엠디웍스코리아

Who may apply for procedure assessment

New health technology

Procedures for which safety and effectiveness were demonstrated through new health technology assessment

Deferred-assessment new health technology

Procedures recognized by the New Health Technology Assessment Committee as deferred-assessment new health technologies

Innovative medical technology

Procedures recognized by the New Health Technology Assessment Committee as innovative medical technologies

How procedures are listed

Legal basis

National Health Insurance Act Enforcement Rule on Criteria for Insured Benefits, Articles 9-2 through 14
Criteria for Determination and Adjustment of Procedures, Therapeutic Materials, etc.

Applicants

Healthcare institutions
Medical and pharmaceutical associations

When to apply

Within 30 days from the date the technology is first used after public notification of new health technology assessment results
The date the technology is first used after public notification of new health technology assessment results
Within 30 days from the date you are notified as an existing technology in the benefit coverage / non-covered status (existing technology) confirmation

Outcomes

Notice of results by the HIRA President

If the benefit coverage / non-covered status (existing technology) confirmation identifies the technology as an existing technology: use existing covered / non-covered codes

Ministry of Health and Welfare public notification

If identified as an existing technology: use existing covered / non-covered codes
Non-covered: non-covered code
Selective benefit: insurance code / relative value score / patient copayment rate