第 二 篇 經 營 成 效 與 品 質 提 升
Chapter 2 Achievements &Quality Assurance Initiatives
59
急重症醫療協助
因經濟困難欠繳健保費之弱勢民眾，
經醫院醫師診斷需住院、急診或急重症須門
診醫療者，只要持有村里長或由醫療院所
出具清寒證明，即可以健保身分先行就醫。
獲得以健保身分就醫之個案，嗣後再依其
個案狀況，協助其辦理投保、健保費紓困、
轉介、分期繳納等，
2012
年因而獲得醫療
保障者計
3,787
件，金額
1.1
億元。
爭取公益彩券回饋金協助弱勢族群
健保署為落實照顧弱勢族群，保障其
就醫權益，除已有分期繳納、紓困貸款及
愛心專戶等協助措施外，自
2008
年起爭取
公益彩券回饋金辦理「協助弱勢族群減輕
就醫負擔計畫」，主動篩選並發函通知符
合資格的民眾，協助其繳納健保相關欠費
等。迄
2013
年
6
月底，累計補助金額已達
26.59
億元，累計補助人數達
124,798
人
（
表
11
）。
Critical Care Assistance
Individuals with overdue premiums because of economic
difficulties can still receivemedical care. If a hospital physician
determines that a patient needs to be hospitalized, or given
emergency treatment or critical care, the patient only needs to
provide a certificate of low-income status from the hospital
or borough chief to receive care as an insured patient. Based
on the specific circumstances of each case, the NHIA then
helps people by re-enrolling them in the NHI program (if their
eligibility was suspended because of overdue premiums),
deferring their premiums, referring them to a charitable
organization or allowing bills to be paid in installments. In
2012, 3,787
patients with outstanding bills totaling NT$110
million received help in this way.
Contributions from Lotteries
In addition to the installment plans, relief loans and
referral plans used to safeguard the right of the economically
disadvantaged to care, the NHIA has also vied for public
welfare lottery funds since 2008 to provide financial assistance
to individuals in need. Eligible patients are notified through
the program that they will receive help in paying what they
owe. As of the end of June 2013, a total of NT$2.66 billion
in subsidies had been paid for 124,798 people through the
program (Table 11).