Health Insurance and Medical Treatment
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Q1: What medical care is provided for the juvenile inmates in the detention house?
A: The detention house provides the juvenile inmates with the following medical care:
1. Preventive health care: The detention house gives juvenile inmates checkups, and records the juvenile inmates suffering from chronic diseases and special diseases for further tracing. Juvenile inmates are also instructed in health education in order to prevent diseases.
2. Disease treatment: If a juvenile inmate feels sick, a doctor will diagnose him/her and provide proper medical treatment.
3. Prevention of infectious diseases: New juvenile inmates are required to provide blood for screening tests (for AIDS and syphilis) and chest X-rays in order to find diseases early in order to start timely treatment.

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Q2: What does the detention house do for a juvenile inmate who requires long-term medication or uses an inhaler for asthma in the detention house?
A:
1. The family of the juvenile inmate shall send medicine to the juvenile inmate pursuant to the following principles:
(1) The medicine shall be crucial for the juvenile inmate’s medical needs. It shall be complete and unpacked and shall be accompanied by its medicine bag with a complete description of the medicinal ingredients in it, the certificate of diagnosis, or the doctor’s prescription.
(2) The subsequent prescription of medicine for chronic diseases shall be sent to the detention house based on the juvenile inmate’s application, which shall be filed within three months after the new juvenile inmate enters the detention house. After the juvenile inmate has been in the detention house two weeks, the juvenile inmate shall not apply for any medicine that had been obtained before he/she entered the detention house.
2. Delivery method:
I. Next of kin may deliver parcels applied for by the juvenile inmates and approved by this facility to this facility by mail.
II. The family of the juvenile inmate may deliver a parcel containing medicine approved by the detention house or give the medicine personally to the service window designated by the detention house.
I. The family member shall prepare the doctor’s prescription and relevant supporting documents. After being applied for and approved in accordance with the procedure provided by the detention house, the medicine will be allowed to be brought into the detention house.
3. The detention house refuses to receive any medicine that violates any rule above, lacks a permit number issued by the Department of Health or has unclear labeling or a broken seal or packaging.
4. Refused medicine is disposed of pursuant to the following principles:
(1) If the medicine cannot pass the inspection, the detention house will ask the family of the juvenile inmate to take it back, or give it to the juvenile inmate when he/she leaves the detention house.
(2) The detention house will inform the family of the juvenile inmate that the medicine is not allowed to be brought into the detention house and will ask the family to take it back.
(3)Juvenile inmates may apply with this facility for items they are not willing to surrender to this facility for custody or repossession by next of kin. On approval, this facility will provide assistance in the incineration of these items.

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Q3: Does a juvenile inmate suffering from a chronic disease receive medical treatment during his/her stay in the detention house?
A:
1. Most juvenile inmates are covered by national health insurance and some medical institutes have branches established in the detention house. A juvenile inmate who is unable to receive health insurance related medical treatment will be treated by a public doctor. Those who cannot receive medical attention under the national health insurance program will be diagnosed by public physicians and apply for medical attention with prescriptions filled inside this facility.
If a juvenile inmate needs to see a doctor, he/she may report to the class supervisor and schedule an appointment with the doctor. Then the juvenile inmate shall receive proper treatment.
2. A patient with a chronic disease who requires long-term medication may apply to see a doctor and receive medicine in the detention house. For consistent treatment,The inmate patient may apply to his/her hospital for diagnosis documents, summary history of disease and medical records, and give them to the detention house for review.
3. If the detention house is unable to provide the inmate with proper medical treatment, the doctor of the detention house will suggest an arrangement in which the inmate can be treated in a larger hospital located outside the detention house. Next of kind should not be excessively anxious, as this facility will write to the pertinent juvenile tribunal of the district court to consider if better and more appropriate measures should be taken to speed up the access to medical attention.
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Q4: Is a juvenile inmate who requires an insulin injection for his/her entire life allowed to inject themselves in the detention house?
A:
1. A new juvenile inmate shall take the certificate of diagnosis, the doctor’s prescription, relevant medicine, needles and injections to the detention house. If the detention house thinks it necessary after examination, the inmate may use the needles and injections pursuant to the advice of the doctor.
2. Effective starting in 2013, a juvenile inmate with health insurance who requires insulin injections may apply to see a doctor pursuant to the general clinical procedure. The doctor will refer to the name and dose of medicine listed on the prescription brought into the detention house by the inmate and provide proper medical treatment and health care services accordingly.
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Q5: Does a juvenile inmate with health insurance have to pay for medical treatment? How is it paid for?
A:
1. A juvenile inmate has to pay the following fees:
(1) Outpatient treatment at this facility ranges from NT$50-NT$120 depending on the pricing of the hospital.
(2) Copayment fee: The clinical copayment fee in the detention house is NT$50 in accordance with the first paragraph of Article 7 of the Regulations Governing Medical Care for National Health Insurance Beneficiaries in Correction Organizations. It is a uniform fee nationwide. A juvenile inmate suffering from serious injury or disease, delivering a baby or living in a mountain or offshore island is exempt from copayment fees.
(3) Hospitalization Fee: Juvenile inmates shall bear 10% -30% of the fee in the duration of hospitalization. The longer the period of hospitalization, the higher the financial burden will be.
2. If a specific juvenile inmate cannot afford their own share of payment and registration fee, this facility will advance the payment and deduct it from the cash in the custody of this facility, urge for payment, or notify the next of kin to make payment. The joint venture hospital (clinic) will urge the juvenile to settle any outstanding balance after discharge from this facility (hospital, center, school).

