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Table 1 Representative programs of the Korean Health Security System

From: Comparison of out-of-pocket expenditure and catastrophic health expenditure for severe disease by the health security system: based on end-stage renal disease in South Korea

Criteria

NHIa)

MAb)

System

Social insurance

Public assistance (type 1, type 2)

Subject

All people except those with MA

(Mandatory subscription)

Selected people having difficult living

Finance method

Premiums and treasury

Tax

Operation & management

Nation & public corporation

National & local governments

Insurance premium burden

Based on income level

No premium

Insurance benefits

Uniform

Vary

Population (2020)

97.2%

2.8%

Copayment

 Admission

20% of total medical expenses

None

 OPD

60% ~ 30% of total medical expenses

Approximately $ 0.95 ~ $ 1.93

type 1: 5% of special equipment service fee

type 2: 15% of special equipment service fee & 15% of medical benefit costs when using secondary or tertiary medical institutions

  1. a)National Health Insurance
  2. b)Medical Aid