[Exclusive] Even if there is a real loss… Manual therapy burden increased to 90%

Let’s eat it
) Getting subscriptions
PicKi
[Exclusive] Even if you have actual damage… Manual therapy cost increased to 9096
Entered 2025.01.04 5.07 am
Modified 2025.01.04 9-39 am
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Special Committee on Individualized Medical Care, publicizes government plan on the 9th… Expands coverage for severe cases by reducing over-employed treatment
Photo – Getty Images Bank

Main contents of the government’s non-benefit actual cost insurance reform plan
Non-benefit reform under the jurisdiction of the Ministry of Health and Welfare
‘Management salary’ newly established
Policy to set a unified price for expensive non-reimbursed products
Concomitant treatment benefit restrictions
If you receive it together with non-covered treatment, you can even surrender benefits.
1009 Self-pay
Non-benefit reassessment
Withdrawal from medical products due to lack of safety
Under the jurisdiction of the Geumwoom Committee on Actual Insurance Reorganization
The same actual cost insurance and health insurance burden rate is applied.
Health insurance out-of-pocket cost: 909, actual loss insurance
Self-payment 909
Non-critical coverage limit reduction
Non-serious disease coverage limit: 500,000 won (current)
that
10 million won
Outpatient treatment is covered up to 200,000 won per day.
Non-benefit management for teenagers – expansion of subscription age
Create and manage the top 10 non-benefit items with the highest number of actual loss claims
The upper age limit for actual loss subscription is 75 years old (current).
that
90 years old

Changes in emergency room use costs for mild patients at large hospitals
Total medical cost TOD complaints Home mild patients Large hospital emergency room use burden 9%
Of the 1 million won in medical expenses, the National Health Insurance Corporation
Pay 100,000 won to the hospital and the remaining 9Q won
The patient has to pay
today
Actual cost insurance is 8096 (720,000 won) out of 900,000 won.
Returning to the patient
Patient pays final cost of 180,000 won
Limitations on actual loss insurance coverage
After reorganization
Out of the 900,000 won out-of-pocket expenses, only 10.96 (90,000 won)
Insurance company is returning
Patient pays final cost of 80,000 won