Published on and written by Cyril Jarnias
Moving to South Korea means entering one of the world’s highest-performing healthcare systems… but also a dense administrative universe, strict insurance rules, and a few legal pitfalls. For an expatriate, understanding how healthcare and insurance work is as important as finding housing. This article provides a comprehensive, practical overview, backed by official data, to navigate healthcare for expats in South Korea—from emergencies to national insurance, international clinics, mental health, and medications.
A World-Class Healthcare System, But Not Free
South Korea is regularly ranked among the countries with the best access to care and medical quality in the world. The OECD ranks it first for healthcare accessibility; Bloomberg has ranked it the second most efficient system. The Legatum Institute recently estimated the Korean system to be among the top three globally.
Survival rate for colorectal cancer in France, the highest among OECD countries.
Behind these figures lies a universal single-payer system: the National Health Insurance, managed by the National Health Insurance Service (NHIS). It is not, however, a “free” system. Everyone covered—Koreans and foreigners alike—must pay monthly contributions and a co-payment for each use.
Most care is heavily subsidized, but the system prioritizes curative over preventive care. Access to sophisticated treatments in modern hospitals is easy, but the patient bears a significant portion of the costs, especially for specialized or repeated care.
Public, Private: A Blurred Line but Gaps in Comfort
A Korean peculiarity: nearly 94% of healthcare facilities are private, including many major university hospitals. Yet they treat patients insured under the NHIS just like public ones, according to rates negotiated with the state. In practice, an expatriate often uses private facilities while benefiting from public coverage.
Medical quality varies little between public and private structures, but comfort, international environment, and wait times can be very different. Major private centers, especially in Seoul (Samsung Medical Center, Severance Hospital, Asan Medical Center, Seoul St. Mary’s, etc.), stand out for their international services, many English speakers, and logistics designed for foreign patients or medical tourists.
National Health Insurance: A Mandatory Step for Expatriates
For foreigners, the cornerstone of the system remains the NHIS. Since 2019, the rule is clear: any foreigner residing in South Korea for more than six months must enroll in the national system, with few exemptions.
Who Must (or Can) Enroll in the NHIS?
Enrollment depends on visa type, length of stay, and employment status.
The table below summarizes the main points for expatriates:
| Expatriate Situation | Eligibility for NHIS | Enrollment Timing |
|---|---|---|
| Tourist (less than 90 days, B-2 visa or exemption) | Not eligible | Never – private insurance required |
| Salaried Worker (visas E-1 to E-7, E-9, E-10) | Yes, mandatory | Via employer upon hiring or within 6 months |
| Language Teacher (E-2 visa) | Yes, mandatory | Generally after 6 months of residence, via employer |
| Self-employed / Freelancer (F-2, F-4, F-5, F-6, etc.) | Yes, mandatory after 6 months | Personal registration with NHIS |
| Student D-2 / D-4 | Yes, mandatory if stay > 6 months | Automatic or direct enrollment, no later than 6 months |
| Working Holiday (H-1) | Eligible after 6 months, possible exemption with private insurance | After 6 months if no exemption |
| Spouse of a Korean (F-6) | Yes, immediate affiliation once registered | Upon issuance of the Alien Registration Card |
To be covered, a foreigner must first obtain an Alien Registration Card (ARC), issued by immigration. Processing can take a month or more. In many cases, NHIS enrollment starts from the date of registration as a foreign resident, or even a few months later depending on current rules.
Salaried workers in companies with at least five foreign employees are typically enrolled by their employer, who must pay half of the premium. For the self-employed and certain F-visa holders, registration is done directly at an NHIS office, with ARC card, proof of address, Korean phone number, and often, income statements.
Contributions: How Much Does NHIS Cost for an Expatriate?
Contributions are not symbolic but remain reasonable given the level of care. We can distinguish three main profiles: employee, self-employed, and student.
| Foreign Insured Profile | Calculation Base / Flat Rate (recent data) | Typical Monthly Contribution* |
|---|---|---|
| Salaried (employee in Korea) | Approx. 6.8–7.1% of gross salary, split 50/50 | 3–3.5% of salary borne by the employee |
| Self-employed / Long-term stay (F-visa, freelancer) | Calculated on income + assets (housing, vehicles, etc.) | In practice 110,000 to 150,000 KRW |
| Student D-2 / D-4 | Flat rate | Approximately 110,000–115,000 KRW |
Amounts are given for guidance only; sources cite several rates (113,050 KRW in 2019; 114,660 KRW for students in 2025, etc.).
