Korea Disability Assistive Device Benefit and Reapplication Calculator
Check 2026 Korean NHIS reference amounts, useful lives, conditional benefits, patient costs, reapplication reference dates and purchase procedures for 21 manual mobility, vision and posture device types.
South Korean NHIS rules for 2026 · Checked 2026-10-14 · Amount notice effective 2026-03-25
Covers 21 manual mobility, vision and posture/positioning types. Clinical suitability, replacement recognition and actual payment require NHIS confirmation.
Use the relevant separate calculator or system for hearing aids, powered wheelchairs/scooters, batteries, Medical Aid and long-term-care welfare equipment.
Benefit and reapplication worksheet
Benefit or procedure confirmation needed
Conditional estimated benefit for current inputs
Pending confirmation
This does not establish NHIS payment or an official reapplication date. Unknown or unmet conditions are not treated as a confirmed zero benefit.
- Benefit base
- Pending confirmation
- Hypothetical benefit if all conditions are met
- Pending confirmation
- Hypothetical copay within base
- Pending confirmation
- Device price above base
- Pending confirmation
- Hypothetical total self-pay
- Pending confirmation
- Full self-pay budget before benefit confirmation
- Pending confirmation
Lowest of category reference, product decision price and purchase price × confirmed rate. The hypothetical amount assumes all unmet conditions are resolved; it is not claimable payment.
Dates and reference deadlines
- Reapplication reference date
- Confirm history and start date
- Six-month purchase reference deadline
- Date unknown or exempt
An assumed date is a reference only and does not establish readiness.
For prescription-required items: prescription + 6 months
Calendar months are added and missing month-end days are clamped. No holiday adjustment is applied. Post-2026 replacement dates are references under 2026 rules; the rules then in force and NHIS dates or notices control.
Procedure checklist
- NHIS enrollee or dependent confirmedPending
- Relevant disability registration completedPending
- Registered disability type relevant to this devicePending
- Clinical and NHIS eligibility criteria confirmedPending
- Overlap, restrictions and Medical Aid history checkedPending
- Purchase falls within 2026-03-25 to 2026-12-31Confirmed
- Applicable 90% or qualifying 100% rate confirmedPending
- Actual purchase and additional-cost quote confirmedPending
- Current product-specific decision price enteredPending
- NHIS product registration confirmedPending
- NHIS seller registration confirmedPending
- Confirm prior same-type benefit and official start datePending
- Required specialist prescription confirmedPending
- Prescription date is recorded and no later than purchasePending
- Inspection-certificate submission exemptionConfirmed
- Receipt, claim and required barcode photo preparedAfter purchase
Review input and evidence ledger
- Device type
- Manual wheelchair: standard
- Insurance system
- Not confirmed
- Disability registration
- Not confirmed
- Relevant registered disability
- Not confirmed
- Confirmed benefit rate
- Not confirmed
- Purchase stage
- Before-purchase plan
- Planned or actual purchase date
- 2026-10-14
- Purchase quote
- 0 KRW
- Product decision price
- 0 KRW
- Separate non-covered costs
- 0 KRW
- Quote and decision-price evidence
- Not confirmed
- Same-type benefit history
- Not confirmed
- Prior useful-life start date
- Not entered / not applicable
- Start-date evidence
- Not confirmed
- Early replacement exception
- No exception confirmation
- Clinical and NHIS eligibility
- Not confirmed
- Overlap, restrictions and Medical Aid history
- Not confirmed
- Specialist prescription
- Not confirmed
- Prescription date
- Not entered / not applicable
- NHIS prior approval
- Not confirmed
- Approval notification date
- Not entered / not applicable
- NHIS product registration
- Not confirmed
- NHIS seller registration
- Not confirmed
- Inspection certificate after purchase
- Not confirmed
- Receipt, claim and required photos
- Not confirmed
Fields not applicable to the selected device are excluded from checklist decisions.
National Health Insurance Act Article 51; Enforcement Rule Article 26 and Annex 7; MOHW Notice 2026-56 Annexes 5 and 6. Checked 2026-10-14
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