🩺 1. Basic health insurance benefits that reduce the burden of medical expenses
The most important role of the National Health Insurance Corporation is Support for the costs of hospital treatment and careIt is to do.
Korea's national health insurance system significantly reduces the burden of medical expenses by having the government cover a certain percentage of medical services, including illness, injury, surgery, hospitalization, and diagnostic testing. National Health Insurance Corporation
- Inpatient treatment and outpatient treatment support
- Partial coverage of drug costs
- Subsidy for diagnostic and testing costs required during treatment
In other words, if you are sick, you can go to the hospital and receive treatment and only pay a portion of the cost. National Health Insurance Corporation
🧪 2. Free or low-cost regular health checkups
The National Health Insurance Corporation is a disease To prevent or detect it early We provide regular health checkups. National Health Insurance Corporation
- General health checkup: For all subscribers
- cancer screening: Screening for stomach cancer, breast cancer, colon cancer, etc. provided according to age and gender
- Disease risk group screening: Including dyslipidemia, hepatitis B, bone density test, etc. National Health Insurance Corporation
The cost of the checkup is either completely free or covered by the public corporation, making it very beneficial for health management. National Health Insurance Corporation
🏥 3. Out-of-pocket maximum system – setting a limit on medical expenses
This is a system where, when medical expenses increase and the total amount that the individual must pay exceeds a certain standard, the corporation covers the excess amount.
This system Different people have different income levels and medical needs.Considering this, it alleviates the burden of health insurance. National Health Insurance Corporation
💊 4. Support for treatment costs for severe and rare diseases
The National Health Insurance Corporation provides coverage for severe and incurable diseases. Special system to reduce medical expensesis operating.
When registering for a serious illness, there are benefits such as lowering the patient's share of medical care benefits and receiving support for a portion of treatment and nursing costs. National Health Insurance Corporation
Also, from 2025 onwards Expanding the scope of medical expense support for rare diseasesThe scope of support and income criteria will also be relaxed. Policy Briefing
👶 5. Pregnancy and Childbirth Benefits
Health insurance also covers medical services before and after childbirth.
Prenatal care, obstetrics and gynecology treatment, and childbirth-related treatment during pregnancy may be covered by health insurance, and some treatments are covered more broadly. National Health Insurance Corporation
🧡 6. Prevention and Health Promotion Programs
The industrial complex is not focused on treating diseases. Prevention-focused health promotion policyIt also operates. National Health Insurance Corporation
- Healthy lifestyle campaigns, including quitting smoking and drinking in moderation
- Lifestyle assessment and personalized health information
- Mental health screening and counseling services
- Follow-up management program after health checkup National Health Insurance Corporation
👵 7. Disaster Medical Expenses Support Project
If you are experiencing financial difficulties due to excessive medical expenses, Subsidies for some areas not covered by health insuranceThere is also a 'catastrophic medical expense support' policy. National Health Insurance Corporation
🌍 8. Same benefits for foreigners and residents
Foreigners residing in Korea can also apply if they meet certain conditions (registration/subscription). You can receive the same health insurance benefits as Korean citizens. National Health Insurance Corporation
📊 9. Insurance Premium Assessment, Settlement, and Income Adjustment System
Health insurance premiums are assessed based on personal and business income, and payments can be reasonably adjusted through a settlement or adjustment application. If your income decreases or fluctuates, you can also apply for an adjustment to your premium burden. National Health Insurance Corporation
| boon | Key Contents |
|---|---|
| Medical expense support | Reduction of the burden of insurance-covered treatment, hospitalization, and medical expenses (National Health Insurance Corporation) |
| Regular health checkups | Providing age- and gender-specific screening (National Health Insurance Corporation) |
| Out-of-pocket maximum system | Medical expenses excess subsidy (National Health Insurance Corporation) |
| Support for severe/rare diseases | Reduction of treatment costs for special registrants (Policy Briefing) |
| Pregnancy and childbirth | Support for medical expenses related to prenatal and childbirth (National Health Insurance Corporation) |
| Health Promotion | Prevention campaigns and consultations (National Health Insurance Corporation) |
| Benefits for foreigners | Same guarantee as Koreans (National Health Insurance Corporation) |
📌 Note: Purpose of health insurance
The Korean health insurance system covers not only illness and injury, but also Comprehensive medical services including prevention, diagnosis, treatment, rehabilitation, and health promotion are guaranteed.It aims to improve the health and stability of people's lives. Ministry of Health and Welfare official website