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Medical Insurance?
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Tathen



Joined: 10 Sep 2007

PostPosted: Wed Sep 19, 2007 9:01 am    Post subject: Medical Insurance? Reply with quote

With the Korean medical insurance system, I have a few questions.

If you worked a year at a hagwon which did NOT pay the insurance, does the Korean Insurance system require you to pay for all the payments that were not made in your first year upon applying for the medical insurance in your second year? (I heard this recently).

Also, if one does get medical insurance, say through AIG, does this insurance give you a discount on prescription drugs like the Korean system does? Also, if it does, do you simply hand the AIG information to the doctor's office that you goto, and they give you the discount immediately, and reimburse themselves through the insurance company? Or do you pay the full price, and apply for reimbursement through AIG? (inconvenient).

Also, assuming my information in my first note is correct regarding repaying the uninsured time here, does being under AIG for another year mean I would have to pay for 2years of the korean insurance system upon applying next year? Or do I simply provide them with a proof of insurance?

Any information you can give me would be helpful. I know this might simply be answered with a "No, it's cool" or "Yup". If what I have said is all accurate however, what do I do? Isn't it illegal for my past school not to pay my insurance? It was in the contract as well (being a newb my first year, I just assumed it was paid for). So, if they didn't pay for it by my past school, and now this is going to cost me personally, what should I do to get the money, assuming I can? Or would the government be able to give me some help with that upon finding out my past school did not insure me by any company? (won't hold my breath for that option....)

Thanks for any help you can give me!

~Tathen

P.S. My girlfriend provided me with some of this information from a "cafe [message board]" she posts on related to korean girls married/dating Canadians. I guess this is a common issue, and from what she seems to think, there isn't much I can do.....
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garykasparov



Joined: 27 May 2007

PostPosted: Wed Sep 19, 2007 9:45 am    Post subject: Re: Medical Insurance? Reply with quote

Quote:
If you worked a year at a hagwon which did NOT pay the insurance, does the Korean Insurance system require you to pay for all the payments that were not made in your first year upon applying for the medical insurance in your second year? (I heard this recently).


The representative at the National Health Insurance Corporation will tell you that you have to pay unpaid monthly contributions. Your ex-employer will have to pay unpaid contributions as well. Therein lies a good chance the representative at the NHIC will tell you to phone your ex-employer and "work it out." In other words, you will have to convince your ex-employer to pay contributions to the NHIC that should have bee paid in the first place. If that doesn't happen, then you'll have to pay your employer's backpayments, including your unpaid contributions, before you are considered the "employee insured" and can use your health insurance card.
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ttompatz



Joined: 05 Sep 2005
Location: Kwangju, South Korea

PostPosted: Wed Sep 19, 2007 1:49 pm    Post subject: Re: Medical Insurance? Reply with quote

BUT...


If you leave and return with a new visa the clock starts again and you do NOT get dinged with the back payments.
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i_teach_esl



Joined: 07 Sep 2006
Location: baebang, asan/cheonan

PostPosted: Wed Sep 19, 2007 2:12 pm    Post subject: Reply with quote

i work for the hogwon that offers NO insurance. i pay around $200 every month for prozac and welbutrin. if anyone knows of a way to get my meds cheaper, please let a gal know.
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elliemk



Joined: 01 Jul 2007
Location: Sparkling Korea!

PostPosted: Thu Sep 20, 2007 6:07 am    Post subject: Reply with quote

"I work at a hagwon that pays no insurance."

What was in your contract? Did it say anything about insurance? You are entitled to get insurance! Matter of fact, it is legally required. Ask you director about it. Tell him you know that you have to get insurance. Ask him/her what is going to be done about this. You are also entitled to pension. You have to stand up for yourself here. Nobody will do it for you.

However, if your director says no insurance, then go to the Labor Board or the National Health insurance people.

Good luck.
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purple_buddha



Joined: 18 Apr 2003

PostPosted: Thu Sep 20, 2007 6:42 am    Post subject: Reply with quote

Quote:
i work for the hogwon that offers NO insurance.


i_teach_esl, tell your director s/he has no choice in the matter but to provide coverage under the NHIC, as it is a legal obligation. Be firm and don't back down!

