1. Reasons
for Amendment
As
delegated in Article 42-3 (Reporting and Investigations of Non-covered Medical
Expenses, etc.) of the Enforcement Rule of the Medical Service Act, the
Amendment stipulates specific matters on the reporting of items, standards,
amount, details of the treatment, etc. of non-covered medical expenses
specified in Article 45-2 of the Medical Service Act, thereby determining the
current status of non-covered expenses and strengthening the people’s right to
know about non-covered medical expenses and their right to choose medical
institutions.
2. Major Provisions
A.
Specify the National Health Insurance Service and the Health Insurance Review
and Assessment Service as institutions entrusted with the reporting and
disclosure of non-covered medical expenses, etc.
B.
Prescribe the items, scope, details, etc. of non-covered medical expenses
subject to reporting.
C.
Prescribe a reporting frequency of once every half-year for hospital-level
medical institutions, and once every year for clinic-level medical institutions.
D.
Prescribe reporting methods and procedures including a requirement to report
non-covered medical expenses, etc. on an information and communications network
specified by the National Health Insurance Service.
E.
Prescribe matters concerning the handling of affairs by the National Health
Insurance Service and the Health Insurance Review and Assessment Service,
including how to utilize the information collected.
