Issue of a Health Insurance Card
Issue of a Health Insurance Card
- The National Health Insurance Corporation (hereinafter “Corporation”) shall promptly issue health insurance cards to the subscriber or user after the workplace subscriber or dependent (refers to marriage partners, lineal ascendants, descendants, etc., same below) obtains qualification or reports changes ( Article 12, Paragraph 1 of the “National Health Insurance Act,” Paragraphs 1 and 2 of Article 5, and Enclosure Form No. 10, 11, and 11-2 of the “Enforcement Rules of the National Health Insurance Act”).
Submission of a Health Insurance Card
Submission of a Health Insurance Card
- An employer-sponsored insurance subscriber or his/her dependent seeking medical expenses coverage must submit his or her health insurance card to the medical facility unless he or she is unable to do so due to a natural disaster or another compelling reason (Paragraph 2 of Article 12 of the National Health Insurance Act).
- An employer-sponsored insurance subscriber or his/her dependent who is able to verify his or her identity with a resident registration card, driver's license, or passport may not be required to present a health insurance card (Paragraph 3 of Article 12 of the National Health Insurance Act).
Prohibition of Health Insurance Fraud and Abuse
Prohibition of Fraud and Abuse
- An employer-sponsored insurance subscriber or his/her dependent who no longer qualifies for national health insurance must not use an old health insurance card or proof of health insurance to receive insurance benefits (Paragraph 5 of Article 12 of the National Health Insurance Act).
- Transfer or lending of a health insurance card or form of identification to another person to enable fraudulent access of insurance benefits is prohibited, as is fraudulent access of insurance benefits with a health insurance card or form of identification transferred or borrowed from another person (Paragraphs 6 and 7 of Article 12 of the National Health Insurance Act).
Penalties for Violation
- Fraudulent access of insurance benefits and enabling fraudulent access of insurance benefits by another are grounds for imprisonment of up to two years or a fine of up to 20 million won (Article 115 (4) of the National Health Insurance Act).