If an insured receives medical treatments in a medical facility for an unexpected disease, an emergency injury, or an emergency childbirth while traveling abroad, they may request for reimbursements for such expenses. To submit the request, the insured must fill out the application form and gather all supporting documents (as specified in Table 1). Then, the insured should submit said documents to the regional division office (the address and phone number of each office are presented in Table 2) of the National Health Insurance Administration (NHIA) where they are enrolled in within six months from the day of the emergency treatment, the outpatient treatment, or a discharge from the hospital. The documents may be delivered personally or by post. Upon receiving the applications, the NHIA will review the documents to determine and approve the reimbursement amount.
On principle, the NHIA reviews and approves prepaid overseas medical expenses reimbursement applications according to the receipts presented. However, the upper limit of the actual reimbursement amount is set at the average payment of the NHI-contracted hospitals and clinics from the previous season. According to the average payment of the most recent season (January to March, 2024), the current reimbursement limit is NT$1,024 for each outpatient treatment, NT$3,298 for each emergency treatment, and NT$6,227 for each day of hospitalization. If treatments in a medical facility for an unexpected disease, an emergency injury, or an emergency childbirth are required while traveling abroad, the insured may request for a reimbursement. However, the criteria and amount of the reimbursement are subject to relevant regulations. The NHIA suggests everyone to purchase sudden illness travel insurances according to their needs to ensure fuller coverage.
Table 1 Necessary supporting documents for the Overseas application
1. |
The original copies of the medical expense receipts and the itemized statement of expenses; a copy of the Chinese translation should be enclosed if the documents are not in Chinese or English. |
2. |
The diagnosis certificate or supporting documents; a copy of the Chinese translation shall be enclosed if the documents are not in Chinese or English. |
3. |
A discharge summary should be attached for cases of hospitalization; a copy of the Chinese translation shall be enclosed if the documents are not in Chinese or English. |
4. |
A copy of the passport identification page (with picture) and the exit-and-entry documents (or proofs provided by the employer); for those who use the e-Gate, please specify on the copy of the identification page. |
5. |
Other: A notarial certificate. (For reimbursements cases where the insured was hospitalized in China for 5 days or more, the original copy of the medical expense receipt and the diagnosis certificate are required to be notarized and verified.) |
Note: Please apply to the NHIA division office in charge of the area where the insured is enrolled in.
Table 2 All regional divisions of the NHIA
Division | Address | Jurisdiction | Phone |
Taipei Division | 5F, No.15-1, Gongyuan Rd., Zhongzheng Dist., Taipei City 100008,, Taiwan | Taipei City, New Taipei City, Yilan County, Keelung City, Kinmen County, Lianjiang County |
(02)2191-2006 |
Northern Division | No. 525, Sec. 3, Zhongshan E. Rd., Zhongli Dist., Taoyuan City 320216, Taiwan | Taoyuan City, Hsinchu City, Hsinchu County, Miaoli County |
(03)433-9111 |
Central Division | No.66, Shizheng N. 1st Rd., Xitun Dist., Taichung City 407666, Taiwan | Taichung City, Changhua County, Nantou County |
(04)2258-3988 |
Southern Division | No. 96, Gongyuan Rd., West Central Dist., Tainan City 700203, Taiwan | Yunlin County, Chiayi City, Chiayi County, Tainan City |
(06)224-5678 |
Kaoping Division | No. 259, Zhongzheng 4th Rd., Qianjin Dist., Kaohsiung City 801206, Taiwan | Kaohsiung City, Pingtung County, Penghu County |
(07)231-5151 |
Eastern Division | No. 36, Xuanyuan Rd., Hualien City, Hualien County 970206, Taiwan | Hualien County, Taitung County |
(03)833-2111 |