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Curious situation

 
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amanley206253



Joined: 09 Aug 2009

PostPosted: Mon Apr 25, 2011 6:01 am    Post subject: Curious situation Reply with quote

I work at a private school, and have done so for over four months now. This is my second year teaching in Korea.

Until now, I've had no reason to make a trip to a dentist, or hospital. Beyond the initial checkup I received upon starting my job, I've not returned for any sort of medical help.

Three days ago I went to a dentist. I gave them my foreigner card and they informed me that I have no insurance. I went to a clinic, and again I was informed I'm without insurance. The only coverage they can see that I've had was from the previous year. This bothered me, as I started putting a few things together, in obvious realization that I've been paying into a pension each month. If I have no coverage, where was this money going to?

Upon telling my boss' assistant about this, they too were apparently surprised. It seemed fair that if my paperwork was never filed for my medical insurance, that money, surely accumulated and lying somewhere, would promptly be returned to me. Not so. Hours after informing the staff of this, I was told that the money had been sent to the company.

This seems odd to me, even suspicious. I was also told too that this was the insurance company's mistake. How, then, or why, then, could it have been their fault when they had received no money to begin with. It seems I am being told two stories, each in obvious conflict with one another.

Now, I am having a bit of a quarrel with my school over the matter. Their case is simply that all foreigners are required to have insurance, and so the money was due for the company anyway. I'm told it's a law. But even in agreeing with that, it seems I might have a complaint that may supersede that law. Do I have a case here? I would hate to be ignorant of something that proves me unable to fight this, but it seems to me that anything but a refund of the money already paid would be unjust and even illegal on the school's part. If my visit to a hospital was more of an emergency, how would it look to a court (and I will admit freely I know little of Korean law) to know that I was under no insurance all the while?

의견이 주세요.
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ontheway



Joined: 24 Aug 2005
Location: Somewhere under the rainbow...

PostPosted: Mon Apr 25, 2011 6:10 am    Post subject: Re: Curious situation Reply with quote

amanley206253 wrote:
I work at a private school, and have done so for over four months now. This is my second year teaching in Korea.

Until now, I've had no reason to make a trip to a dentist, or hospital. Beyond the initial checkup I received upon starting my job, I've not returned for any sort of medical help.

Three days ago I went to a dentist. I gave them my foreigner card and they informed me that I have no insurance. I went to a clinic, and again I was informed I'm without insurance. The only coverage they can see that I've had was from the previous year. This bothered me, as I started putting a few things together, in obvious realization that I've been paying into a pension each month. If I have no coverage, where was this money going to?

Upon telling my boss' assistant about this, they too were apparently surprised. It seemed fair that if my paperwork was never filed for my medical insurance, that money, surely accumulated and lying somewhere, would promptly be returned to me. Not so. Hours after informing the staff of this, I was told that the money had been sent to the company.

This seems odd to me, even suspicious. I was also told too that this was the insurance company's mistake. How, then, or why, then, could it have been their fault when they had received no money to begin with. It seems I am being told two stories, each in obvious conflict with one another.

Now, I am having a bit of a quarrel with my school over the matter. Their case is simply that all foreigners are required to have insurance, and so the money was due for the company anyway. I'm told it's a law. But even in agreeing with that, it seems I might have a complaint that may supersede that law. Do I have a case here? I would hate to be ignorant of something that proves me unable to fight this, but it seems to me that anything but a refund of the money already paid would be unjust and even illegal on the school's part. If my visit to a hospital was more of an emergency, how would it look to a court (and I will admit freely I know little of Korean law) to know that I was under no insurance all the while?

의견이 주세요.



If you have National Health Insurance, as required for most of us by law, then you are required to pay from the beginning of your employment and you are covered from the beginning of your employment. Even if you don't pay until your last month you are required to pay from your first month. They also bill in whole months, not partial months, so it's possible to pay for a whole month when you only work a few days.
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jrwhite82



Joined: 22 May 2010

PostPosted: Mon Apr 25, 2011 6:51 am    Post subject: Reply with quote

Is your employer enrolling you in some "private system" or something? Take a trip to your local NHIC office to find out if you have insurance. They should have given you a little pamphlet that is bankbook sized but folds out multiple pages long.

When you say you went to a dentist...well I'm pretty sure dental is not covered at all.

Also, you say you are paying into pension. That is different than insurance. You should be paying both. If you employer is deducting the money for healthcare he should be matching it and paying to the national healthcare scheme.

If he has failed to do so, you will have to backpay the months you missed and so will he. But if he took the money from you already, you shouldn't be charged for that obviously.
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NYC_Gal 2.0



Joined: 10 Dec 2010

PostPosted: Mon Apr 25, 2011 7:02 am    Post subject: Reply with quote

Dental is covered to a point. The costs are reduced, in some cases a great deal, in others, not so much.
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winterfall



Joined: 21 May 2009

PostPosted: Mon Apr 25, 2011 3:53 pm    Post subject: Re: Curious situation Reply with quote

amanley206253 wrote:
I work at a private school, and have done so for over four months now. This is my second year teaching in Korea.

Until now, I've had no reason to make a trip to a dentist, or hospital. Beyond the initial checkup I received upon starting my job, I've not returned for any sort of medical help.

Three days ago I went to a dentist. I gave them my foreigner card and they informed me that I have no insurance. I went to a clinic, and again I was informed I'm without insurance. The only coverage they can see that I've had was from the previous year. This bothered me, as I started putting a few things together, in obvious realization that I've been paying into a pension each month. If I have no coverage, where was this money going to?

