If you paid insurance premiums twice or by mistake, or paid more than the statutory out-of-pocket amount, you may be eligible for a National Health Insurance refund. Check for unpaid amounts through the refund inquiry and application service on the National Health Insurance Service website and request payment to an account in your name. There is no common deadline, and you must apply before the statute of limitations expires for each case.
Based on a National Health Insurance Service post dated February 4, 2026
How to Check and Apply Immediately
Before applying, prepare a login method for identity verification and an account in your name. If you have a notice, also check the eligible recipient and reference number. Additional documents are required when an agent or heir applies.
- Open the National Health Insurance Service refund inquiry and application page.
- Log in under the appropriate category: individual or workplace.
- Check the types of unpaid refunds in the inquiry results.
- Verify the eligible recipient and the amount available for application.
- Enter an account in your name and your contact information.
- If applying as an agent or heir, submit the specified documents.
- Confirm that the application was received and check the individual application deadline again.
The amount shown on the screen is the unpaid amount calculated by the Service. Not every insured person will have a refund. If there are no results, it means there are currently no unpaid cases recorded online.
Comparison of Refund Types
The three types of refunds differ in how they arise. Overpaid insurance premium refunds arise from insurance premium payment records. The other two types arise after using a medical institution.
| Category | Cause | Payment determination criteria | Who should primarily check |
|---|---|---|---|
| Overpaid insurance premium refund | Duplicate or erroneous premium payment, retroactive loss of eligibility, or reduction of assessment data | Whether more was paid than the insurance premium actually owed | A self-employed insured person or workplace that paid the premium |
| Out-of-pocket payment refund | The Service confirms that a medical institution charged more than the statutory out-of-pocket amount | Excess payment calculated after review of medical expenses | The eligible recipient, such as the insured person or dependent who received treatment |
| Refund for exceeding the out-of-pocket maximum | Annual recognized out-of-pocket expenses exceed the individual maximum | Income bracket and the maximum for the applicable year | The eligible recipient who bore the medical expenses for that year |
An out-of-pocket payment refund returns an amount that was overcharged. A refund for exceeding the maximum is calculated by totaling recognized medical expenses that were lawfully paid over the year. The two items do not use the same calculation structure.
Non-covered services and other items may be excluded from the maximum calculation. Individual maximums also vary by income and the applicable year. The exact refund amount must be confirmed through the Service’s inquiry results.
Difference Between Reduced Out-of-Pocket Rates and Refunds
A reduced out-of-pocket rate lowers the percentage borne by the patient at the treatment stage. A refund is a subsequent settlement of an amount already paid. Reduced outpatient medical expenses for premature infants and low-birth-weight infants must also be distinguished from refunds.
Summary by Eligibility Status
Available application items vary depending on insurance eligibility and the actual eligible recipient. The person who logs in is not always the person who will receive the money. First check the eligible recipient shown on the inquiry screen.
| Current status | Overpaid insurance premiums | Medical expense-related refunds | What to check |
|---|---|---|---|
| Self-employed insured person | Can check cases involving overpayments made personally | Can apply for cases in which the person has been designated as the eligible recipient | Distinction between the eligible recipient and payer within the household |
| Employee insured person | Whether an individual application is possible is determined by the inquiry results | Can apply for eligible cases related to the person’s own medical treatment | Check whether the workplace-paid portion requires a workplace service request |
| Dependent | Generally has no overpayment case if no premiums were paid directly | May be eligible for a refund related to the person’s own medical treatment | Confirm based on the eligible recipient, not the employee insured person’s account |
| Workplace | Checks workplace insurance premium overpayments through workplace services | Handled separately from individual medical expense refunds | Workplace login and refund account |
A refund may arise from past payments even if your eligibility status has changed. You may still need to check directly after leaving a job or switching to self-employed insured status. Do not determine refund eligibility based solely on your current status.
Conditions for Applications Using Your Own Account or by an Agent or Heir
As a rule, online applications require an account in the eligible recipient’s name. Using another person’s account may require additional verification. Check that the account holder entered matches the eligible recipient.
Applications by an agent may require documents proving the authorization relationship. Applications by an heir may require documents confirming the death and family relationship. The specific documents vary depending on the reason for the refund and the number of heirs.
Check the required documents in the following order.
- Check the eligible recipient on the refund payment application.
- Check the required documents on the Service’s screen or notice.
- An agent should prepare a power of attorney and identification documents.
- An heir should prepare documents establishing the family and inheritance relationships.
- If anything is unclear, check with the relevant branch office before submission.