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Special Copayment Program for Serious Diseases (중증질환 산정특례: Cancer, Cerebrovascular, Heart, Severe Burns, Tuberculosis): How to Apply, Amount & Eligibility (2026)

Out-of-pocket reduced to 5% for cancer and severe burns, and 0% for tuberculosis and latent tuberculosis

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
Cancer 5% (5 years from the registration date), severe burns 5% (1 year), tuberculosis and latent tuberculosis 0%. For cerebrovascular and heart diseases, 5% for a set period after hospital admission for surgery, etc. (period varies by disease). Non-covered items and items paid entirely by the patient are excluded.
Who is eligible
National health insurance members and Medical Aid (의료급여) recipients with a confirmed diagnosis of cancer, severe burns, cerebrovascular or heart disease, tuberculosis, etc.
When to apply
If registered within 30 days of diagnosis, it applies retroactively from the diagnosis date
How to apply
Fill out the Special Copayment registration form at the diagnosing medical institution, then submit it to an NHIS branch (in person, by mail, by fax, or through the medical institution's proxy submission)
Important notes
Applying within 30 days of the diagnosis date makes it apply from the diagnosis date; after that, it applies from the application date
Note
Rare, severe intractable and severe dementia conditions are separate (10%). Not income-dependent. Re-registration is required after 5 years (for cancer, upon re-diagnosis).
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 Serious Diseases (중증질환 산정특례: Cancer, Cerebrovascular, Heart, Severe Burns, Tuberculosis): who can receive it?

National health insurance members and Medical Aid (의료급여) recipients with a confirmed diagnosis of cancer, severe burns, cerebrovascular or heart disease, tuberculosis, etc.

Special Copayment Program for Serious Diseases (중증질환 산정특례: Cancer, Cerebrovascular, Heart, Severe Burns, Tuberculosis): how do I apply?

Fill out the Special Copayment registration form at the diagnosing medical institution, then submit it to an NHIS branch (in person, by mail, by fax, or through the medical institution's proxy submission)

Special Copayment Program for Serious Diseases (중증질환 산정특례: Cancer, Cerebrovascular, Heart, Severe Burns, Tuberculosis): how much will I receive?

Cancer 5% (5 years from the registration date), severe burns 5% (1 year), tuberculosis and latent tuberculosis 0%. For cerebrovascular and heart diseases, 5% for a set period after hospital admission for surgery, etc. (period varies by disease). Non-covered items and items paid entirely by the patient are excluded.

Special Copayment Program for Serious Diseases (중증질환 산정특례: Cancer, Cerebrovascular, Heart, Severe Burns, Tuberculosis): when can I apply?

If registered within 30 days of diagnosis, it applies retroactively from the diagnosis date