Students and very low-income individuals can benefit from a 50% reduction in health insurance premiums (보험료 경감). Eligibility is subject to strict annual income and property value limits. The application must be submitted to the NHIS, either in person or via the official mobile app.
Contributions are collected in advance: the bill is issued around the 10th of the month for the following month, with a payment deadline around the 25th. In case of delay, penalties are added and, beyond a certain threshold (e.g., 500,000 KRW in arrears for a D-2 student), visa renewal may be blocked.
What NHIS Actually Covers
Commonly, it is said that NHIS covers between 50% and 80% of medical costs. In practice, the rate depends on the type of facility and care. The system operates on a co-payment basis:
| Type of Care / Facility | Patient’s Share (Co-payment) |
|---|---|
| Hospitalization (inpatient) | Approximately 20% |
| Hospitalization for cancer | Approximately 5% |
| Hospitalization for rare / incurable disease | Approximately 10% |
| Outpatient visit at a tertiary hospital | 45–60% depending on the hospital |
| Outpatient visit at a general hospital | 45–50% |
| Clinic / small practice visit | Approximately 30% |
| Pharmacy (reimbursable medications) | 35–40% |
Benefits include consultations, hospitalization, surgery, imaging (MRI, CT scan, etc.), rehabilitation, most exams, a wide range of medications, as well as part of basic dental and vision care (cleaning, simple cavities, eye exam), pregnancy and childbirth support, and certain traditional medicine procedures (acupuncture, for example).
The Korean healthcare system funds periodic health check-ups: a general check-up every two years (annual for physical or high-risk jobs) and targeted screenings for certain cancers. Foreign students enrolled in this system have the same rights as Korean citizens.
On the other hand, cosmetic surgery, purely “comfort” procedures, many advanced optical or dental treatments (implants), and most care received abroad are not covered. Some forms of psychotherapy are only covered if part of a coded psychiatric and medication-based framework.
Non-Payment of Contributions: Very Concrete Consequences
Ignoring your NHIS bills is not a good option. In case of prolonged delay, coverage is suspended from the first day of the month following non-payment. Debts accumulate, re-enrollment becomes difficult, and medical expenses incurred during the suspension period are not reimbursed retroactively, even if arrears are settled later.
Beyond a certain amount, failure to pay can block a visa renewal or lead to forced collection measures (account seizure, vehicle seizure, even real estate).
Exemptions and Coordination with Private Insurance
Many expatriates arrive already with international insurance or social security rights in their home country. South Korea recognizes some of these coverages, but NHIS exemption remains the exception, not the rule.
In Which Cases Can You Be Exempt from NHIS?
An exemption is theoretically possible if you have foreign insurance deemed “equivalent”. Criteria are strict: a policy purchased abroad, valid in Korea, very high reimbursement limits (at least 1 billion KRW, akin to near-unlimited coverage), and no substantial limitation on the number of claims.
Certain nationalities benefit from special agreements for overseas health coverage. For example, French citizens covered by French social security can rely on a bilateral convention. Japanese can have their overseas care reimbursed by their national insurance. Similarly, some American citizens enrolled in public systems (like the military or civil service) may, in some cases, obtain a waiver.
Students can request a temporary exemption if their stay is less than or equal to four months and they already have solid international insurance.
The procedure is done at an NHIS center for foreigners, with documents translated into Korean (not necessarily requiring notarization). Even if all criteria are met, the exemption is not automatic: the NHIS decides.
Why Keep – or Add – Private Insurance?
Many expatriates combine NHIS and private insurance, local or international. Several reasons for this:
The Ghanaian National Health Insurance Scheme (NHIS) has several important restrictions in its health coverage, often making supplementary insurance necessary.
NHIS leaves 20 to 60% of costs to be borne by the patient depending on the type of care.
Certain specialties are poorly or not covered, such as prosthetic dentistry, optics, non-medicalized psychology, or cosmetic surgery.
NHIS almost never covers care received outside Ghana, nor medical repatriation costs.
