Medical · Checkups

Special Copayment Program for Rare and Severe Intractable Diseases (희귀·중증난치질환 산정특례: Out-of-Pocket 10% to 7% to 5%): How to Apply, Amount & Eligibility (2026)

Out-of-pocket currently 10%, planned to fall to 7% from December 2026 and 5% in the first half of 2028 (announced)

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
For rare and severe intractable diseases (about 1.36 million people), 10% for 5 years from the registration date. By a resolution of the Health Insurance Policy Deliberation Committee on September 8, 2026, the rate is planned to be cut in stages to 7% from December 2026 and 5% in the first half of 2028. Re-registration will be improved so it can be done with clinical diagnosis and treatment history, without unnecessary tests.
Who is eligible
National health insurance members and Medical Aid (의료급여) recipients with a confirmed diagnosis of a rare or severe intractable disease designated by the Ministry of Health and Welfare
When to apply
Register within 30 days of diagnosis. Re-register every 5 years
How to apply
Submit the Special Copayment registration form issued by the medical institution to an NHIS branch (in person, by mail, by fax, or through the medical institution's proxy)
Important notes
If registered within 30 days of diagnosis, it applies retroactively to the diagnosis date. The 7% and 5% reductions are planned to apply automatically to registrants (check detailed notices)
Note
The reduction is an announcement and the exact implementation date is unconfirmed. Severe dementia 10% and tuberculosis 0% are separate.
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

Special Copayment Program for Rare and Severe Intractable Diseases (희귀·중증난치질환 산정특례: Out-of-Pocket 10% to 7% to 5%): who can receive it?

National health insurance members and Medical Aid (의료급여) recipients with a confirmed diagnosis of a rare or severe intractable disease designated by the Ministry of Health and Welfare

Special Copayment Program for Rare and Severe Intractable Diseases (희귀·중증난치질환 산정특례: Out-of-Pocket 10% to 7% to 5%): how do I apply?

Submit the Special Copayment registration form issued by the medical institution to an NHIS branch (in person, by mail, by fax, or through the medical institution's proxy)

Special Copayment Program for Rare and Severe Intractable Diseases (희귀·중증난치질환 산정특례: Out-of-Pocket 10% to 7% to 5%): how much will I receive?

For rare and severe intractable diseases (about 1.36 million people), 10% for 5 years from the registration date. By a resolution of the Health Insurance Policy Deliberation Committee on September 8, 2026, the rate is planned to be cut in stages to 7% from December 2026 and 5% in the first half of 2028. Re-registration will be improved so it can be done with clinical diagnosis and treatment history, without unnecessary tests.

Special Copayment Program for Rare and Severe Intractable Diseases (희귀·중증난치질환 산정특례: Out-of-Pocket 10% to 7% to 5%): when can I apply?

Register within 30 days of diagnosis. Re-register every 5 years