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KMID : 1138920080070010041
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Health Insurance Forum
2008 Volume.7 No. 1 p.41 ~ p.58
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Survey on The Benefit Coverage Rate of National Health Insurance in 2006
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Kim Jung-Hee
Lee Ho-Yong
Hwang Rah-Il
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Abstract
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It has been 30 years since National Health Insurance System, a typical Social Security system, was introduced to improve the health status of the population. Health care policy reduction of the co-payment ceiling and coverage of hospital meals. This study was conducted constantly has expanded its benefits through the various reinforcement strategies such as to examine the co-payment rates of the insured for their health care service including servicesfor coverage exclusion and to provide policy makers or researchers with practical data. Nation-wide 690 health care institutions selected through the stratified random sampling were surveyed. In results, benefit coverage rate has risen to 64.3% in 2006 from 61.8% in 2005 and 61.3% in 2004. Among 35.7% out-of-pocket expenses, 22,4% were occupied by co-payment and 13.3% were occupied by co-payments for coverage exclusion. The larger health care institutions, the higher out-of-pocket expenses were shown; the dental clinic and oriental medicine have relatively higher co-payment rates. The coverage rate for inpatient care service was higher than that of out-patients care service for the first time since 2004, 61.4 % and 59.8%, respectively. This proves the coverage enhancement policy for critical illness to be effective. Coverage rate for pharmaceutical products was 71.5% which was higher than those for inpatient and outpatient care services. Additionally, the coverage rates increased for cancer patient and extremely high-cost patient. Since this is the part of the main report, for the
detail information, please refer to the main report.
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KEYWORD
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benefit coverage rate, co-payment, coverage exclusion
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FullTexts / Linksout information
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Listed journal information
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