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Saturday, June 4, 2022

Everything I've learned about leaving and returning to Taiwan during a COVID outbreak


I wanna be where the people are...


We've just arrived back in Taiwan after a month in the United States. I'd read a lot about what it would be like to return, and had some idea of what our arrival and quarantine experience would be like. However, most of those posts were written before the big outbreak in Taiwan; coming back now feels fundamentally different than I suspect it would have just a few months ago. So, I thought I'd write about it. 

The rules regarding who can quarantine at home -- which differ between local cases and incoming travelers -- are not particularly clear. Yes, incoming travelers can quarantine at home if they have a residence with no other non-quarantine people, and their residence isn't subdivided into multiple addresses. Brendan and I are quarantining together, so yes, two travelers returning on the same day can stay in the same residence. No, you do not need two separate bathrooms. 

In fact, nobody will even check your apartment. I already kind of knew this from a friend in a position to know these things -- if your apartment meets the "one person per residence" requirements, I was told that "the CECC doesn't care about how many bathrooms you have." Somehow, however, I had this idea in my head that upon arrival or perhaps the day after, someone would come and inspect our quarantine quarters. That didn't happen (and thinking about it now, I don't see how it could have). I'd spent a lot of time fretting about this, when it amounted to nothing at all. 

But let's rewind a bit and talk about the requirements both to leave and return. Many people insisted that to board the plane in either direction you'd need a PCR test, which would be a considerable financial outlay. That turned out not to be true: to leave, you need whatever the airline and arrival country require. For us, that was a rapid antigen test done at a lab. We did this at minimal cost at Taiwan Adventist Hospital, which we chose for proximity as well as ease of registration (of all hospitals offering tests, theirs was the only one with a website that made sense.) It was also one of the few offering antigen tests, not just PCRs, and didn't extort foreigners (Tzu Chi, I'm looking at you -- your discriminatory fees should be illegal and I'm thinking of filing a complaint.)  Choose something nearby as you'll have to return for your results. 

We also thought travel insurance would be smart. Unfortunately, affordable Taiwan-based plans require you to pay up-front and then make a claim, which I didn't want to deal with. US-based plans are based on residency, not citizenship, so aren't available to us as they only cover international trips out of the United States and back. I called Allianz to ask about this and got horrible customer service ("well, I think we have an office in China," they told me. "But I don't live in China," I said. "It's the Republic of China!" You can guess how I replied.) Other plans like World Nomads would cover us but were far too expensive. We ended up going with IMG as they have a network in the US, offer COVID coverage and trip+health insurance, and had the lowest prices. 

You'll need the antigen test results and a travel declaration (generally available through your airline's website) to fly out, as well as proof of vaccination. Leaving Taiwan turned out to be the only time we had to prove our vaccination status; I'm still happy I obtained an international yellow card at Taipei Medical University Hospital. The digital certificate also works and is free (the WHO-issued yellow card costs about NT$900), but what can I say? I'm analog. Again, hospitals have very unclear procedures for registering for this service. At Taipei Medical, in theory you can register online for "family medicine". In practice, none of the doctors on the menu seem to have any availability -- it's better to call (no, the receptionist won't necessarily speak English.)

Arriving in the US is nothing at all -- there's no quarantine, nobody checks who you are or where you're going, you're just released into the country as though there is no pandemic. Returning to Taiwan, of course, is a different story. 

We ended our visit in New York City, where in theory you can get a free PCR test. However, there's a bit of an outbreak there now, and results are not guaranteed within the required 48-hour window. You might get lucky, but if you don't, you'll need a last-minute appointment and that'll cost you (the place we booked was charging $389 for same-day results). We made appointments in advance for next-day results at $175 -- the test itself is still free, but the guaranteed turnaround will cost you. Fortunately, we were able to cancel our quarantine hotel, and the returned deposits on our rooms more than covered the cost of the tests. The results will generally be emailed to you, and showing the document on your phone is fine.


          


Nick Kembel has an excellent post which discusses the Quarantine Entry Form, so I won't go into too much detail. The automatic screenshot system didn't work for me (it kept blipping out), but it turns out the only thing anyone will look at is that first page saying you've submitted it with a bar code. A few of the questions on the form are confusing, however. Here's a quick redux:


1.) For "purpose of coming to Taiwan", we selected "back home" even though we're not Taiwanese, as none of the other options applied. 

2.) Even though we were quarantining together, we each selected quarantining at home with "one person per residence". At no point does the form clarify that two people on the same flight can choose this. 

3.) For the test results, as we were coming from the US, we selected that we did want the saliva test, and did want the results. 

