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Insurance coverage and limits

kyuhee han
3 years ago
Insurance coverage and limits

Type of Coverage

Insurance Coverage Amount

Deductible
(paid by the policyholder)

Hospitalization

Outpatient

Injuries Resulting in Disability

10,000,000 KRW

None

Actual Medical Expenses

Injury Allowance

10,000,000 KRW

100,000 KRW

20%

Disease Allowance

5,000,000 KRW

50,000 KRW

20%

Uncovered Expenses for Injury

10,000,000 KRW

100,000 KRW

30%

Uncovered Expenses for Disease

5,000,000 KRW

50,000 KRW

30%

Medical Diagnosis Fee - Burns

100,000KRW

None

Surgery Fee - Burns

100,000 KRW

None

Medical Diagnosis Fee - Fractures (Excluding broken teeth)

300,000 KRW

None

Surgery Fee - Fractures

300,000 KRW

None

Medical Diagnosis Fee - Major Bone Fractures

300,000 KRW

None

Surgery Fee - Major Bone Fractures

500,000 KRW

None

Treatment Fee - Cast

100,000 KRW

None

Daily Hospitalization Allowance - Food Poisoning

10,000 KRW

None

Daily Hospitalization Allowance - Traffic Injury

10,000 KRW

None

Serious Crimes (During everyday life)

10,000,000 KRW

None

* Note 1) The patient's co-payment for outpatient treatment (covered by insurance) is 20% of the actual treatment cost, or the greater amount between 10,000 KRW to 20,000 KRW depending on the hospital.
* Note 2) The patient's co-payment for outpatient treatment (not covered by insurance) is 30% of the actual treatment cost, or the greater amount between 30,000 KRW.
* Note 3) The actual medical expenses guarantee covers insurance premium with an additional charge for uninsured individuals under the National Health Insurance.