From the 23rd, you can apply for a refund to the National Health Insurance Corporation for the amount that exceeds the ‘maximum amount of self-pay’ among the medical expenses you have spent last year. A total of 1.86 million people will receive a total 안전놀이터of 2.47 trillion won, or an average of 1.32 million won per person.
The Ministry of Health and Welfare and the Health Insurance Corporation announced on the 22nd that they will refund the excess amount from the 23rd according to the confirmation of the maximum amount of medical expenses for each individual in 2022.
The co-payment ceiling system is a system that returns the excess amount when the co-payment exceeds the upper limit for patients enrolled in health insurance to reduce the burden of treatment costs for severe diseases. Treatment not covered by health insurance, hospitalization fees for 2 or 3-person rooms in large hospitals, and dental implants are excluded. The upper limit varies by income category, but as of last year, the lowest was 830,000 won and the highest was 5.98 million won. The lower the income, the lower the upper limit, meaning that if you paid the same medical expenses, you will get more reimbursement.
On this day, as the income bracket for each individual was determined, whether or not the excess payment was paid and the amount were also confirmed. The number of people subject to refund increased by 10% every year from 1,265,921 in 2018 to 1,860,000 this year, and the amount of refund increased by 8% every year from 1,799.9 billion won to 2,470 billion won over the same period.
166.4 billion won was paid in advance to 34,033 people who received a refund regardless of their income because their out-of-pocket payments exceeded the maximum amount (5.98 million won). This time, 1,866,370 people, 2,304.4 billion won, which were decided to be paid due to the determination of the maximum amount of personal burden for each individual, will be paid after receiving individual applications.
The NHIS plans to sequentially send notices for payment applications to those eligible from the 23rd. The person who received the notice can visit the NHIS website (www.nhis.or.kr ), application ‘ The Health Insurance’, fax, mail, or phone inquiry (1577-1000) to apply for payment to your account.