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Q6: Where can a juvenile inmate without health insurance receive medical treatment? Who will pay the fees and expenses?
A:
1.If the term of detention has been executed for less than two months and the inmates concerned are qualified for the national health insurance program, they shall continue with the protection and pay the premium. For those who have joined the program without picking up an insurance card, or if the insurance card is lost or damaged, they shall apply for replacement before admission to this facility for the protection of their rights.
2.If the juvenile inmates are not qualified for the national health insurance program under the National Health Insurance Act and they are ill after admission to this facility, this facility will retain physicians to give medical attention in line with the mechanisms in effect, or refer them to joint venture hospitals to provide charity outpatient treatment. If referral for hospitalization is necessary, the inmates shall be responsible for all the expenses incurred thereof. Inmates meeting the criteria to apply for a subsidy due to poverty may apply for a medical subsidy.
3. If a juvenile inmate with the qualifications for joining health insurance under the National Health Insurance Act is not given insurance benefits because he/she has not been given a health insurance card yet, is in the process of the health insurance application, or has an insurance premium due and unpaid, the juvenile inmate may just see a doctor as a person insured with health insurance. Then the detention house and the business section of the Bureau of National Health Insurance will assist the juvenile inmate in completing follow-up steps in connection with health insurance or application for paying a premium in installment payments.

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Q7: In what situation is a juvenile inmate allowed to receive medical treatment in a hospital outside the detention house? Will the family of the juvenile inmate be informed of it so that the family can go to the hospital to visit him/her?
A:
1. When a juvenile inmate gets sick, the juvenile inmate will be diagnosed and treated by the doctor at the detention house. However, if the doctor indicates that the juvenile inmate is unable to receive proper medical treatment (due to the actual condition of the inmate patient, lack of medical personnel or equipment or other factors), the doctor may issue a referral. After the referral form is approved, the juvenile inmate will be transferred accompanied by guards to a larger hospital outside the detention house.
2. When a juvenile inmate is hospitalized or has a special medical condition, the detention house will inform the family of the juvenile inmate so that his/her family members can go to the hospital to visit him/her. For any invasive examination or surgery, one of his/her family members is required to go to the hospital and sign the agreement of invasive examination or surgery. For invasive examinations or surgery, it is necessary for the next of kin to go to the hospital and sign the statement of consent.

3. Family members going to visit the juvenile inmate are required to take their identification cards or certificates with them and shall visit the juvenile inmate only during the session of visitation provided by the detention house.
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Q8: Are family members allowed to choose the medical institute to which the juvenile inmate is transferred and the date and time of visitation?
A:
1. According to the National Health Insurance Act and the Regulations Governing Medical Care for National Health Insurance Beneficiaries in Correction Organizations, the medical institute to which the juvenile inmate is transferred and the date when the inmate is transferred to the medical institute shall be decided by the correction organization based on medical demand and safety management. The inmate may not designate a certain medical institute or a particular date. Thus, when a juvenile inmate needs to be transferred to a hospital outside the detention house, either for hospitalization or clinical treatment, the medical institute and date and time are determined solely by the detention house.
2. During hospitalization, the juvenile inmate will have arrangements to stay in a guarded ward. In case there is no guarded ward, the juvenile inmate will stay in a health insurance ward. The medical institute shall not collect the difference between wards from the inmate.
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Q9: Should a juvenile inmate have guard instruments used during his/her transfer to a hospital outside the detention house?
A:
1. After evaluating the health situation and behavior of the juvenile inmate and the possibility of his/her escaping, committing suicide, acting violently or violating social order, the detention house will decide whether the juvenile inmate being transferred to a hospital outside the detention house should have guard instruments used or not, as well as the type of guard instruments.
2. To protect the juvenile inmate and his/her dignity, the juvenile inmate may cover the guard instruments with his/her jacket or any piece of clothing or conceal the guard instruments by sitting in a wheelchair.