South Korea's NHIS Severe Disease Special Copayment 2026: Korean cancer / Korean rare / Korean severe-intractable / Korean severe dementia / Korean burn / Korean cerebro-cardiovascular / Korean tuberculosis registered → Korean 5% co-pay (Korean 5-year registration). Estimate Korean savings vs Korean 30–60% normal co-pay.
| Korean cancer (C00–C97 / D00–D09) | Korean malignant / Korean carcinoma in situ — Korean 5-yr registration |
| Korean rare / severe-intractable | Korean ~1,200 registered — Korean 5 yr (Korean re-register) |
| Korean severe dementia | Korean V810 code etc. — Korean 10% co-pay |
| Korean severe burn | Korean ≥30% body surface — Korean 1 yr (Korean re-register) |
| Korean tuberculosis | Korean Tuberculosis Prevention Act — Korean co-pay exempt (Korean Rx incl.) |
| Korean cerebro-cardiovascular | Korean post-op Korean 30 days — Korean 5% |
| Korean joint replacement | Korean hip / Korean knee — Korean 5% |
| Korean severe trauma | Korean Korean trauma center care |
| Korean care | Korean normal | Korean special |
|---|---|---|
| Korean outpatient — Korean clinic | 30% | 5% |
| Korean outpatient — Korean hospital | 40% | 5% |
| Korean outpatient — Korean general | 50% | 5% |
| Korean outpatient — Korean tertiary | 60% | 5% |
| Korean inpatient (all) | 20% | 5% |
| Korean severe dementia (V810) | 20–60% | 10% |
| Korean tuberculosis (active) | 20–60% | 0% (Korean exempt) |
| Korean registration period | Korean cancer / rare / severe-intractable Korean 5 yr / Korean burn 1 yr / Korean cardio 30 d / Korean dementia / TB separate |
| Korean re-registration | Korean re-eligible after Korean expiry on Korean re-diagnosis (Korean doctor) |
| Korean out-of-pocket cap | Korean cap refund still applies after Korean special copayment |
| Korean medical-aid | Korean medical-aid Type 1/2 can register Korean special copayment separately |
| Korean linked policy | Korean catastrophic medical, Korean out-of-pocket cap, Korean severe disease care aid |
| Korean NHIS | 1577-1000 |
| Korean HIRA | 1644-2000 |
| Korean Health & Welfare Hotline | 129 |
| Korean diagnosing clinic admin | Varies by clinic |
This South Korea–only summary follows Korea's National Health Insurance Act enforcement decree/rules and Korean MOHW / Korean NHIS Special Copayment notices (as of April 2026). Korean eligible diseases, Korean co-pay rates, Korean registration period, Korean re-registration vary with Korean annual notice; Korean actual eligibility and Korean application are finalized by Korean diagnosing doctor and Korean NHIS registration. Korean estimate reflects only Korean special-copayment rate; Korean non-covered / Korean optional care / Korean ineligible items not reflected. Non-binding Korean reference; verify at Korean NHIS 1577-1000 or Korean diagnosing clinic admin. Korean tool does not solicit any Korean clinic.
South Korea's Severe Disease Special Copayment (Korean Sanjeong Teukrye), under Korea's National Health Insurance Act enforcement decree, is a Korean MOHW / Korean NHIS-operated insurance program that drastically reduces Korean co-pay for Korean patients with Korean cancer, Korean rare disease, Korean severe-intractable, Korean severe dementia, Korean severe burn, Korean cerebro-cardiovascular, Korean tuberculosis, Korean severe trauma, and Korean other Korean high-cost / long-treatment Korean diseases by replacing Korean normal Korean co-pay (Korean outpatient 30–60%, Korean inpatient 20%) with Korean special Korean co-pay (Korean ~5%, Korean severe dementia 10%, Korean tuberculosis 0% exempt). Korean 2026 registration: Korean cancer / Korean rare / Korean severe-intractable Korean 5 years (Korean re-registerable), Korean severe burn Korean 1 year (Korean re-registerable), Korean cerebro-cardiovascular Korean post-op Korean 30 days. Korean tuberculosis under the Korean Tuberculosis Prevention Act is fully Korean co-pay exempt (Korean medication included). Korean severe dementia (Korean V810 code etc.) gets Korean 10% co-pay. Register: Korean diagnosing doctor confirms Korean eligibility, fills Korean Registration form with Korean patient signature, and Korean e-registers with Korean NHIS or Korean patient visits Korean NHIS branch — Korean special copayment auto-applies from next care. Korean stacks with Korean out-of-pocket cap (Korean over-cap refunded), Korean catastrophic medical support, Korean medical-aid Types 1/2.