An international health insurance can offer more comprehensive coverage: private room, medical evacuation, and follow-up in multiple countries.
Private premiums often hover around 100 USD per month, an order of magnitude close to the public contribution. Major insurers like Cigna, Aetna, Allianz, AXA, Bupa Global, GeoBlue, William Russell, or others offer contracts specifically calibrated for expatriates.
Keep in mind that private insurance does not reduce the “gross” price of procedures in Korea but simply reimburses all or part of the out-of-pocket costs after NHIS (or substitutes for NHIS if exempt). In practice, many pay twice: once for the national system, once for supplementary coverage.
Accessing Care: Hospitals, Clinics, and Key Regions
Once insured, you still need to know where to go. South Korea is very hospital-centric: you “go to the hospital” for a simple cold as well as for major surgery. Facilities are classified into four levels:
– small practice / clinic (의원),
– hospital (병원),
– general hospital (종합병원),
– tertiary or university hospital (대학병원).
Large tertiary hospitals concentrate specialists, cutting-edge equipment, and often, international services with English speakers.
Seoul, Epicenter of Expatriate Healthcare
The capital concentrates the majority of world-class hospitals and services for international patients. Expatriates frequently turn to a few flagship institutions:
– Asan Medical Center (Songpa-gu);
– Samsung Medical Center (Gangnam-gu);
– Severance Hospital (Yonsei University, Sinchon) and Gangnam Severance Hospital;
– Seoul National University Hospital (Jongno-gu) and its multilingual International Healthcare Center;
– Seoul St. Mary’s Hospital (Seocho-gu);
– Kangbuk Samsung Hospital (Jongno-gu);
– many university hospitals (Ewha Womans University Medical Center, Konkuk University Medical Center, Soonchunhyang University Hospital, etc.).
Several neighborhoods are particularly popular with foreigners for healthcare: Gangnam (high concentration of specialists and internationally accredited hospitals), Yongsan/Itaewon (very expat-friendly atmosphere, several English-speaking clinics), Jung-gu and Jongno-gu (large hospitals and transport accessibility).
Advice for expatriates
Major Provincial Cities: Busan, Incheon, Daegu, Daejeon, Gwangju, Jeju
Outside Seoul, most regional metropolises have hospitals well-versed in treating foreign patients, often through an internal International Health Center:
– Busan: Busan St. Mary’s, Inje University Haeundae Paik Hospital, Pusan National University Hospital.
– Incheon: Gachon University Gil Medical Center, Inha University Hospital, Catholic Kwandong University International St. Mary’s Hospital.
– Daegu: Kyungpook National University Hospital and its International Center, Daegu Catholic University Medical Center, Yeungnam University Medical Center.
– Daejeon: Chungnam National University Hospital, Daejeon Eulji Medical Center, Daejeon St. Mary’s Hospital.
– Gwangju & Jeolla: Chonnam National University Hospital (Gwangju and Hwasun), Chosun University Hospital, Jeonbuk National University Hospital (Jeonju), Wonkwang University Hospital (Iksan).
– Jeju: Cheju Halla Hospital, Jeju National University Hospital, Hankook Central Hospital, Jeju Jungang Hospital.
Most of these hospitals have an international desk where you can make appointments in English, get help with admission, and sometimes arrange direct billing with certain international insurers.
In rural areas, access to these services is more difficult. Approximately 90% of doctors practice in cities, sometimes requiring long trips to see a specialist or benefit from advanced equipment.
Practical Costs: An Affordable System That Can Rise Quickly
Compared to North America or Western Europe, the gross cost of many procedures remains significantly lower. Examples from comparative data show:
– heart valve replacement: about 36,000 USD in Korea vs. 186,000 USD in the United States;
– lumbar spine surgery: 20,000 USD in Korea vs. 100,000 USD in the United States;
– extraction of a problematic tooth: about 30 USD in Korea vs. 800 USD in the United States.
For an expatriate insured under NHIS, a simple GP consultation can cost barely 10,000 KRW before reimbursement, sometimes less after coverage. In international clinics in major cities, an appointment more often costs between 40,000 and 80,000 KRW, which remains moderate.