4.) On my phone, the field for my APRC number kept reverting to my passport number, so check that before you hit "next". The form also kept switching my day of birth to the 1st, even though I wasn't born on the first of the month. Fortunately, you can go back and edit the form before you submit. 

5. When noting transportation from the airport to your quarantine location, the two options are not very clear. Choose the one that is not "arrange your own vehicle". 

6.) When you're done, the system's screenshot may or may not work (it worked for Brendan but not for me). Make sure you have your own screenshot too. You can do it on your phone -- a process I found frustrating as it kept blipping out -- or on your computer, if you send yourself screenshots.


You can complete this form once you have a quarantine location and negative test result. We did ours the night before.

Upon checking in for our flight, we learned that if you don't have a Taiwanese passport, you can't do it in advance as you need to show proof of a visa (yes, APRCs obviously count). The automatic check-in machines at the airport also stop you at this point, and it took awhile for us to flag a clerk and get all of our documents approved -- negative test result, quarantine entry form submission screenshot, APRCs. This delay caused us to be in the last boarding group, which was somewhat annoying as flights are no longer as empty as they once were. 

Even with far stricter entry requirements, Taoyuan airport offered a smoother, better-organized process than Newark (or any US airport, really). Generally speaking, all you have to do is follow everyone else. I strongly recommend using the bathroom as soon as possible, if you need it, as it may be awhile before you can use one again. 

On arrival, there are two lines: one for those who received a confirmation text from the MOHW that their quarantine form was approved (check your texts when you arrive!), and one for those who have no confirmation and need it manually checked. If you have the text, click the link to open your approval page and screenshot that. 

You'll be handed your spit cup and a piece of paper with your information on it; hold onto this. You don't actually do the spit test until you exit the airport. This is slightly annoying as it means you have to carry it through baggage claim, but the process is now much faster -- you no longer have to wait at the airport for your results. 

For the first time in years, we had to actually go to an immigration counter to be let in the country, and received a passport stamp. This part was fairly easy, though I could imagine the lines getting quite long. 

At that point you'll pass through customs and follow the lines to the spit test location. Nobody will ask you if you need to use an ATM, so if you need one, speak up (I ended up having to run back into the terminal, which was allowed). I didn't need a SIM card, but it seemed like those who did were in for a long-ish wait at Chunghwa Telecom. Notably, none of the other providers' booths were still open when we arrived. That was irritating for me as I had to pay my phone bill after being away for a month, but I was able to ask a friend to do it for me. 

At some point in this process you'll be handed a sticker to wear that indicates you're transferring to quarantine, and two home test kits -- one to take on your last day of quarantine, and one to be used if you experience symptoms.

Once you leave the terminal you are sent outside to do your spit test. There's a video on how to do this set to adorable guitar music on Youtube, and instructions in the booth. You don't actually need to stand there for a full minute -- you just need to be sure you have sufficient saliva in your mouth. 

Finally, you'll be sent to the quarantine taxi line. They'll take a photo of your health declaration certificate on your phone (that's the approval text you get from the MOHW on arrival and use the last six digits of your passport number to open, or have done manually if you don't have a text message approval -- not a new document). By the time you get to the front, you'll have been sprayed down in a bit of hygiene theater, and be put into a taxi which already knows your destination. 

The next day, we each got calls from the CECC. (No visit and no snacks unfortunately. I'd been looking forward to the snacks.) They asked us if we needed help with food, water or garbage disposal during our quarantine, and let us know that we'd receive a daily text about our health -- "press 1 if you feel fine, press 2 if you don't". Nobody asked us to take our daily temperature, but of course we're keeping an eye on it anyway. This seems like a smart way to handle thinly-spread resources: someone is keeping an eye on us, but it's not as intense or scrutinizing as I'd imagined from reports of quarantining people back when Taiwan had few or no cases. 

We were lucky enough to have one of our cat sitters fill our fridge with fresh groceries using money we'd left behind, so quarantine for us is mostly just chillin' at home. Here's one thing I hadn't realized, though: I get over jet lag much faster when I can go outside, or have things to do and places to be. Without that -- especially without direct access to sunlight -- I'm feeling the effects much more strongly. I've fallen asleep both afternoons that we've been back, and just felt generally discombobulated in my new time zone. For the first time ever, I got over jet lag in the US faster than I am managing it in Taiwan; usually it's the opposite. My sleep cycle is a straight-up mess right now. We have good natural light in our living room, but I need sun. I might stick my head out the window for awhile tomorrow.

This morning we received our test results and got our first text. Otherwise, honestly, quarantine is just like chilling at home. 

All in all, despite the recent outbreak, my impression is that the government is doing a solid job allocating its resources well. The quarantine entry form is still confusing, but the arrival process is pretty smooth, and they seem to have streamlined their focus on inbound travel quarantiners. 

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