Page 73 - 2018-19全民健康保險年報

照顧弱勢 守護偏鄉
Caring for the Needy and Safeguarding Remote Areas
年度
Year
2018
上半年
First half of 2018
總計
Total
計畫名稱
Program Description
人數
No. of Beneficiaries
金額 (新臺幣) Amount
38.5億元 NT$3,850 million
協助經濟弱勢民眾重返健保醫療照護計畫。
Plan to help the financially disadvantaged to be re-covered by NHI medical care.
2,681
0.95億元 NT$95 million
協助弱勢兒少、偏鄉原住民、無力就醫及急難家庭脫離健保欠費 困境計畫。
Plan to relieve the disadvantaged children, indigenous people in remote areas, distressed and medically impaired households from overdue premium.
272
0.04億元 NT$4 million
219,710
註:資料時間截至2018年6月底。
Note: Figures as of the end of June 2018.
Individuals with catastrophic illnesses, such as cancer, chronic mental illness, kidney diseases requiring dialysis, and other rare and congenital diseases, are exempt from paying copayments for the treatment of those diseases. To safeguard the rights of patients with rare diseases, the NHI uses special earmarked funds to pay for drugs designated by the Ministry of Health and Welfare as necessary to treat rare diseases, easing the economic burden of care for such patients.
Care for Medically Vulnerable Groups
People with disabilities
The trial program for providing dental services to persons with disabilities, introduced by NHIA in 2002, offers higher reimbursements to encourage dentists to provide dental care to patients with congenital cleft lips and palate, and other groups with specific disabilities.
The NHIA eased regulations in 2006 to allow local dentist associations or groups to establish dental teams to provide regular services to organizations devoted to caring for people with disabilities. The teams can provide roving dental services to psychiatric hospitals without dental departments and special education schools with
special needs. Since July 1, 2011, dentists from the teams have provided in-home dental services to persons with designated disabilities who meet residential care criteria. On January 1, 2013, the teams began providing dental care to bedridden patients at organizations caring for the disabled, and on January 1, 2014, the teams began providing services at government-registered organizations caring for developmentally delayed children. The teams’ service scope was further extended to bedridden patients at elderly care facilities under the Ministry of Health and Welfare on January 1, 2015.
People with catastrophic illnesses
The 30 catastrophic illnesses announced by the NHIA include cancer, chronic mental illness, end-stage renal failure, and congenital conditions, all of which are very costly to treat. Insured individuals with a catastrophic illness card are exempt from copayments when obtaining treatment of these conditions.
As of the end of June 2018, a total of more than 954,000 catastrophic illness cards had been issued (to over 890,000 people, who accounted for 3.76% of all insured). In 2017, the cost of treating catastrophic illnesses totalled approximately NT$191 billion, and accounted for 27.4% of all NHI medical expenditures. Roughly NT$58 billion in
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