Some interventions, however, remain expensive even with public coverage. Maternity is a good example: prenatal exams typically cost 30,000 to 80,000 KRW per visit; a vaginal delivery is around 7.1 million KRW, a C-section around 11 million. NHIS subsidizes part, but the final bill remains substantial without supplementary insurance. Private clinics specializing in obstetrics are more expensive than general hospitals.
Sophisticated surgeries (organ transplants, for example) are still significantly less costly than in the West, with comparable quality.
Managing Emergencies: Hotlines, Ambulances, and Reference Hospitals
For an expatriate, knowing the right numbers and reflexes in a crisis is crucial. Korea’s pre-hospital emergency system is highly structured, operated by the National Fire Agency.
Numbers to Memorize
– 119: medical emergencies, fires, rescue – free public ambulance.
– 112: police.
– 1339: Emergency Medical Information Center for medical advice, guidance, and interpretation.
– 1330: Korea Travel Hotline multilingual (tourism, general information).
– 1577‑1000 (then press 6) or 033‑811‑2000: NHIS with foreign language assistance.
In Korea, 119 allows automatic caller location. An interpretation service in over 16 languages (English, Chinese, Japanese…) is available. The public ambulance is free, unlike private ambulances whose cost depends on distance, with surcharges for night calls and medical personnel presence.
The 1339 center plays an interface role between ambulances and hospitals, and can direct to the most suitable facility (major trauma, pediatrics, etc.). Databases like the Korean Out-of-Hospital Cardiac Arrest Registry or the National Emergency Department Information System feed quality monitoring.
Where to Go in an Emergency as an Expatriate?
In Seoul, several major hospitals are known for their emergency care with 24/7 English-speaking staff: Samsung Medical Center, Severance Hospital, Seoul National University Hospital, Seoul St. Mary’s, Asan Medical Center. These facilities have adult ER, pediatric ER, and sometimes dedicated intensive care units.
In other major cities, local university hospitals (Pusan National University Hospital, Gachon University Gil Medical Center, Kyungpook National University Hospital, etc.) play a similar role.
The 119 ambulance takes you to the appropriate hospital, but for non-life-threatening cases (minor trauma, fever, etc.), some expatriates prefer to go directly to a major hospital with an international service to avoid language barriers.
Expect to pay a deposit upon arrival at the ER, as international insurance rarely accepts direct billing in acute situations. Receipts and medical reports must be carefully kept for later reimbursement claims.
Medications, Imports, and Prohibited Products
Korean pharmacies are well-stocked with Western medications and easily recognizable by the “약” symbol. It is here, not in hospitals, where you fill prescriptions. Most are open on weekdays, with reduced hours on Saturday. Some basic medications (paracetamol, aspirin) are also found in convenience stores.
For expatriates, two aspects require particular vigilance: importing personal medications and the very strict legislation on certain substances.
Bringing Your Medications to Korea
Korean authorities closely control the entry of medications. To avoid bad surprises at the airport, several rules apply:
Medications containing narcotics, amphetamines, or CBD are prohibited for import. For other prescription medications, a maximum quantity of about three months’ supply is allowed for personal use, provided you present the original prescription and a doctor’s letter. For any regulated substance, a prior application must be made to the Ministry of Food and Drug Safety (MFDS). The final decision rests with customs at Incheon Airport.
Preparing a precise list of your medications (generic name, dosage, form) in advance makes life easier, both at border control and when consulting a Korean doctor to renew a prescription locally.
Cannabis, CBD, and Poppy-Based Products: Zero Tolerance
Marijuana, CBD oil, hemp-derived products, foods containing poppy seeds: all these products are heavily regulated, if not strictly illegal. Mere possession can lead to arrest, fines, imprisonment, and deportation, even if you come from a country where these substances are legal by prescription.
For expatriates using CBD for pain or anxiety, it is imperative to stop its use in South Korea, where it is illegal. It is advisable to consult a local doctor to find a legal pharmaceutical alternative.
Mental Health: A Changing System, Resources for Foreigners
South Korea has one of the highest suicide rates in the OECD and mental health is still marked by social stigma. The government has, however, made significant efforts: mental health law, national investment project, community centers, and crisis services.
For expatriates, this reality is compounded by adjustment difficulties, distance from family support networks, and language barriers. Mental healthcare exists, but you need to know where and how to access it.
