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Reduced Co-payment for Pregnant Women under National Health Insurance and Prenatal Ultrasound Coverage (건강보험 임신부 진료 본인부담 경감·산전 초음파 급여): How to Apply, Amount & Eligibility (2026)

Outpatient co-payment rates for pregnant women (HIRA guidance): tertiary general hospital 40%, general hospital 30%, hospital 20%, clinic 10%....

This page is a translation of the Korean original and is for reference only. The official Korean guidance is the authoritative source for amounts and conditions, so be sure to confirm on the official website before applying. View Korean original (한국어)

Benefit: Outpatient co-payment rates for pregnant women (HIRA guidance): tertiary general hospital 40%, general hospital 30%, hospital 20%, clinic 10%. Prenatal ultrasound is covered by national health insurance up to 7 times in total during pregnancy (those beyond 7 are non-covered; if a fetal abnormality exists or is suspected and periodic monitoring is needed, it is covered with no limit on the number of times). For hospitalization of high-risk pregnant women, the co-payment is 10% of the total medical care benefit costs
Who is eligible: Pregnant women who are national health insurance subscribers or dependents
When to apply: Applied automatically during prenatal checkups and outpatient care during pregnancy (no separate application)
How to apply: Get treated after confirming pregnant status at a hospital or clinic. No separate application needed (calculated by the medical institution). Inquiries: Health Insurance Review and Assessment Service (건강보험심사평가원) / National Health Insurance 1577-1000
Important notes: Not applicable. Co-payment rates follow the law in effect at the time of treatment
Note: Pregnant women's outpatient co-payment rate is lower than for other patients. Coverage of 7 ultrasounds has been in effect since 2016.10.1, and we could not reconfirm from official sources whether it has been revised since. Whether screening/diagnostic tests such as NIPT and amniocentesis are covered by insurance needs official confirmation (non-covered medical costs can be paid with the pregnancy/childbirth medical expense voucher).

Go to the official guide →

Based on official sources as of 2026년 10월. Amounts and requirements may change, so please confirm with the official guide before applying.

Frequently asked questions

Reduced Co-payment for Pregnant Women under National Health Insurance and Prenatal Ultrasound Coverage (건강보험 임신부 진료 본인부담 경감·산전 초음파 급여): who can receive it?

Pregnant women who are national health insurance subscribers or dependents

Reduced Co-payment for Pregnant Women under National Health Insurance and Prenatal Ultrasound Coverage (건강보험 임신부 진료 본인부담 경감·산전 초음파 급여): how do I apply?

Get treated after confirming pregnant status at a hospital or clinic. No separate application needed (calculated by the medical institution). Inquiries: Health Insurance Review and Assessment Service (건강보험심사평가원) / National Health Insurance 1577-1000

Reduced Co-payment for Pregnant Women under National Health Insurance and Prenatal Ultrasound Coverage (건강보험 임신부 진료 본인부담 경감·산전 초음파 급여): how much will I receive?

Outpatient co-payment rates for pregnant women (HIRA guidance): tertiary general hospital 40%, general hospital 30%, hospital 20%, clinic 10%. Prenatal ultrasound is covered by national health insurance up to 7 times in total during pregnancy (those beyond 7 are non-covered; if a fetal abnormality exists or is suspected and periodic monitoring is needed, it is covered with no limit on the number of times). For hospitalization of high-risk pregnant women, the co-payment is 10% of the total medical care benefit costs

Reduced Co-payment for Pregnant Women under National Health Insurance and Prenatal Ultrasound Coverage (건강보험 임신부 진료 본인부담 경감·산전 초음파 급여): when can I apply?

Applied automatically during prenatal checkups and outpatient care during pregnancy (no separate application)