Screening for Congenital Metabolic Disorders and Management of Affected Children

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Health Data
Health Screening
Screening for Congenital Metabolic Disorders and Management of Affected Children

Support for Screening Fees for Congenital Metabolic Disorders (Applicable to health insurance since October 1, 2018)

Outpatient Screening and Confirmatory Tests: Partial payment by individual

Outpatient Screening and Confirmatory Tests: Partial payment by individual
Category	Screening Test	Diagnostic Test
Income Criteria	Newborns from households with income less than or equal to 180% of median income (No income criteria for second child or more)	No income criteria
Scope of Support	Support only for screening fees among outpatient charges (excluding non-covered services) * For screenings done during hospitalization: Fully covered by the foundation, no individual payment Support only for test fees, consultation fees (doctor's fees) are excluded One-time support (additional support possible if re-screening is needed based on initial test results)	Up to 70,000 KRW in individual contributions supported * Support only for those diagnosed as having congenital metabolic disorders after confirmatory tests Out-of-pocket expenses (excluding non-covered services) Support only for test fees, consultation fees (doctor's fees) are excluded
Important Notes	Support only for tests conducted within 28 days of birth * Even if conducted after 28 days, support is available for screenings applicable to national health insurance	Support only upon confirmation
Required Documents	Test receipt Detailed test fee statement Certificate of residence, health insurance qualification certificate (Submission can be omitted if agreed to verify through administrative information sharing) National health insurance payment confirmation (for both spouses if dual-income) Copy of bankbook for deposit account
Application Period	Within 1 year from the date of birth
Application Method	Apply by visiting the local public health center

Income Criteria Table for Family Size (2023)

Income Criteria Table for Family Size (2023) - Employment, Community, Mixed
Number of Household Members	Employment	Community	Mixed
2 people	222,624	187,378	226,361
3 people	284,769	264,991	291,898
4 people	346,067	335,569	359,887
5 people	434,962	436,179	476,875
6 people	476,875	481,248	521,613

강조National health insurance copayment: Excludes long-term care insurance premiums for the elderly.

Management for Children Under 19 with Congenital Metabolic Disorders

Support Details

Medical Expense Support: For children diagnosed with congenital hypothyroidism, up to 250,000 KRW per person per year for treatment costs.
Support for special formula and low protein foods: For children diagnosed with congenital metabolic disorders and rare intractable diseases who need special formula and low protein foods

Required Documents

One copy of support application form
One copy of medical diagnosis certificate (to be submitted when applying for diagnostic testing fees and registering children with congenital metabolic disorders)
Original copies of receipts for medical treatment and prescription medications (Attach prescription for medication costs)
Detailed statement of medical fees
One copy of the resident registration
One copy of the bankbook for deposit account
One copy of test results (to be submitted when applying for diagnostic testing fees)
(If necessary) Leave of absence certificate (Attach a copy of the previous month's salary statement if on paid leave)
(If necessary) Family relationship certificate, salary statement, and one copy of documents to verify dual-income family (business registration certificate, appointment certificate, contract, confirmation of contract performance, etc.)

Application Method

Apply by visiting the local public health center

Inquiries

Health Promotion Dept., Guro Public Health Center +82-2-860-2275