What NHIS Covers for Mental Health
Psychiatric consultations, psychotropic medications, and part of psychiatric hospitalizations are covered by NHIS, with reimbursement rates often around 70 to 80%, leaving 20 to 30% for the patient. Consultations can then cost between 15,000 and 25,000 KRW, of which only a few thousand won after coverage.
Counseling-type psychotherapy in private practice is generally poorly or not covered by insurance, unless part of a coded psychiatric treatment plan. Many expatriates therefore opt for international insurance that covers sessions with English-speaking psychologists or psychotherapists.
Private rates vary: an individual session is often between 70,000 and 150,000 KRW, with some group or subsidized center offerings being cheaper.
Where to Find Services in English?
In major cities, several organizations have specialized in supporting foreigners:
Various accessible structures for psychological support in English or tailored for expatriates.
Psychiatry services within major hospitals, with English-speaking staff.
Such as Seoul Counseling Center, expatriate or bicultural practices, and teleconsultation platforms.
Like Seoul Global Center or multicultural family support centers, sometimes offering low-cost sessions.
Helplines (suicide prevention numbers, ministry hotlines) exist in Korean, some with English assistance. For serious crises, hospital emergency services have psychiatric units, and 119 as well as 1339 can activate these resources with interpretation.
Students, Working Holiday, and Families: Special Cases
Not all expatriates are in the classic situation of a corporate employee. Rules and pitfalls vary for students, working holiday visa holders, and families.
International Students
Students on D‑2 or D‑4 visas have, for several years, been required to enroll in NHIS if they stay in Korea more than six months. Enrollment may be automatic via the university or require individual action.
The contribution to the National Health Insurance (NHIS) is a flat rate, with a possible 50% reduction for low incomes. Be careful, an unpaid bill can block visa renewal if the debt is too high. Many universities advise taking out supplementary student private insurance, especially to cover the period between arrival and NHIS activation, which can take several weeks.
Working Holiday Visa (H‑1)
Working holiday visa holders are not automatically enrolled upon arrival. After six months of residence, NHIS can enroll them by default if they have not requested an exemption based on adequate private insurance. For a one-year stay, it is prudent to come with good international insurance covering Korea and then decide whether switching to NHIS or being exempted is relevant.
Families and Dependents
Rules concerning foreign dependents have recently been tightened. In many cases, foreign spouses and children must now reside in Korea for at least six months before being added to the household as beneficiaries. There are exceptions, however, for spouses of Koreans, certain permanent residents, or students.
Once registered as dependents, all household members benefit from the same coverage for a single contribution, which can be very economical for a family. It is important to note that, even if born in Korea, a child of non-Korean parents does not automatically obtain Korean nationality. The child must be registered, obtain a resident card, and be added to the household with NHIS to be covered.
Care for the Most Vulnerable and Invisible Workers
The Korean system has also established a medical support program for individuals in precarious situations without coverage (neither NHIS nor medical aid). It particularly concerns certain foreign workers, migrant spouses without Korean nationality, and refugees and their children.
Coverage limit per care episode, which can cover up to 90% of costs for certain hospitalizations.
Traveler Health and Vaccination: What New Arrivals Should Know
For a future expatriate, medical preparation begins before departure. South Korea does not require a vaccination certificate for entry (no mandatory yellow fever, for example), but health authorities and professional societies have published specific recommendations for migrants and long-term residents.
Recommended Vaccines
In addition to basic vaccines (DTP, MMR, etc.), several immunizations are strongly advised depending on the length and type of stay:
For travel in Asia, several vaccinations are recommended. Hepatitis A and B vaccines are advised, particularly due to the persistence of Hepatitis B in the population. Typhoid vaccine is recommended for travel or precarious living conditions. A prolonged stay (more than a month) or rural activities during risk season (May to October, peak in late summer) require the Japanese encephalitis vaccine. The rabies vaccine is indicated for high-risk activities with animals. Finally, for older or vulnerable profiles, seasonal flu, COVID-19, and possibly pneumococcal and shingles vaccines are recommended.
Expatriates should check their vaccination status before departure, especially as schedules vary by country. In Korea, the Korea Disease Control and Prevention Agency (KDCA) leads vaccination campaigns; children under 12 benefit from a vast free vaccination program through public health centers.
