For Korea's supplementary/indemnity health insurance (실손의료보험). Enter the treatment type, hospital tier, covered/non-covered treatment cost, and your policy's subscription generation to estimate the self-pay deductible and expected reimbursement amount, with a separate breakdown for the 3 major non-covered items (manual therapy, non-covered injections, MRI/MRA).
Only affects the flat per-visit deductible for outpatient visits.
The self-pay deductible rules changed each time the standard policy was redesigned. Check your policy document if you're unsure which generation you hold.
Portion of the non-covered amount above from manual therapy (and similar musculoskeletal procedures), non-covered injections, or MRI/MRA. Leave 0 if none apply.
Enter the treatment cost above to see your estimated reimbursement.
This is a simplified estimate based on commonly used standard self-pay deductible rates by generation (1st gen: full coverage; 2nd gen: 10% flat coinsurance; 3rd gen: covered 10% / general non-covered 20% / 3-major items 30%; 4th gen: covered 20% / non-covered 30%), plus flat per-visit deductibles for outpatient care (₩10,000/15,000/20,000 by hospital tier, ₩20,000–30,000 for the 3-major-item rider). Actual insurers and products vary in exact rates, per-visit and annual reimbursement caps, annual visit limits, and non-covered usage-based premium adjustments (4th gen) — this tool does not reflect those limits. This is a reference estimate only, not insurance or financial advice; always confirm the exact terms of your own policy.