Amendment designates non-insured services as selective benefits with 95% patient cost burden

The government will manage non-insured medical services with significant concerns about over-treatment. The Ministry of Health and Welfare announced on the 7th that it will publicly notify a partial amendment to the Enforcement Decree of the National Health Insurance Act, containing such content, until the 17th of next month.

The amendment adds a legal basis to designate certain non-insured services as selective (managed) benefits. Selective benefits are a system where health insurance does not typically apply, but insurance provides partial support when socially necessary.

Under this revision, the patient's own burden rate for designated selective benefits will be set at 95%. While patients bear most of the costs, the state will manage the items and monitor usage trends. A Ministry of Health and Welfare official stated, "We will push forward with follow-up discussions to manage non-insured services."