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NHIA (National Health Insurance Administration) Reimbursement
Medical device reimbursement in Taiwan is a system in which the government pays for medical devices that are approved for use. Various medical devices are covered by the reimbursement system, including implants and surgery devices.
The reimbursement rate is determined by the type of device, its usage, and its cost. This reimbursement rate is typically lower than the cost of the device, but it helps make these devices more affordable for patients.
Reimbursement or self-pay codes are only applicable for consumable medical devices.
The application process is categorized as follows:
Reimbursement Code
The NHIA will evaluate the product in comparison to similar products in the Taiwan market. If the product does not have any significant features and the price for similar products is already fixed by NHIA, the product will be reimbursed at the same price.
Self-pay Code
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If the product has better or newer functions than the reimbursed products, or is similar to a product that already has a self-pay code, a higher price can be proposed. Clinical data must be submitted to demonstrate the differences or advantages of the product compared to similar devices.
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The NHIA will review the application and may grant a self-pay code or request that the applicant reapply for a
reimbursement code.
Initial Submission
Submission reviewed by NHIA reviewer
Submission reviewed during NHIA meetings, which are held every third Thursday in odd-numbered months
The reimbursement code will be effective one month after the meeting
Initial Submission
Submission will be reviewed by an NHIA reviewer within
3 months
The NHIA decides to reimburse the product
Supplement with any other required documents,
if necessary
Receive the self-pay code
