收費標準 Insurance and Billing

---

門診費用Basic Outpatient Fee(111年3月1日起)

新台幣( In NT Dollars )
項目Item	健保NHI* 初診First-Visit	健保NHI* 複診Re-Visit	自費Non-NHI* 初診First-Visit	自費Non-NHI* 複診Re-Visit
掛號費Registration Fee	200	150	200	150
基本部分負擔Basic Co-payment	50		醫師診察費Diagnostic Fee 藥事服務費Medience Service Fee	150 50
其它費用Additional Fees	藥品與治療費用另計 Fees for medication and other services will be charged separately.

健保有給付項目依『全民健康保險醫療費用支付標準』規定收費，未給付項目依本院自費醫療收費標準規定收費。
* If you do not have Taiwan National Health Insurance (NHI), you must pay the Non-NHI fee. If you do have NHI, the charges indicated are your co-payments.

 

健保門診藥品部分負擔Medication co-payments under NHI System (NT$)

藥費 Drug cost per prescription	部分負擔費用 Co-payment per prescription
≦100	0
101～200	20
201～300	40
301～400	60
401～500	80
501～600	100
601～700	120
701～800	140
801～900	160
901～1,000	180
1,001 and above	200

 

常見自費項目Self-pay items
健保法第39 條不給付範圍

項目/Item	費用/Fee
影印病歷Chart copy	基本費用200 元+每頁病歷加5 元 Fee for copy of chart: NTD200,plus NTD 5 per page
乙種診斷證明書Diagnosis certificate 乙種診斷證明書英文版Diagnosis certificate in English	100
保險公司申請之病歷摘要Information provided to insurance company	1000
門診支持性心理諮商 Supportive Counseling	100
門診一般心理諮商Individual Counseling	350
預約深度心理諮商Intensive Individual Counseling	2500