When you incur high medical care costs
The copayment for medical care costs you can be required to pay is capped. If your copayment calculated based on a certain standards exceeds this maximum, the excess amount will be paid as “High-Cost Medical Care Benefits”.
- When you want to reduce the amount of medical care costs you pay at the medical care institution
- When you face high copayments for medical care or long-term care
- Loans for high-cost medical expenses
When you want to reduce the amount of medical care costs you pay at the medical care institution
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| Applies to: | Insured persons or dependents who expect to pay more than their Cost-Sharing Maximum Amounts for medical care costs incurred at the medical care institution over one month |
| Notes: | You can use this system for both inpatient and outpatient costs. * Information of how to submit. > Click/Tap Here |
| Issuance and return | "Certificate of Application of Maximum Copayment Amount" is sent by registered mail in two or three days after receipt.
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When you face high copayments for medical care or long-term care
| Required documents: |
Application for Payment of High Aggregate Cost for Long-Term Care Service
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[Documents to attach]
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| Applies to: | Insured persons paying copayments for both medical care and long-term care for all individuals in the same household, for whom the total copayment amount paid under both systems over a one-year period exceeds the maximum amount |
| Notes: | For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year. |
Loans for high-cost medical expenses
When High-cost Medical Care Benefits is applied, after the claim, the provision needs for approximately 3 month through the insurer checks. To assist the medical cost for the meantime, 80% of the estimated amount of High-cost Medical Care Benefits is loaned without interest. This is "financing system of large medical cost on health insurance".| Required documents: |
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