Even if there is actual damage, the burden of manual therapy is increased to 90%.

Wesa Ei
[Exclusive] Even if there are actual losses.
Manual therapy out-of-pocket cost increased to 9096
Entered 2025.01,04 5.07 am
Introduction to articles

The government’s plan was released on the 9th by the Special Committee on Medical Reforms… Expanding coverage for severe cases by reducing medical treatment.

Non-severe non-reimbursed treatment for which the government frequently claims actual loss insurance, such as manual therapy
Regarding actual cost insurance, the total out-of-pocket expenses will increase from the current 2096 (average) to 909.
As mentioned above, we are pursuing a plan to increase the continental cost of treatment for non-severe patients.
The non-life insurance coverage limit will also be reduced from the current 50 million won to 10 million won.
The plan is to only provide coverage up to 200,000 won per day:
The government’s special committee discussed ‘actual loss non-benefit reform’ containing these contents
The plan will be unveiled at a related fair on the 9th. Non-critical coverage is provided on the continent.
This means announcing the outlines of the ‘5th generation actual loss insurance’ that will increase coverage for severe cases.
am:

Main contents of the government’s non-benefit insurance reform plan
Non-benefit reform under the jurisdiction of the Ministry of Health and Welfare
‘Management salary’ newly established
Lower prices by covering non-covered treatments
Parallel treatment benefit restrictions
Records of non-reimbursed treatment other than for the purpose of cosmetic surgery, etc.
In case of parallel use, all salary surrender (10096) must be paid by yourself.
Non-benefit reassessment
Safety by re-evaluating non-reimbursement items such as extracorporeal shock waves
Expulsion in case of lack of friendliness
Under the jurisdiction of Geumwoong Committee for Actual Insurance Reorganization
The same actual cost insurance and health insurance burden rate is applied.
If the health insurance out-of-pocket cost is 9 to 9, actual loss insurance is provided.
Self-pay contribution also increased to 9-9
Non-critical coverage limit reduction
Coverage limit for non-serious diseases: from the current 500,000 won to 100,000 won
and outpatient treatment is covered up to 20,000 won per day.
Expansion of age for teenagers to sign up for non-benefit management
The purpose of treatment is to create non-benefit items for the most common types of loss claims.
The upper age limit for cognitive check actual loss subscription has been expanded from 75 to 90 years.
Changes in emergency room use costs for mild patients at large hospitals
Total medical expenses: 90,000 Won Home, mildly ill patients, large hospital emergency room use burden: 90%
Of the 1 million won in medical expenses, the National Health Insurance Corporation
Pay 100,000 won to the hospital and the remaining 90,000 won
The patient has to pay
today
that
Actual cost insurance is 8096 out of 90,000 won (720,000 won)
Returning to the patient
Patient pays final cost of 180,000 won
Actual loss insurance coverage rate limit
After reorganization
that
Of the 90,000 won out-of-pocket expenses, only 10.96 (90,000 won)
The insurance company is returning
Patient pays final cost of 810,000 won

In addition, the Ministry of Health and Welfare lists the top 10 non-benefit expenses with the highest number of actual loss claims.
We plan to create and manage a list of intermediate items. Within the government, “as of now
Manual therapy, nutritional injections, some spine procedures, non-reimbursed MRI, hyperplasia treatment
“There is a high possibility that extracorporeal shock waves, etc., may be involved.” There is talk of eyes.
On the other hand, for serious diseases, the actual loss coverage range is planned to be wider than before.
Reduce the scope of coverage for non-severe diseases and turn the money into serious diseases.
This means: A high-ranking government official said, “Gestational diabetes, stillbirth, placenta previa”
Location abnormality) If actual loss insurance does not apply, such as ectopic pregnancy, etc.
“We will provide new coverage for various treatment items related to new births,” he said.
For severe cases, unlike mild cases, there is a limit on actual loss compensation per disease (50 million won), etc.
We decided to maintain the main benefits:
The upper age limit for subscribing to actual loss insurance will also be expanded from the current 75 years to 90 years.
The reform also includes shortening the period for renewal of premiums from 5 years to within 5 years.
It is said to be inclusive.