When you incur high medical care costs

The copayment for medical care costs you can be required to pay is capped. If your copayment calculated based on a certain standards exceeds this maximum, the excess amount will be paid as “High-Cost Medical Care Benefits”.

When you want to reduce the amount of medical care costs you pay at the medical care institution

We recommend using a Myna health insurance card. By doing so, your cost-sharing maximum amount information will be provided with no need to give your consent and you will no longer need a Certificate of Application of Maximum Copayment Amount.

Required documents:
Applies to:

Insured persons or dependents whose copayment amounts for one month are expected to exceed their individual cost-sharing maximum amounts in the following cases:

  • Examinations and treatment received at a medical care institution or other facility that has not adopted the online eligibility verification system
  • When not using a Myna health insurance card
  • When not using a Myna health insurance card and you are 70 or older and in the same income category as active workers Ⅰ or Ⅱ
  • * Even when using a Myna health insurance card, those in the low income category must apply in advance for a Maximum Copayment/Reduced Standard Copayment Certificate to be treated as falling in the low income category.
Submit to: YG Health Insurance Society or the department in charge at your company
Send by: Post
Address inquiries to: YG Health Insurance Society
Notes: You can use this system for both inpatient and outpatient costs.
A separate application form is required for members of households exempt from residents’ tax (i.e., members of households in which the insured person is not subject to tax). Check with the Health Insurance Society.

When you face high copayments for medical care or long-term care

Required documents:
  • Contact YG Health Insurance Society.
Deadline: As soon as possible
Applies to: Insured persons paying copayments for both medical care and long-term care for all individuals in the same household, for whom the total copayment amount paid under both systems over a one-year period exceeds the maximum amount
Submit to: The department in charge at your company
Address inquiries to: YG Health Insurance Society
Notes: For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year.

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