第 一 篇 全 民 健 保 組 織 與 制 度
Chapter 1 NHI Administrative Framework
33
of areas where medical resources are limited and seeking help
elsewhere is difficult.
Caps onCo-payments for Inpatient Care
The co-payments for hospitalized patients are between
5%
and 10% for more typical stays of 30 days or less but can
go as high as 30% of their bills for longer stays (Table 7). To
minimize inpatients’ financial burden, co-payments on acute
ward stays of fewer than 30 days and chronic ward stays of
fewer than 180 days are capped by the Ministry of Health and
Welfare, with the ceilings adjusted annually. For 2013, caps on
hospital stay co-payments were set at NT$31,000 for a single
hospital stay for a particular condition and at a cumulative
NT$52,000 for the entire calendar year.
6
）。
同一療程中接受第
2
次以上的復健物
理治療（中度
-
複雜、複雜項目除外）或中
醫傷科治療，每次須自行繳交
50
元的部分
負擔費用。
2013
年二代健保實施後，於醫療資源
缺乏地區就醫的民眾，部分負擔費均可減
免
20%
，
且居家照護之部分負擔費用比率
由原來
10%
調降為
5%
，
以嘉惠醫療資源
缺乏地區及外出就醫困難之民眾。
住院部分負擔設有上限
民眾若罹患急性、慢性病需要住院時，
在一般情況
30
日內醫療費用部分負擔為
5
％（
慢性病房）或
10
％（
急性病房）（表
7
）；
為減輕民眾負擔，對於急性病房住院
30
日以下、慢性病房住院
180
日以下，訂
定負擔金額上限，由衛生福利部每年依法
公告，
2013
年以同一疾病每次住院
31,000
元、全年累計住院
52,000
元為上限。