Reimbursement
Service (Doctor's fee) Reimbursement Approval
Subject of Doctor’s fee decisions
Only if safety and effectiveness are proven as a result of new medical technology assessment, the technology is eligible to apply for evaluation of medical care benefits.
Service fee registration method
Service fee registration method
| Related Laws or Regulation |
- Articles 9-2 to 14 of the Rules on Standards for National Health Insurance Medical Care Benefits - Act. Standards for decision and adjustment of treatment materials, etc. |
|---|---|
| Applicant |
- Medical institution - Medicine-related organizations |
| Application period |
Within 30 days from the date of first use after notification of new medical technology evaluation results or notification of postponement of evaluation |
| Result |
Notification of results by HIRA Director - If it is an existing technology as a result of checking whether it is an existing technology: Use the existing Medical Care covered benefit/non-covered benefit code Ministry of Health and Welfare notice - Medical Care covered benefits: Reimbursement code/relative value score - Non-covered benefit: Non-reimbursement code - Selected covered benefits: Reimbursement code/relative value score/out-of-pocket ratio |
