Article 41 (Health Care Benefit), National Health Insurance Act, as last amended by Act No. 14776, Apr. 18, 2017

Health Insurance covers cost for medical services at subsidised rates.


*National Health Insurance Act

Article 41 (Health Care Benefit)(1) Health care benefit referred to in the following subparagraphs shall be provided for diseases, injuries, childbirths, etc. of the insured and their dependents:

1. Diagnosis, and medical examinations;

2. Supply of medicines and materials for medical treatment;

3. Treatment, surgery, or other types of medical care;

4. Prevention, and rehabilitation;

5. Hospitalization;

6. Nursing;

7. Transfer.

(2) The scope (hereinafter referred to as "health care benefit item") of health care benefit under paragraph (1) (hereinafter referred to as "health care benefit") shall be as follows:

1. Health care benefit specified in each subparagraph of paragraph (1) (excluding medicines under paragraph (1) 2): All except for the items determined to be non-benefit by the Minister of Health and Welfare under paragraph (4);

2. Medicines under paragraph (1) 2: Medicines determined and publicly notified by the Minister of Health and Welfare as items eligible for health care benefit pursuant to Article 41-3.

(3) Criteria for the method, procedure, scope, and upper limit of health care benefit shall be prescribed by Ordinance of the Ministry of Health and Welfare.

(4) In prescribing the criteria for health care benefit under paragraph (3), the Minister of Health and Welfare may determine medical treatment for ailments that do not cause difficulties at work or in daily life and other items determined by Ordinance of the Ministry of Health and Welfare, as items excluded from the items eligible for health care benefit (hereinafter referred to as "non-benefit item").