for children and youth in mid and low-income families shall be per the regulations, and insurers shall check and collate insurance information electronically transmitted by the competent authority of municipality and county (city) governments, and delete the amount from the insurance premium table submitted by the insured unit. This process will be used by the insured unit as evidence for exemption of premium.

The subsidy stipulated in the regulations is to be appropriated to the Health Insurance Administration in advance at end of January and July respectively every year by the central government competent authority. In addition, the Health Insurance Administration is to close the account book at each year-end with a detailed list and final statement.

Funds required for the regulations will be listed in the annual budget by the central government competent authority.

The competent authority of municipality, county (city) governments and the Health Insurance Administration shall assist children and juveniles in participating in National Health Insurance.

The subsidy examined and approved by competent authorities of the municipal or county (city) government shall be maintained until December 31st, 2012, before amendment and promulgation of this Regulation takes effect on July 1st, 2011.

This Regulation shall come into force as of its date of promulgation on July 1st, 2011. Article 1 of the Regulation that has been amended to promulgate on December 30th, 2011 shall come into force as of December 2nd, 2011; Article 7, which has been deleted, shall come into force as of the date of promulgation. The Article of the Regulation that has been amended to promulgate on April 18th, 2013 shall come into force as of January 1st, 2013.