If s/he refuses, threaten to go to the Labor Board and demand a Letter of Release (LOR). Find another position; there are plenty.

With NHIC coverage you would be paying a fraction of $200 per month for Prozac and Wellbutrin. Have you seen a doctor in Korea? If not and you need medications, I would suggest going to the nearest hospital and ask to see a neurologist (신경과 의사). The office visit will cost around $15 without insurance.
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elliemk



Joined: 01 Jul 2007
Location: Sparkling Korea!

PostPosted: Thu Sep 20, 2007 7:44 am    Post subject: Reply with quote

I second the fact that you'll only pay $15 or less for an office visit. The cool thing for me is that my church in Ulsan paid for my first visit and then took me to a member doctor who charges nothing!
If you're a Christian, find an English speaking church. The minister there is more than happy to help you!
Good luck.
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i_teach_esl



Joined: 07 Sep 2006
Location: baebang, asan/cheonan

PostPosted: Thu Sep 20, 2007 10:20 pm    Post subject: Reply with quote

thanks for the replies, all. i work for cdi, no insurance. i did talk to hr at cdi about the insurance they offer, and it's affordable, but it doesnt cover mental health. im looking specifically for a way to cut down the cost on the meds.

i went to seoul natl uni hospital, and it cost me a little over $200. i found a psychiatrist closer to home, private practice, and he's great, speaks english, but it's $180 every visit for the medication.
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purple_buddha



Joined: 18 Apr 2003

PostPosted: Fri Sep 21, 2007 6:20 pm    Post subject: Reply with quote

i_teach_esl,

If you've been in Korea for over three months (on this contract), I wouldn't bother with enrolling in NHIC unless you have other health issues. You'll owe back premiums from the date your contract started. If not, I highly suggest that you visit the NHIC website at http://www.nhic.or.kr/english/index.html

There's a phone number for specific questions not covered on the website, 1577-1000. Ask someone you trust to call on your behalf if your Korean isn't up to the task.

The first question is if you're even eligible to enroll; second, is how much you're going to have to shell out a month. Normally, the employer pays half, but in your case you would probably have to pay 100%; you would need to verify that with NHIC. (If your monthly income is 3,000,000 won, your monthly premiums will well exceed 100,000 won at 100% payment responsibility.)

Mental health is a gray area in Korea. In the case of depression, most of the mainstream medications used to treat it are covered under NHIC, but you need to make sure the prescribing doctor is willing to bill his/her services this way if you acquire coverage under NHIC. Some won't.

If you come up empty with NHIC, you should enroll in CDI's private insurance anyway. You never know if or when you're health may be an issue. You could get clipped on a crosswalk tomorrow by a reckless food delivery driver or end up in the hospital with pneumonia.

Good luck!
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Young FRANKenstein



Joined: 02 Oct 2006
Location: Castle Frankenstein (that's FRONKensteen)

PostPosted: Fri Sep 21, 2007 7:19 pm    Post subject: Re: Medical Insurance? Reply with quote

Tathen wrote:
If you worked a year at a hagwon which did NOT pay the insurance, does the Korean Insurance system require you to pay for all the payments that were not made in your first year upon applying for the medical insurance in your second year?

A second year with the same school and same visa? Yes.
Changing both schools and visas for the second year? No.

Quote:
does being under AIG for another year mean I would have to pay for 2years of the korean insurance system upon applying next year? Or do I simply provide them with a proof of insurance?

Paying for NHIC and paying for personal medical insurance are mutually exclusive. NHIC is a legal obligation that you can't waive by replacing it with your own insurance. Even if you were fully insured under AIG for the year, you must still pay NHIC (under the conditions I set above). No choice.

Quote:
Isn't it illegal for my past school not to pay my insurance?

