Health insurance coverage and non-covered care
This topic explains the line between covered and non-covered care in Korea.
Use the self-check for a first orientation, then read the item pages, which note when an item can be covered under set criteria.
- ToolCovered or non-covered self-check
Answer three questions about the type of care, its purpose and your insurance status to see whether care in Korea is likely covered, likely non-covered or decided case by case, with the legal basis.
- StatisticsNon-covered share of medical spending
What share of medical spending in Korea is paid for non-covered care, and how the health insurance coverage rate changed by year, from National Health Insurance Service statistics.
- ArticleWhat is “non-covered” in Korea’s insurance system?
Non-covered care is care that national health insurance does not pay for, priced by each institution. This article explains how it differs from covered, selectively covered and full self-pay care.
- StatisticsAbdomen Ultrasound prices in Korea
Disclosed non-covered prices for upper abdominal ultrasound in Korea as minimum, median and maximum by hospital type and region, from HIRA data with institution names removed.
- StatisticsBrain MRI prices in Korea
Disclosed non-covered prices for brain MRI in Korea as minimum, median and maximum by hospital type and region, from HIRA data with institution names removed.
- StatisticsDental Implant prices in Korea
Disclosed non-covered prices for dental implant in Korea as minimum, median and maximum by hospital type and region, from HIRA data with institution names removed.
What does this topic cover?
The legal categories of coverage and how they apply to the main disclosed items.
Is this a coverage decision?
No. It summarises public rules; the institution confirms coverage for each case.