Insurance benefits for disability aids
Support of disability aids
- The National Health Insurance Service (hereinafter referred to as the “NHIS”) may provide insurance benefits for aids to disabled self-employed insured who are registered under the “Act on Welfare of Persons with Disabilities” (Article 51 (1) of the “National Health Insurance Act”).
Insurance benefit payable for aids
- The insurance benefit payable for aids is as the following (Article 26 (1) and the main sentence in subparagraphs 2 and 3 in the Attached Table 7 of the Enforcement Rule of the National Health Insurance Act):
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Classification
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Insurance Benefit Payable for Aids
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Hearing aids, electric wheelchairs, electric scooters, posture aids, bedsore prevention cushions, bed sore prevention mattresses, mobile electric lifts, and front/rear walking x-frames
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▪ An amount equivalent to 90/100 of the minimum amount among the following (hereinafter referred to as the “standard amount”): A. The amount announced by the Minister of Health and Welfare for each type and classification of aids B. The amount announced by the Minister of Health and Welfare for each product in consideration of the result of salary evaluation C. The amount spent by an insured employee and his/her dependent(s) for the aids
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Other aids (manual wheelchairs, walking sticks, crutches, artificial eyes, etc.)
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▪ An amount equivalent to 90/100 of the minimum amount among the following: A. The amount announced by the Minister of Health and Welfare for each type and classification of aids B. The amount spent by an insured employee and his/her dependent(s) for the aids
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- However, for a person who has a rare intractable disease or a severe disease as specified in subparagraph 3(d) of the Attached Table 2 of the Enforcement Decree of the National Health Insurance Act (hereinafter referred to as “rare intractable diseases, etc.”), or for a child under 18 who has been receiving or requiring treatment for six months or longer for a disease other than the rare intractable diseases. etc., an amount equivalent to 100/100 of the standard amount shall be paid if they meet the criteria for the amount of income recognized, a person who is under a duty to support, etc., and has been recognized for a reduction in his/her out-of-pocket payment (Article 26(1) and the proviso of subparagraphs 2 and 3 of Attached Table 7 of the Enforcement Rule of the National Health Insurance Act).