When you incur high medical care costs
The copayment for medical care costs you can be required to pay is capped. If your copayment calculated based on a certain standards exceeds this maximum, the excess amount will be paid as “High-Cost Medical Care Benefits”.
The expenses combined with any additional sum will be paid automatically to the insured person in four or five months. However, the additional sum to cover a person who has not yet graduated from junior high school will be paid upon application.
- When you want to reduce the amount of medical care costs you pay at the medical care institution
- When your co-payment amount exceeds the maximum amount
- When you face high copayments for medical care or long-term care
- Loans for high-cost medical expenses
When you want to reduce the amount of medical care costs you pay at the medical care institution
We recommend using a Myna health insurance card. By doing so, your cost-sharing maximum amount information will be provided with no need to give your consent and you will no longer need a Certificate of Application of Maximum Copayment Amount.
| Required documents: | Print size | A4 |
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| Applies to: | Insured persons or dependents whose copayment amounts for one month are expected to exceed their individual cost-sharing maximum amounts in the following cases:
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| Submit to: | Submit the form directly to the Health Insurance Society | ||
| Notes: | You can use this system for both inpatient and outpatient costs. | ||
When your co-payment amount exceeds the maximum amount
The additional sum to cover a person who has not yet graduated from junior high school will be “paid upon application."
| Required documents: | Print size | A4 |
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|---|---|---|---|
| Applies to: | Children who are junior high school age or younger, and those eligible for local government medical subsidies | ||
| Submit to: | Submit the form directly to the Health Insurance Society | ||
| Notes: | In the case of those eligible for local government medical subsidies, excluding children who are junior high school age or younger, a copy of their eligible recipient certificate must be submitted to the Health Insurance Society. | ||
When you face high copayments for medical care or long-term care
| Required documents: | Print size | A4 |
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|---|---|---|---|
[Documents to attach] |
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| Deadline: | As soon as possible | ||
| Applies to: | Insured persons paying copayments for both medical care and long-term care for all individuals in the same household, for whom the total copayment amount paid under both systems over a one-year period exceeds the maximum amount | ||
| Submit to: | Submit the form directly to the Health Insurance Society | ||
| Notes: | For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year. | ||
Loans for high-cost medical expenses
| Required documents: | Print size | A4 |
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|---|---|---|---|
| Print size | A4 |
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| Applies to: | |||
| Submit to: | Submit the form directly to the Health Insurance Society | ||
| Notes: | |||