What is “non-covered” in Korea’s insurance system?
In Korea, non-covered care is care listed outside national health insurance benefits, so the patient pays the price the institution sets.
It sits alongside covered care, selectively covered care with higher co-payments and full self-pay cases.
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Which law defines non-covered items?
Annex 2 of the rules on care benefit standards under the National Health Insurance Act.
What kinds of care are typically non-covered?
Cosmetic care, most preventive care and certain amenities, among others listed in Annex 2.
What is a selective benefit?
Care covered with a higher co-payment while its cost-effectiveness is assessed.
Who sets non-covered prices?
Each institution sets its own and must disclose and explain it in advance.
Can an item move from non-covered to covered?
Yes. Items such as ultrasound and MRI have been brought into coverage for set indications.