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Expat Exchange - How to Enroll in the Public Healthcare System in Taiwan
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How to Enroll in the Public Healthcare System in Taiwan

By Joshua Wood, LPC

SJB Global
SJB Global

Summary: A primer on how to enroll in the public healthcare system in Taiwan.

If you're planning to enroll in the public healthcare system in Taiwan, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

Taiwan is renowned for its National Health Insurance (NHI) system, a single-payer healthcare system that provides high-quality, affordable healthcare to all residents. The NHI is mandatory for all residents, including foreigners who have an Alien Resident Certificate (ARC). The vast majority of people in Taiwan, approximately 99.9% of the population, are enrolled in the NHI, demonstrating its widespread acceptance and use.

The NHI system is funded through premiums paid by individuals, employers, and the government. The cost of premiums is based on a person's income, with lower-income individuals paying less. Despite the low cost, the quality of care provided by the NHI is high. Taiwan's healthcare system consistently ranks among the best in the world, with a life expectancy that is among the highest globally.

Eligibility for Foreigners

Foreigners are eligible to enroll in the NHI system if they have an ARC and have been residing in Taiwan for at least six months. Alternatively, foreigners who are married to a Taiwanese citizen and have an ARC can enroll immediately, without the six-month waiting period.

Steps for Enrolling in the NHI

  1. Obtain an ARC: The first step to enrolling in the NHI is to obtain an ARC. This is a document that proves you are a legal resident of Taiwan. You can apply for an ARC at the National Immigration Agency.
  2. Wait Six Months: After obtaining your ARC, you must reside in Taiwan for at least six months before you can enroll in the NHI. If you are married to a Taiwanese citizen, you can skip this step.
  3. Apply for the NHI: Once you have met the residency requirement, you can apply for the NHI at your local NHI office. You will need to bring your ARC, passport, and a completed NHI application form.
  4. Pay the Premium: After your application is approved, you will need to pay the NHI premium. The amount you pay will depend on your income.

Once you are enrolled in the NHI, you can receive healthcare at any hospital or clinic in Taiwan. You will need to show your NHI card when you receive care. The NHI covers a wide range of services, including doctor's visits, hospital stays, prescription medications, and certain types of traditional Chinese medicine.

If you are not satisfied with the care provided by the NHI, there are private hospitals and clinics in Taiwan that offer care at a higher cost. However, most people find the care provided by the NHI to be more than adequate.

In conclusion, Taiwan's NHI system provides high-quality, affordable healthcare to all residents, including foreigners. By following the steps outlined above, foreigners can easily enroll in the NHI and start receiving care.

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About the Author

Joshua Wood Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.

Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.


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SJB Global
SJB Global

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SJB Global

SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
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SJB GlobalSJB Global

SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
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