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Medical Benefit System

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Medical Benefit System

The medical benefit system aims to subsidize medical fees for citizens who cannot pay medical bills due to financial difficulty. Foreigners are not qualified for medical benefits, with the exception of specific cases outlined in the National Basic Living Security Act. When a person who qualifies for this assistance undergoes medical treatment due to disease, injury or childbirth, the government pays the hospital or clinic fee.

01Qualifications

Recipients of medical care assistance signified in the National Basic Living Security Act (including foreigners) are eligible for the medical allowance.

Qualifications
Primary Recipients Secondary Recipients
- Household without gainful employment among beneficiaries of national basic livelihood security
- Homeless patient
- Household without gainful employment among those subject to other laws (disaster victims, physically handicapped, recipients of national merit/veterns, intangible cultural asset holders, North Korean defectors, members of the May 18 Democratization Movement, adopted children (under 18 years old), homeless people, etc.)
- Employment capable households among beneficiaries of national basic liveliehood security
- Employment capable households among those subject to other laws

02Fees to Be Charged to Recipients

Recipients will be charged a portion of the medical expenses when using medical institutions.

Fees to Be Charged to Recipients
Classification Primary Recipients Secondary Recipients
Hospitalization Free of charge 10% of medical fees
Outpatient medical treatment Clinics (1,000 won), hospitals (1,500 won),
superior general hospital (2,000 won)
Clinics (1,000 won),
hospitals (15% of medical fees),
superior general hospital (15% of medical fees)
Pharmacies 500 won (per prescription) 500 won (per prescription)
  • For further details, call the Health & Welfare Counseling Center (☎129) without an area code, or contact the person in charge of medical benefits at the city/county/district or the welfare team person at the administrative welfare center in the si (city)/myeon/dong(township).

03Procedures of Medical Benefits

Applicants should first apply for medical benefits at their primary medical benefit organization before applying at secondary medical benefit organizations and tertiary medical benefit organization (exceptions apply).

  • Pri-
    mary
    Medical
    practitioners’ offices and
    public health centers
  • Request (Letter of medical benefit coverage request) Return (Return of referral for medical benefit)
  • Sec-
    ond-
    ary
    Clinics and
    general hospitals
  • Request (Letter of medical benefit coverage request) Return (Return of referral for medical benefit)
  • Ter-
    tiary
    Tertiary general hospitals
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