全 民 健 康 保 險 年 報
National Health Insurance In Taiwan
2013-2014
ANNUAL REPORT
Illness Name/Description
1
Cancer requiring aggressive or long-termcare; malignant neoplasm
2
Congenital coagulation disorders (Hemophilia)
3
Severe hemolytic and hypoplastic amemia (a heme count routinely below 8gm/dl in adults and routine below 12 gm/dl in
newborns before treatment)
4
Chronic renal failure (uremia) requiring regular dialysis
5
Generalized autoimmune syndrome requiring lifelong treatment
6
Chronicmental illness or chronic psychiatric disorder
7
Congenital metabolic disorders (not includingG6PDdeficiency)
8
Congenital cardiac, pulmonary, gastrointestinal, renal, neurological, and skeletal malformations and chromosomal abnormalities
9
Burns coveringmore than 20%of the body, or facial burns with concurrent eye, ear, nose, or throat dysfunction
10
Follow-up treatment after kidney, heart, lung, liver or bonemarrow transplant
11
Neurological, muscular, skeletal, or pulmonary complications frompoliomyelitis or cerebral palsy (where the degree of
impairment is moderate or higher)
12
Major trauma rated 16 or above on the injury severity scale (Note: The ISS cannot be applied to the condition of people in a
vegetative state.)
13
Long-termmechanical ventilation, defined as one of the following:
(1)
Invasivemechanical ventilation for 21 or more days;
(2)
Invasive mechanical ventilation followed by non-invasive ventilation as the patient’s condition improves, for a total of 21 or more
days;
(3)
Invasivemechanical ventilation followed by negative pressure ventilation for a total of 21 or more days; or
(4)
Non-invasive ventilation for 21 or more days required to deal with specific diseases, such as end stage heart failure, chronic
pulmonary diseases, primary neuromuscular diseases, and chronic hypoventilation syndrome.
The duration periods abovemust meet the standard for “continuous use.”
14
(1)
Patients suffering from severe malnutrition due to major enterectomy or intestinal failure, who have been on a fully intravenous
diet for more than 30 days but are still unable to obtain sufficient nutrition through an oral diet
(2)
Patients suffering from severe malnutrition due to other chronic diseases, who have been on a fully intravenous diet for more than
30
days but are still unable to obtain sufficient nutrition through an oral diet
15
Severe decompression sickness or air embolism caused by scuba diving or improper decompression and accompanied
by respiratory, circulatory, or neurological complications, and requiring long-term treatment
Table 8 Catastrophic Illnesses Recognized by NHI System