NHIS opens a non-reimbursement information portal

Discloses 1,064 items

Provides integrated information on non-reimbursable medical care... Expectations rise on rational medical use

The National Health Insurance Service (NHIS) announced that it will launch a 'non-reimbursement information portal' on the 10th to help people easily understand information on non-reimbursed items at a glance to improve their right to know and promote rational medical use.

 

Unlike reimbursed items, where prices and standards of care are set by law, those of non-reimbursed items are set by medical institutions autonomously, so people have difficulty making medical choices because they do not have enough information about whether the prices of the non-reimbursed medical services are reasonable and safe.  In response, the NHIS explained that it has established the 'Non-Reimbursement Information Portal' to provide comprehensive information on the safety and effectiveness of major items, symptoms, and treatments for each disease, in addition to price information on non-reimbursed items, to support people make informed medical choices.

 

In addition, the Ministry of Health and Welfare has strengthened access so that people can more easily and reasonably access medical services by collecting non-reimbursement information from various institutions, including the National Health Insurance Service, Health Insurance Review and Assessment Service, the Korea Human Resource Development Institute For Health & Welfare, and the Korea Disease Control and Prevention Agency.

 

The Ministry of Health and Welfare has added a menu on: Understanding non-reimbursement, Taking non-reimbursed services with information, and Statistics on non-reimbursed items.

 

Users can easily check key information at a glance on the landing page.

 

Starting with a guide to non-reimbursed care and an introduction to non-reimbursed care systems that could help people make appropriate and rational choices when using non-reimbursed care, the website shows prices for each non-reimbursed item, medical fees for major diseases and surgeries (reimbursement + non-reimbursement), results of safety and effectiveness evaluations of non-reimbursed items, and various statistical results related to non-reimbursed care.

 

It also provides a shortcut service for each institution that allows users to check videos that help them manage their health, information on diseases related to non-reimbursable items, and details on the information provided.

 

The information provided by this non-reimbursement information portal includes 1,064 non-reimbursement items, 91 diseases, and 54 health technology reevaluation results, and the information will continue to be expanded through continuous analysis and evaluation, as well as strengthened cooperation with specialized institutions.

 

The price information provided by the non-reimbursement information portal is based on information collected through the non-reimbursement reporting system, which has been in effect since 2023.

 

Under the non-reimbursement reporting system, hospitals are required to submit items, amounts, and treatment details to the National Health Insurance Service twice a year (March and September), and clinics once a year (March).

 

“By providing comprehensive non-reimbursed medical information through the non-reimbursement information portal, we expect to strengthen access to non-reimbursement information and contribute to ensuring that people can use the non-reimbursed medical services they need at an appropriate cost, safely and reasonably,” said NHIS President Ki-Suck Jung.

 

Jung added, “We plan to continue our efforts to help people use medical services rationally and reduce the burden of medical expenses.”