第 四 篇 跨 步 精 進 展 望 未 來
Chapter 4 Future Challenges
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二代健保雖已如期於
2013
年正式實
施，然而健保改革的腳步不會因此停歇，
在醫療資源有限的情況下，全民健保將持
續滾動式檢討改善相關措施，朝下列方向
推動革新措施，並規劃遠景藍圖：
一、保障弱勢群體權益，降低醫療
照護負擔
對於經濟障礙，無力繳納健保費之弱
勢民眾，全民健保致力保障其就醫無障礙，
相關措施包括欠費協助以及醫療保障與安
心就醫等。另二代健保更進一步對有經濟
困難的民眾，主動協助尋求社會資源，並
限縮欠費鎖卡的條件；對遭受家庭暴力之
受害者，可改依附其他次親等投保，若無
其他被保險人可依附投保，也得自行以被
保險人身分加保。
The second-generation NHI system may have been
officially launched in 2013, but reforms of the system will
continue to be introduced. because health care resources
remain limited. Some of the reform directions, and related
initiatives already in place or to be taken in the near future, are
summarized below.
I. Safeguarding the Right to Care for the
Disadvantaged
The NHI program remains committed to ensuring
unfettered access to care for economically disadvantaged
segments of the population that cannot afford the premiums.
Several measures have long been in place to help people facing
financial hardship pay their premiums and ensure their access
to care. The second-generation reforms have introduced further
steps, such as the NHIA taking the initiative to find further
funding to support the poor and ease regulations on when to
invalidate IC health cards. Victims of domestic violence who
were enrolled in the program as a dependent now have the
option to change their registration and be listed as a dependent
of another relative, or, if no suitable relative is found, to register
as insured persons themselves.