No — Korean diagnosing doctor must Korean fill the Korean registration form and Korean register with Korean NHIS. Korean patients should always Korean confirm eligibility with Korean doctor; Korean direct Korean patient registration is also possible.
Korean cancer / Korean rare / Korean severe-intractable: Korean diagnosing doctor Korean re-evaluates 30 Korean days before Korean expiry. Korean residual / Korean recurrence / Korean metastasis Korean re-registers for another Korean 5 years.
Yes — Korean registered disease Korean outpatient + Korean inpatient + Korean Rx all get Korean 5%. Korean unrelated care uses Korean normal co-pay.
No — Korean special copayment applies only to Korean covered Korean services. Korean non-covered (Korean some MRI, Korean manual therapy, Korean single room) is Korean full Korean burden — Korean confirm before Korean care.
Yes — Korean post-special-copayment Korean over-cap (Korean ~870k–8.08M / Korean year by Korean income decile, Korean 2024 ref) is Korean auto-refunded.
Yes — Korean active Korean tuberculosis registered under Korean Tuberculosis Prevention Act gets Korean co-pay exempt for Korean outpatient + Korean inpatient + Korean Rx. Korean health center / Korean TB-specialty Korean clinic registration required.
South Korea's 2026 Severe Disease Special Copayment, under the Korean National Health Insurance Act enforcement decree, is operated by Korea's MOHW and Korea's NHIS to drastically reduce Korean co-pay for Korean patients with Korean cancer, Korean rare disease, Korean severe-intractable, Korean severe dementia, Korean severe burn, Korean cerebro-cardiovascular, Korean tuberculosis, Korean severe trauma — Korean high-cost / Korean long-treatment Korean diseases. Korean replaces Korean normal Korean co-pay (Korean outpatient clinic 30%, Korean hospital 40%, Korean general 50%, Korean tertiary 60%, Korean inpatient 20%) with Korean special Korean co-pay: Korean cancer / Korean rare / Korean severe-intractable Korean 5%, Korean severe dementia (Korean V810 etc.) Korean 10%, Korean tuberculosis Korean 0% (Korean exempt). Korean registration period: Korean cancer / Korean rare / Korean severe-intractable Korean 5 years (Korean re-registerable on Korean doctor's Korean re-diagnosis for Korean residual / Korean recurrence / Korean metastasis), Korean severe burn Korean 1 year (Korean re-registerable), Korean cerebro-cardiovascular Korean post-op Korean inpatient Korean 30 days. Korean register by Korean diagnosing doctor filling Korean Registration form with Korean patient signature, then Korean e-registering with Korean NHIS, or Korean patient visiting Korean NHIS branch directly; Korean special copayment auto-applies to Korean next Korean covered Korean care (Korean outpatient + Korean inpatient + Korean Rx) for Korean registered Korean disease. Korean stacks with Korean out-of-pocket cap (Korean over-cap refund Korean ~870k–8.08M / Korean year by Korean income decile, Korean 2024 ref), Korean catastrophic medical support (Korean ≤50M / Korean year), Korean severe disease care aid, Korean medical-aid Types 1/2. Korean non-covered Korean items (Korean some MRI, Korean manual therapy, Korean single room) remain Korean full Korean burden. Korean tuberculosis under the Korean Tuberculosis Prevention Act is Korean co-pay exempt (Korean medication included) and requires Korean health center / Korean TB-specialty Korean clinic registration. Korean contacts: Korean NHIS 1577-1000, Korean HIRA 1644-2000, Korean Health & Welfare 129.