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소개글
국민건강보험 NHI(National Health Insurance)에 대한 자료입니다.
목차
1. What is NHI?
2. History
3. Organization Structure
4. Contribution & Benefits
5. Current Issue
본문내용
National Health Insurance
National Health Insurance(NHI) in Korea is the mandatory
health Insurance
NHI is managed by National Health Insurance Corporation
under the supervision of the Korean Ministry of Health & Welfare
The Insured of NHI
1. Employee Insured
2. Self-employed Insured
The National Health Insurance aims to
1. Share the burden among the insured persons
2. Provide medical services
Organizational Structure
Board of directors
The board of directors :18 members
(chairman, three standing executive directors, and 12 non-standing directors)
Deciding Annual business programs
Operation of assets
Financial planning
Preparation of the budget draft and closing accounts
Decision to purchase and dispose of assets
Borrowing of money and repayment
Other important matters pertaining to the operation of
the NHIC
National Health Insurance Contribution & Benefits
Contribution
The payment of contributions is the responsibility of employers and
all members of households
The contribution of employee insured is based on salary of the insured
The contribution of the employee insured is borne by both the employee and the employer
Monthly contribution = average monthly salary × contribution rate(5.08%)
For the self-employed insured, the contributions are calculated by using
a formula in which the insured person’s properties, income, motor vehicles,
age, and gender are taken into consideration
Monthly contribution = contribution points × value per point(148.9won)
National Health Insurance Contribution & Benefits
National Health Insurance Benefit
Service Benefits
Health Care Benefit
Provided by health care institutions in case of diseases,
injuries, and etc.
Health Check-up
Periodic Health Examination Program
Cash Benefits
Refunding Allowance for Health Care
When received treatments in an emergency situation from non NHI provider
Compensation for excessive Co-payment
Co-payment exceed 1.2millon won within 30 days
Compensated 50% of the exceeding amount
Appliance Expenses for the Disabled
80% of the expenses for medical appliances(canes, wheelchairs, hearing aids)