Objectives: The purpose of this research was to investigate differences in medical care utilization between elderly residents of long-term-care organizations and community residents under the National Health Insurance (NHI) program in Taiwan. Methods: A case-control study design using the fixed-effects model was employed. The experimental group was made up of elderly residents of long-term-care organizations. In order to obtain a precise estimate and control for possible confounding variables, the individual random matching method was used to select the community residents who made up the control group on the controlling variables (i.e., age, sex, disease severity, specific diseases, etc.). Results: The average rate of medical care utilization of the experimental group was 18% higher than that of the control group; this difference was statistically significant. Surprisingly, the average rate of medical care utilization of nursing-home residents was only 12% higher than that of the community residents, with no statistically significant difference between the two test groups. Conclusions: Supply-induced demand may exist in the medical care utilization of long-term-care organizations under the NHI program. The study results are important for planning long-term-care insurance programs to meet the requirements of the aging population of Taiwan.