Can You Get a Major Illness Card with Sjögren's Syndrome? - Internal Medicine

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Sjögren's syndrome


Hello, doctor.
I would like to ask if a confirmed diagnosis of Sjögren's syndrome (dry syndrome) is sufficient to obtain a major illness card, or if the application might be denied due to milder symptoms.
Thank you.

QQ, 40~49 year old female. Ask Date: 2022/02/22

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
To apply for a major illness card from the National Health Insurance Administration, certain criteria must be met.
Your physician will assist you in the application based on the results of your current tests for Sjögren's syndrome, but the final decision rests with the National Health Insurance Administration.
If the review committee requires additional information, your physician will provide further assistance.
If the documentation meets the requirements and standards, the National Health Insurance Administration generally approves the application.
The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to support you.

Reply Date: 2022/02/22

More Info


Sjögren's syndrome, also known as dry syndrome, is an autoimmune disorder characterized primarily by dry eyes and dry mouth due to the body's immune system attacking the glands that produce saliva and tears. When it comes to applying for a Major Illness Card, the eligibility criteria can vary significantly based on the specific regulations and guidelines set by health authorities in your region.

In general, obtaining a Major Illness Card often requires a confirmed diagnosis from a healthcare professional, along with evidence of how the condition affects your daily life and overall health. For Sjögren's syndrome, the severity of symptoms can vary widely among individuals. Some patients may experience mild symptoms that do not significantly impair their daily activities, while others may suffer from severe complications that can lead to significant health issues.

The process of applying for a Major Illness Card typically involves the following steps:
1. Diagnosis Confirmation: You must have a confirmed diagnosis of Sjögren's syndrome from a qualified healthcare provider. This usually involves a combination of clinical evaluation, laboratory tests, and possibly imaging studies.

2. Assessment of Severity: The healthcare provider will assess the severity of your symptoms and how they impact your daily life. This assessment is crucial because health authorities often consider the functional impairment caused by the illness when determining eligibility for the Major Illness Card.

3. Documentation: Your healthcare provider will need to provide documentation to support your application. This may include medical records, test results, and a detailed description of your symptoms and their impact on your life.

4. Submission to Health Authorities: Once the necessary documentation is prepared, it will be submitted to the relevant health authority for review. They will evaluate whether your condition meets the criteria for a Major Illness Card.

5. Review Process: The health authority may request additional information or clarification from your healthcare provider during their review process. It is essential to maintain open communication with your provider to ensure that all necessary information is submitted.

6. Decision: After reviewing your application, the health authority will make a decision. If approved, you will receive the Major Illness Card, which may provide access to additional healthcare benefits and support services.

It is important to note that even if you have a confirmed diagnosis of Sjögren's syndrome, the decision to grant a Major Illness Card may depend on the specific criteria set by the health authority in your area. Some patients with milder forms of the disease may not qualify, while those with more severe manifestations, such as systemic complications or significant impairment, are more likely to be approved.

In conclusion, while a diagnosis of Sjögren's syndrome is a critical first step in applying for a Major Illness Card, the severity of your symptoms and their impact on your daily life will play a significant role in the decision-making process. It is advisable to discuss your specific situation with your healthcare provider, who can guide you through the application process and help you gather the necessary documentation to support your case.

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