Yes.
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Freakstar



Joined: 29 Jun 2007

PostPosted: Sun Sep 23, 2007 12:54 am    Post subject: Reply with quote

i_teach_esl wrote:
thanks for the replies, all. i work for cdi, no insurance. i did talk to hr at cdi about the insurance they offer, and it's affordable, but it doesnt cover mental health. im looking specifically for a way to cut down the cost on the meds.

i went to seoul natl uni hospital, and it cost me a little over $200. i found a psychiatrist closer to home, private practice, and he's great, speaks english, but it's $180 every visit for the medication.


Hmm...so lemme get this straight...CDI could really screw someone over if, say, Joe Shmo went from working at CDI for a year with no insurance to working at another hagwon the following year with insurance. Because Joe would basically have to pay for his year of being uninsured while working at CDI - am I right? *Edit* Well, I guess if Joe gets a new visa then no, it would not be a problem.

Damn, so if I worked 3 weeks at CDI with no insurance and then quit and moved to another company that offers insurance, will I owe back payments on those 3 weeks? Maybe even owe for the two months that I've been here in Korea without insurance?
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porkchops&applesauce



Joined: 21 Sep 2007

PostPosted: Sun Sep 23, 2007 4:21 am    Post subject: Medical Ins. & Medication: Mental Health Reply with quote

I'm signed up with a few recruiting companies and am looking foward to a job teaching ESL by Feb/March 2008. I have a mental health issue and take 4 psychiatric medications (along with 3 asthma meds). I am wondering how mental health staus affects a teacher's insurance, job situation, etc.

I mean, do I have to get a "diagnosis" from a local Korean doctor--something I am not sure I would want to get back to my employer b/c of stigma and prejudice. Or will a Korean doc provide "medication management" of meds I am currently taking and have been for some time? Also, what is the Korean psychiatric/psychotherapy situation like. Is Korean society modern & sophisticated enough to handle the stress, distress and generalized neuroses of a typical New Yorker? Can anyone advise on these topics?
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Young FRANKenstein



Joined: 02 Oct 2006
Location: Castle Frankenstein (that's FRONKensteen)

PostPosted: Sun Sep 23, 2007 6:09 am    Post subject: Reply with quote

Freakstar wrote:

Damn, so if I worked 3 weeks at CDI with no insurance and then quit and moved to another company that offers insurance, will I owe back payments on those 3 weeks? Maybe even owe for the two months that I've been here in Korea without insurance?

If the visa is THE SAME visa at the second company (ie you transferred it from CDI to the new company) then yes, you need to back-pay those three weeks. If the visa is a NEW visa, then no.

As for the two months you were in Korea w/o insurance? You mean BEFORE you got any work visa (ie you were on a student/tourist visa)? No, you don't owe anything in that case.
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Freakstar



Joined: 29 Jun 2007

PostPosted: Sun Sep 23, 2007 2:56 pm    Post subject: Reply with quote

Young FRANKenstein wrote:
Freakstar wrote:

Damn, so if I worked 3 weeks at CDI with no insurance and then quit and moved to another company that offers insurance, will I owe back payments on those 3 weeks? Maybe even owe for the two months that I've been here in Korea without insurance?

If the visa is THE SAME visa at the second company (ie you transferred it from CDI to the new company) then yes, you need to back-pay those three weeks. If the visa is a NEW visa, then no.

As for the two months you were in Korea w/o insurance? You mean BEFORE you got any work visa (ie you were on a student/tourist visa)? No, you don't owe anything in that case.


Same visa, but I have an F4...does that make a difference?
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Young FRANKenstein



Joined: 02 Oct 2006
Location: Castle Frankenstein (that's FRONKensteen)

PostPosted: Sun Sep 23, 2007 5:18 pm    Post subject: Reply with quote

Freakstar wrote:
Same visa, but I have an F4...does that make a difference?

Got me. With E1/E2, as you can't (usually) take one visa from job-to-job, knowing if you owe backpayments is easy. But F-visas? Dunno. Those are taken from job to job, so I'm not sure how NHIC would calculate when and if you owe money or not.

Call them and ask?
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