Out-of-pocket maximum

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The out-of-pocket maximum system is designed to alleviate the burden on patients and their families due to excessive medical expenses. If the out-of-pocket expenses paid by patients during a one-year period (January 1 to December 31) exceed the individual limit set by law, the excess amount is refunded to the patient.

The 2025 National Health Insurance Out-of-Pocket Maximum Limits by Income Category can be found at https://www.mohw.go.kr/board.es?mid=a10107010000&bid=0047&act=view&list_no=1486195&tag=&cg_code=&list_depth=1

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