Non-covered price glossary

Published

This glossary defines the terms that decide what Korean non-covered price statistics show.

Legal terms follow the wording of the relevant law, and statistical terms follow standard definitions.

Covered care (benefit)
Care paid partly by national health insurance under the benefit standards; the patient pays the statutory co-payment.
Non-covered care
Care listed outside insurance benefits; the institution sets the price and the patient pays it in full.
Selective benefit
Care covered with a higher co-payment share while its cost-effectiveness is assessed.
Full self-pay
A benefit item used outside its set conditions, for which the patient pays the full benefit price.
Non-covered price disclosure
The system under which institutions report non-covered prices and HIRA publishes them.
Hospital type
The legal class of an institution: clinic, hospital, general hospital or tertiary general hospital.
Median
The middle value when all prices in a group are put in order.
Quartile
Values that split ordered prices into four equal parts; the middle half lies between the first and third quartiles.
Insufficient sample
A group with fewer than five institutions, hidden so that no single institution’s price can be inferred.
Reference date
The date or period a published figure describes, which can differ from the date it was released or retrieved.
Site calculation
A figure this site derives from published numbers, such as a quartile, a USD value or a CPI-adjusted median.
Korea Open Government License (KOGL)
The licence system for Korean public works. Type 1 allows reuse, including commercial use, with attribution.

How are these terms defined?

From the relevant law or standard statistical definitions, rewritten in plain language without changing the meaning.

Where do these numbers come from?

  1. National Health Insurance Act · Korea Law Information Center · Primary source
  2. Rules on the Standards for National Health Insurance Care Benefits (Annex 2: non-covered items) · Korea Law Information Center · Primary source
  3. Standards for designation and implementation of selective benefits (notice) · Ministry of Health and Welfare (Korea Law Information Center) · Primary source

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