Private Health Insurance Calculator

Compare private health insurance premium cost, expected benefit value, tax drag, and claim stress scenarios.

Private health insurance generation analysis

Analyze Korean indemnity/private health insurance generation rules, self-pay, coverage efficiency, discount grade, and generation-switch tradeoff.

Generation

4세대 실손보험

자기부담금 대폭 인상, 무사고 할인·할증 제도 도입, 보험료 저렴

Insurance payout

₩200,000

Actual self-pay

₩150,000

Coverage rate

70.0%

Switch net benefit

₩0

keep

Coverage score

60/100

양호

Preserves the Korean generation-specific self-pay, no-claim discount/surcharge, generation comparison, and coverage-efficiency formulas. This English finance calculator calls the same Korean pure calculation module as the Korean page. KRW and Korean statutory thresholds are preserved instead of the old generic percentage stub.

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Private health insurance generation guide

This English guide translates the Korean private health insurance generation analysis page. The calculator calls calculatePrivateHealthInsurance and keeps generation-specific coverage, discount, surcharge, and self-pay logic.

Generation differences

The Korean article distinguishes 1st generation, 2nd generation, 3rd generation, and 4th generation indemnity insurance. Older contracts can have broader coverage but higher or rising premiums, while later contracts commonly shift more cost to the insured through deductibles and non-covered treatment rules.

The calculator compares the current generation against other generations for inpatient, outpatient, and prescription scenarios. It is not enough to compare monthly premium; the result also shows insurance payout, actual self-pay, deductible, and coverage rate.

No-claim discount and surcharge

The Korean engine simulates no-claim discount and surcharge grades over multiple years. A low claim history can reduce future premiums, while frequent claims can move the user into a surcharge grade and reduce the apparent savings from switching.

The result also estimates average premium for age, payout ratio, premium adequacy, annual premium saving, annual extra self-pay, net benefit, and break-even medical cost. These are contract-planning measures, not a recommendation to switch automatically.

How to judge switching

Switching from an older generation to a later generation may reduce premium but increase out-of-pocket cost on uncovered or frequently used care. The Korean model therefore presents a keep, switch, or neutral recommendation based on expected medical usage.

A separate insurance-claim calculator is better for one actual bill, while this page is better for annual usage and long-term premium scenarios. Read the generation analysis together with the policy terms and actual rider exclusions.