國際學生團體傷病醫療保險

（針對無法加入全民健保之國際學生）

參加此保險之國際學生，在保險有效期間內（原則上為六個月內）因傷病保險事故需要使用此保險，請先確認您的醫療項目並非特殊疾病及醫療行為不給付項目（請參考下方備註）。使用流程如下：

1. 至鄰近醫療院所就診。

2. 就診時，請向醫師申請你的診斷書。

3. 門診費用須先行自付，再向醫院索取門診費用相關收據正本。看診完畢，請確認領取你的診斷書。

4. 看診完畢，請確認領取你的診斷書。

看完診後，請務必檢附下列文件至本處，我們會協助您辦理理賠。

1. 繳費收據正本

2. 診斷書正本

3. 郵局存摺封面影本

4. 保險理賠申請書（請自行從此下載填寫）

5. 護照影本

華語中心檢查文件齊全後核章，寄送給保險公司，待保險公司理賠部門確認文件齊全並為該保險理賠項目，約 4 週後核定理賠金額匯款至您的銀行帳戶。

※ 請留意：

門診給付相同症狀每日以一次為限，每日一次理賠上限為新台幣 1,000 元，且不包括下列費用：

1.  掛號費。

2.  每日看診總費用超過新台幣 1,000 元上限。

保險醫療給付項目如下：

一、 門診：

1. 診療、處置或手術。

2. 藥劑、注射。

3. 治療所必需之材料及檢驗、檢查。

二、住院：

1. 診療、處置或手術。

2. 藥劑、注射。

3. 治療所必需之材料及檢驗、檢查。

4. 護理、三等病床及膳食之供應。

5. 保險給付範圍：限於臺灣地區之醫療行為。投保前之傷病及保險公司規定之特殊疾病及醫療行為不給付。

※ 備註：

投保之國際學生因傷病事故必須就醫醫療時，皆可就診，但有下列情形者承保機構不負給付之責：

（一） 自殺行為、酗酒、吸食違禁藥品或犯罪行為和戰爭變亂所致之傷害或疾病。

（二） 不孕症、懷孕、流產或分娩及其所引致的併發症。

（三） 健康檢查、視力矯正、預防注射、外科整型美容、洗牙、假牙、義肢、義眼或其他附屬之裝置。

（四） 救護車、診斷證明書、指定醫師費、特別護士看護、陪伴費、非治療之用品費

（五） 紅斑性狼瘡（先天性）、血友病、多汗症、愛滋病、性病、先天性疾病、結紮手術、器官移植、投保前之傷病。

（六） 牙科患者、單純之療養、靜養或復健者，不得給予住院治療。

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在台外籍生應如何參加全民健保？

若持有居留證並已在台居留滿六個月（期間僅能離境一次且未超過30天，且實際居留日數須計滿六個月），可申請加入全民健康保險。

⮚所謂「在台居留滿六個月」，是指以下兩種情況之一：

1. 連續在台居留滿六個月。

2. 曾離境一次但未超過30天，且實際居留期間（扣除離境日數）合計滿六個月。

⮚申請所需文件

1. 居留證

2. 護照

3. 兩吋照片一張

4. 加保申請單

⮚保險費用: 每月新臺幣826元

⮚投保健保地點:

1. 居住地區公所

2. 衛生福利部中央健康保險署 - 高屏業務組

1). 地址：高雄市前金區中正四路259號

2). 電話：(07) 231-5151

⮚注意事項: 符合投保資格但未及時加入健保者，日後若需加入，須補繳未加入期間的保險費用。

International Students' Group Medical Insurance

(For international students who are not eligible to join Taiwan National Health Insurance (NHI) system.)

If you need to receive medical treatment, please check the remarks at the end of this sheet to make sure that your medical treatment is not excluded from this insurance and follow the procedures below:

1. Go to a hospital or clinic near you for treatment.

2. Claim for a certificate of your diagnosis.

3. Pay the full fee for the treatment and get both the payment receipt and the certificate of diagnosis.

The documents you need to bring to OIA consist of the following:

1. The original receipts of payment

2. The original certificate of diagnosis

3. Photocopy of your Post Office passbook cover

4. Compensation Application Form (Please come to CLC office and get the form)

5. Passport photocopy 

Bring all documents listed in point 3 to the CLC and we will help you deliver them to the insurance company. If your documents are complete and within the coverage policy, the insurance company will transfer the claims payment into your post office account in about 4 weeks.

Please note:

For the same symptoms, the insurance company covers only one visit per day. The maximum coverage per visit is TWD 1,000, but does NOT include the following:

1. Hospital or clinic registration fee.

2. Total amount exceeding the maximum coverage TWD 1,000 per day.

Insurance Coverage

Outpatient/Clinic:

1. Physicians and specialists consultations, medical treatment and surgery

2. Prescribed medicines and injection

3. Diagnostic laboratory tests and surgical appliances

Hospitalization:

1. Physicians and specialists consultations, medical treatment and surgery

2. Prescribed medicines and injection

3. Diagnostic laboratory tests and surgical appliances

4. Basic room and board including general nursing care

Policy Coverage:

Insurance covers accidents or sickness occurring in the Taiwan area. Accidents or illnesses that require specialized medical care or that have occurred before the insurance policy was taken out will not be covered.

Remarks:

This policy does NOT cover medical treatment incurred by the following situation or personal behavior:

1. Suicidal behavior, alcohol abuse, drug abuse, overdose, any sickness or damage result from illegal behavior and warfare

2. Complication incurred by vibriosis, pregnancy, miscarriage or labor

3. Health exams, optical correction, inoculation, elective cosmetic surgery, dental scaling, denture, prosthesis, ocular prosthesis

4. Ambulance, diagnosis statement, the fee for assigning doctors, special nursing, any costs not relevant to the treatment

5. Systemic lupus erythematosus, Hemophilia, Hyperhidrosis, AIDS-Acquired Immunodeficiency Syndrome, sexually transmitted disease, congenital disorder, vasectomy, organ transplant, and any disease diagnosed before the insurance policy taken out

6. Hospitalized patients with dental therapies, medical care, and rehabilitation

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How Should International Students in Taiwan Enroll in National Health Insurance (NHI)?

If you hold an Alien Resident Certificate (ARC) and have resided in Taiwan for six months, you are eligible to apply for National Health Insurance (NHI). During this six-month period, you may leave Taiwan only once, and the duration of your absence must not exceed 30 days. The total number of days you actually reside in Taiwan must still amount to six months.

Definition of "Residing in Taiwan for Six Months"

You are considered to have resided in Taiwan for six months if either of the following conditions is met:

1. You have continuously resided in Taiwan for six months.

2. You have left Taiwan once for no more than 30 days, and your actual period of residence in Taiwan (excluding days spent abroad) totals six months. Required Documents for Application

Required Documents for Application

1. Alien Resident Certificate (ARC)

2. Passport

3. One 2-inch photo

4. NHI Enrollment Application Form

Insurance Fee: NT$826 per month

Where to Apply for NHI

1. Local District Office where you reside

2. Ministry of Health and Welfare National Health Insurance Administration (Kaoping Division):

● Address: No. 259, Zhongzheng 4th Road, Qianjin District, Kaohsiung City

● Phone: (07) 231-5151

Important Notes

● Individuals eligible for NHI enrollment must apply promptly. If you fail to enroll upon meeting the qualifications, you will be required to pay retroactive insurance fees for the period during which you were eligible but not enrolled.