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National health insurance service

National Health Insurance System

National Health Insurance Corporation

The Governance of Korean Health Care System

Home > NHI Program > Operational structure of Korea Health Care System

The Ministry of Health and Welfare supervises the operation of the NHI program through making and implementing policies.

As a non-profit institution, the National Health Insurance Service is a single insurer that provides health insurance to all citizens living in Korea. The NHIS is responsible for operating a health insurance program including --

  • Managing the eligibility of the insured
  • Collecting Insurance Contribution
  • Making the medical service (insurance benefit) fee contract with representatives of health care providers
  • Providing health Insurance Benefitss

The Health Insurance Review & Assessment Service (HIRA) evaluates the medical service fee, quality of health care, and adequacy of medical service.

All Koreans except those belonging to the lower-income group enroll to the compulsory health insurance. Healthcare providers may not refuse to treat NHI patients, and all enrollees should pay the contributions monthly.

National Health Insurance Operation System

Health Insurance Operation System

Health Care Service System

Care Benefit System