How Premiums Are Calculated (2024)

National Health Insurance premiums for individuals in category 1, 2, and 3 are calculated based on the monthly income they report to the National Health Insurance Administration. The premiums of individuals in categories 4, 5, and 6 are based on the average premium of the people enrolled in category 1, 2, and 3.

The formulas used to calculate premiums are as follows:

Category 1The insuredSalary Basis x insurance premium rate x contribution ratio x(1 + number of dependents)
Insurance unit, governmentSalary Basis x insurance premium rate x contribution ratio x(1 +average number of dependents)
Category 2 and 3The insuredSalary Basis x insurance premium rate x contribution ratio x(1 + number of dependents)
GovernmentSalary Basis x insurance premium rate x contribution ratio x(1 + actual number of people insured)
Category 6 : Veterans, veterans' dependentThe insuredAverage premium x contribution ratio x number of dependents
GovernmentAverage premium x contribution ratio x actual number of people insured
Category 6 : Regional populationThe insuredAverage premium x contribution ratio x(1 + number of dependents)
GovernmentAverage premium x contribution ratio x actual number of people insured

NOTES:

  • Salary Basis: The amogunt on which premiums are calculated based on a payroll bracket table.

  • Insurance Premium Rate: 5.17% since January 1, 2021.

  • Contribution Ratio: Based on ratios set by National Health Insurance Act.

  • Number of Dependents: Maximum of three, even if actual number of dependents is higher.

  • Average Number of Dependents: Beginning January 1, 2024, the number of persons is announced as 0.56.

  • Beginning in January 2024, the average monthly premium for individuals in categories 4 and 5 will be NT$2,160. It is entirely subsidized by the government.

  • Since January 2021, the average premium for individuals in Category 6 has been NT$1,377, with 60% paid for by the individual (NT$826) and 40% by the government.

How Premiums Are Calculated (2024)

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