Daily Life- Korean National Health Insurance

Korean National Health Insurance

Korean health insurance covers the whole population living in the country. Insurance benefits are provided for the insured or their dependents’ injuries, childbirth, health promotions, rehabilitations, or preventions of diseases. NHIS gives service benefits or cash benefits. The Korean health insurance program imposes different insurance contributions on the insured based on their payment capability, but it provides the same insurance benefits to all the insured.

Health Benefits

• Provided by health care institutions in case of diseases, injuries, and etc.
• Including diagnosis, tests, medical materials, treatments, surgeries, preventive care,  rehabilitation, hospitalization, nursing, and transportation

Health Screening

• General Screening
• Expenses : no co-payment on patients
• 22 items including blood test
• ※ those who are suspected in general screening as high blood pressure or diabetes will be taken final diagnosis test

• Cancer screening    
• Cost: shared by NHIS (90%) and Beneficiary (10%)
•     Stomach Cancer, Colorectal Cancer, Breast Cancer and Liver Cancer screening and pap-test
• ※ colorectal cancer, cervical cancer : no co-payment on patients

Co-payments

	Type	Co-payment
Inpatient		20% of total treatment cost (Registered cancer patients 5%,Registered rare/incurable diseases patients 10%)
Outpatient	Higher level general hospital	60% of total treatment cost and other expenses
	General Hospital	50% (administrative district: Dong),   45% (administrative district: Eup, Myeon) of total care benefit expenses
	Pharmacy	40% (administrative district: Dong).   35% (administrative district: Eup, Myeon) of total care benefit expenses
	Hospital	30% of total care benefit expenses
	Clinic	30% of total care benefit expenses