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  • NHIS to expand the special estimate case system in 2025
  • by Lee, Tak-Sun | translator Hong, Ji Yeon | Dec 16, 2024 05:52am
to include 66 new rare diseases
The number of rare diseases under the special estimate case system will increase from 1248¡æ1314
The National Health Insurance Service (NHIS) (Chairman: Jung Ki Suck) has announced plans to expand the reimbursement criteria for special cases of new rare diseases, starting on January 1, 2025. The NHIS aims to enhance essential medical support for individuals who currently do not benefit from receiving healthcare, including patients with rare diseases.

The NHIS' special estimate case system lowers the national health insurance partial co-payments, reducing the burden of co-payments to help alleviate the financial burden on patients with severe diseases, such as cancer and rare diseases. When this special estimate case system is applied, patients receive hospitalization¡¤outpatient co-payment rates of 0-10%.

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