Local Health Risks
Korea is not considered a tropical country, but a few risks deserve attention:
Malaria is present in a limited way, notably near the demilitarized zone (DMZ) to the north, where bite prevention (repellents, clothing) is a priority over chemoprophylaxis. Japanese encephalitis, transmitted by mosquitoes in rural areas, may require vaccination. Air pollution and yellow dust episodes (spring/autumn) worsen respiratory issues; quick enrollment in the National Health Insurance (NHIS) and appropriate treatment are advised. Respiratory infections, diarrhea, and STIs, with risks comparable to other industrialized countries, are prevented by good hygiene and cautious behavior.
Travelers should also be aware of the risks associated with medical tourism: very frequent cosmetic procedures, attractive prices, but possible exposure to drug-resistant bacteria and different follow-up standards. Insurance covering complications and a rigorous choice of facility are essential.
Practical Tools, Documentation, and Procedures
To navigate the Korean healthcare system effectively, an expatriate benefits from anticipating some logistical aspects.
Before a Consultation
Gather and keep:
– an English medical summary (medical history, current treatments, allergies);
– a list of medications with generic names and dosages;
– previous results of important exams (imaging, blood tests);
– letters and forms useful for international insurance or a school.
Many hospitals now offer English-language patient portals, allowing online appointments, access to medical results, and downloading of reports. It is also advisable to always request a written summary in English at the end of any treatment, especially if medical care needs to continue in another country.
Communication and Interpretation
In large facilities, a good portion of medical staff speak English, and international services have interpreters for other languages (Chinese, Japanese, Russian, Mongolian, Arabic…). However, in small practices, English is far from guaranteed.
Apps like Papago, bilingual friends, or services from multicultural centers can help overcome these barriers. It is often useful to prepare your main questions in writing in English (or even in Korean translation via an app) before the consultation.
Payments and Billing
For residents, fee payments are generally cash (cash, Korean bank card) at the time of the visit. Foreigners without a local bank card can sometimes use an international card, but this is not guaranteed everywhere. For NHIS contributions, payment channels include:
Several methods are available to settle your financial obligations in South Korea, from traditional options to modern digital solutions.
Authorize direct withdrawal of funds from your Korean bank account for effortless regular payments.
Make payments in person at a bank counter, a secure and widely available method.
Easily pay your bills at the extensive network of Korean convenience stores and mini-markets.
Use local electronic payment apps, a fast and increasingly popular option.
International insurers often operate on a reimbursement basis: the patient pays upfront, gets a detailed receipt (in English if possible), and submits it to the insurer. A few major hospitals have direct billing agreements with major insurers, but you must check before incurring expenses.
In Summary: A Powerful System to Master
For an expatriate, healthcare for expatriates in South Korea is a mix of opportunity and challenge. Opportunity, because you benefit from one of the world’s highest-performing systems, with cutting-edge technology, high survival rates for many serious conditions, costs often well below those in the United States or parts of Europe, and a dense offering of international clinics, especially in Seoul.
Enrollment in NHIS is mandatory beyond six months of stay, with rules varying by visa. Contributions must be paid scrupulously to avoid loss of coverage and visa complications. The patient’s out-of-pocket share is significant, language can be a barrier, and legislation on medications (cannabis, CBD) is very restrictive.
In practice, expatriates who fare best are those who:
– prepare their arrival (medical file, transition insurance, updated vaccinations);
– quickly understand the workings of NHIS (enrollment, contributions, rights, limits);
– carefully choose their reference facilities (tertiary hospital with international service, English-speaking clinic);
– supplement public coverage with private insurance suited to their profile (family, chronic condition, frequent trips abroad, etc.).
With these keys, it becomes easier to turn a complex system into a real asset for your life experience in South Korea.
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Cyril Jarnias is an independent expert in international wealth management with over 20 years of experience. As an expatriate himself, he is dedicated to helping individuals and business leaders build, protect, and pass on their wealth with complete peace of mind.
On his website, cyriljarnias.com, he shares his expertise on international real estate, offshore company formation, and expatriation.
Thanks to his expertise, he offers sound advice to optimize his clients' wealth management. Cyril Jarnias is also recognized for his appearances in many prestigious media outlets such as BFM Business, les Français de l’étranger, Le Figaro, Les Echos, and Mieux vivre votre argent, where he shares his knowledge and know-how in wealth management.