Upon telling my boss' assistant about this, they too were apparently surprised. It seemed fair that if my paperwork was never filed for my medical insurance, that money, surely accumulated and lying somewhere, would promptly be returned to me. Not so. Hours after informing the staff of this, I was told that the money had been sent to the company.

This seems odd to me, even suspicious. I was also told too that this was the insurance company's mistake. How, then, or why, then, could it have been their fault when they had received no money to begin with. It seems I am being told two stories, each in obvious conflict with one another.

Now, I am having a bit of a quarrel with my school over the matter. Their case is simply that all foreigners are required to have insurance, and so the money was due for the company anyway. I'm told it's a law. But even in agreeing with that, it seems I might have a complaint that may supersede that law. Do I have a case here? I would hate to be ignorant of something that proves me unable to fight this, but it seems to me that anything but a refund of the money already paid would be unjust and even illegal on the school's part. If my visit to a hospital was more of an emergency, how would it look to a court (and I will admit freely I know little of Korean law) to know that I was under no insurance all the while?

의견이 주세요.


I'm confused are you on a full time contract or part time? Part time is not required to have medical insurance. If your full time, even if your boss put you on a private plan, that thing is generally considered supplementary to the national plan. It's like the pension, you HAVE to pay into it, unless your South African (I think they're not required to)

Yea, you should really call the medical insurance corp. Here's their website, you can get the number there

http://www.nhic.or.kr/portal/site/eng/

http://www.hikorea.go.kr/pt/InfoDetailR_kr.pt?catSeq=1102&categoryId=25&parentId=687&showMenuId=684

Insurance Benefits
The same insurance benefits for Korean citizens are applied to the benefits for foreigners. Regardless of a person is a foreigner or a Korean citizen, the co-payment that must be paid at a medical clinic or service by a patient is the same.
amount charged to patient:
* Visiting a medical clinic or a hospital: 20%~50% of the total NHI applicable medical charges.
* Purchasing prescription drugs at a pharmacy: 30% of the total NHI applicable charges.
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amanley206253



Joined: 09 Aug 2009

PostPosted: Tue Apr 26, 2011 5:29 am    Post subject: Reply with quote

I was informed originally of the details of my insurance before I even signed the contract with this school. Dental IS covered. And yes, this is in addition to the pension. I implied that by what I wrote but obviously worded it wrong.

Yes I am full-time. What it comes down to is that the school withheld the money from the company until I prompted them to do so by simply going to a dentist, where I was told I was under no kind of insurance at all. Keep in mind that as I told my school about this, they insisted it was the insurance company's fault. But if they never sent money, it couldn't have been their mistake. That was quite the clue to a lie having been told to me. A lie or a serious miscommunication within the staff at my school.

I told them that we're, or I, or they are, lucky that the circumstances of me stopping by the dentist and hospital were routine and without real urgency. In America, if it's an emergency you'll always be admitted to the ER. I do not have that same confidence in Korea (although, it seems they probably would to).

What I hope the school would do is admit their mistake and refund the money I've paid (literally for nothing) and to start now my insurance. Is this a bizarre request considering that I've caught them in a mistake? It's unfortunate because I like my school, and like my boss.

And also, today I've received phone calls and texts from Korean teachers from the school seemingly informing me, if I can understand correctly, to not pursue this issue and let it be. However I don't have interest in simply nodding my head and moving along when it seems there's been something strange that's occurred.
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busanliving



Joined: 29 Apr 2009

PostPosted: Tue Apr 26, 2011 5:35 am    Post subject: Reply with quote

If it is the national health you are enrolled in then the school have to pay from the date you start in order for you to qualify now.

Either way I would think seriously about persuing this, you could cause yourself lots of problems for the future. Sure you can fight it if you want, just decide if it is worth the headache.
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nathanrutledge



Joined: 01 May 2008
Location: Marakesh

PostPosted: Tue Apr 26, 2011 4:34 pm    Post subject: Reply with quote

Check out the NHIC website.

www.nhic.or.kr

From the site, the FAQ page regarding a question on having a molar replaced -

Quote:
Thank you for your interest in NHIC and we are pleased to answer to your question.

Dental services are covered under the NHIC. But some of dental treatments are not covered by NHIC, such as preventive dental services( teeth cleaning, dental implant, false teeth..). In case of the filling in a molar, expenses are artered by the purpose of your treatment. In addition, total expenses include the different composition table of covered items and uncovered items, so the medical fees vary according to the treatment you undergo. Regarding to expenses and dental coverage, you'd better to ask to your dentist.

Let us give you some dental hospitals which are able to give you a medical examination in English. (in Dong Daegu)
1. 365열린치과의원 (365 yeolin dental clinic) T)053-965-7528
2. 동대구치과의원(Dong Daegu dental clinic) T)053-981-4592

Also you can reserch other hospitals in our Korean website. (http://hi.nhic.or.kr/portal/site/hi/menuitem.ea6a37ca554f2afe518bd780062310a0/)
For more information, please contact our customer center for foreigner(1577-1000 press number 7).


So, IF your school has supplementary insurance that you're talking about, that's a whole other ballgame that really has to be worked out between you and the school as a contract matter. IF you're only on the NHIC, then no, you don't have dental coverage beyond what is provided (basic basic stuff).
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