Abbott Health Insurance Society

Abbott Health Insurance Society

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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”.

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 and consenting to provide your cost-sharing maximum amount information, you will not need a Certificate of Application of Maximum Copayment Amount.

Required documents: Request for issuance of Maximum Co-payment Certificate for Health Insurance
Example
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:
  • Examinations and treatment received at a medical care institution or other facility that has not adopted the online eligibility verification system
  • When not using a Myna health insurance card
  • When not using a Myna health insurance card and you are 70 or older and in the same income category as active workers Ⅰ or Ⅱ
  • If you are in the low income category (certificate of application of maximum copayment/reduced standard copayment)
Address inquiries to: Health Insurance Society
Notes: You can use this system for both inpatient and outpatient costs.

When you face high copayments for medical care or long-term care

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
Address inquiries to: Health Insurance Society
Notes:
  • For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year.
  • For details on how to apply, etc., please inquire with the Health Insurance Society.

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