NHIA Announces Proposed Fee Adjustments 健保部分負擔變革 慢箋.檢驗檢查將收費

The Ministry of Health and Welfare announced the draft proposal to adjust patient co-payments for medication. Additionally, co-payments for emergency room visits will also be increased.


Some patients with chronic diseases go to the hospital to receive medication, but they do not take them on time, resulting in a waste of medicine. To conserve medical resources, the National Health Insurance Administration announced on the 16th a draft proposal to adjust patients' co-payment. This includes the first dispensing of continuous prescriptions for chronic diseases. The adjustment will be based on general medicine payments. There will be no medication co-payments at local hospitals and clinics for medication under NT$100. A 20 percent co-payment will be charged on patients for medication above NT$100 or receiving medication at regional hospitals or medical centers, with an upper limit of NT$200 to NT$300. Medication for chronic diseases will also be based on this structure, but only for the first prescription. The second and third prescriptions are exempt from this structure.

Lee Po-chang, Director-General, National Health Insurance Administration: “We think the first time, the patient should pay user fees. For the 2nd and 3rd time, we return to a structure where the patient is dependent on long-term medication use. Therefore, we don't charge co-payments to reduce the burden on the people.”

Co-payments for emergency room visits have also been adjusted. If it is a mild cold or grade 4 to 5 mild symptoms, an ER visit at a medical center will cost a patient NT$800. Inspection fees are currently exempt. However, in the future, they will be under the same fee structure as medication co-payments. Patients who come to medical center ERs without a referral will be charged 20 percent of the fee, with a limit of NT$400.

Lin Ya-hui, Executive Director, Taiwan Healthcare Reform Foundation Council: “The new system will actually punish patients also. People have to go to the ER during holidays because clinics are closed.”

The NHIA emphasized that implementing medical classification will encourage local hospitals to open on holidays for people with medical needs. This will allow medical centers and regional hospitals to return to acute and critical care work. There is a 14-day notice period for this draft proposal as opinions from all walks of life are collected. If it goes well, it can be implemented as soon as the first half of this year. 

 

 


有些慢性病患到醫院領了藥,沒按時吃,造成藥品浪費。為了珍惜藥品資源,衛福部健保署16日預告部分負擔調整草案,包括慢性病連續處方箋第1次調劑,將比照一般藥品收費,基層院所藥費100元以下,維持免收;100元以上,以及到區域醫院、醫學中心收取20%,上限2、300元。慢箋首次調劑也比照辦理,但第二、三次則是免收。

健保署長李伯璋表示:「我們認為第1次的時候,是使用者付費的概念,有。所以第2,第3次,我們還是給它回到說,病人來長期使用藥物的一個依賴性,所以為了減輕民眾的負擔就沒有收。」

另外也調整急診部分負擔,如果是小感冒等第4到5級輕症,直接到醫學中心掛急診,部分負擔將收取800元。在檢驗檢查方面,現在是免收,不過未來將和藥品部分負擔相同,均設免收範圍。未經轉診而到醫學中心者,將收取20%費用,上限400元。

醫改會執行長林雅惠認為:「新制其實也會懲罰因為假日診所停診,而不得已跑急診的民眾。」

健保署強調,為落實醫療分級,會鼓勵地區醫院假日開診。若民眾假日有就醫需求時可利用,讓醫學中心及區域醫院回歸急重症照顧工作。這項草案預告期有14天,蒐集各界意見,順利的話,最快今年上半年就可公告上路。
 

全台敬老金大調查

相關新聞