After taking vitamin injections and knee injections left and right… the real loss due to increased leakage, a deficit of 2 trillion won

[Seoul=Newsis] Reporter Kim Sun-ung = Employees are leaving the building at the Financial Supervisory Service in Yeouido, Seoul on the 8th., ‘Last year, the insurance income and expenses of general medical insurance posted a deficit of 1.97 trillion won. The deficit increased by 440 billion won compared to the previous year. In general medical insurance, non-covered benefits recorded about 8 trillion won, with non-covered injections displacing physical therapy and accounting for the highest proportion.’,
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, ‘According to the Financial Supervisory Service on the 10th, last year, both property insurance companies and life insurance companies recorded a deficit of 1.97 trillion won in general medical insurance. This was an increase of 440 billion won (29.0%) compared to the 1.53 trillion won deficit recorded in the previous year.’,
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, ‘The income and expense of general medical insurance for life insurance companies last year decreased by 500 billion won (84.6%) compared to the previous year, recording 91 billion won. Property insurance companies recorded an increased deficit of 393.7 billion won (24.8%) compared to the previous year, recording a deficit of 1.9829 trillion won.’,
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, ‘As of last year, the number of general medical insurance contracts was 35.79 million, an increase of 140,000 (0.4%) compared to the previous year. Premium income increased by 1.2 trillion won (9.5%) to 14.4 trillion won during the same period.’,
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, ‘The loss ratio, which divides incurred losses by premium income, was 103.4%. This increased by 2.1 percentage points compared to the previous year. By product, the loss ratio for third-generation products was the highest at 137.2%, followed by △fourth-generation at 113.8% △first-generation at 110.5% △second-generation at 92.7%. The expense ratio, which divides actual business expenses by premium income, was 10.3%, similar to the previous year.’,
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, ‘The highest proportion of general medical insurance benefits was paid to local clinics. They accounted for 32.9% last year, the highest proportion. However, due to a decrease in procedures such as cataract surgery, the proportion of benefits paid to clinics decreased slightly compared to the previous year.’,
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, ‘Non-covered benefits in general medical insurance amounted to 8 trillion won. This was an increase of 100 billion won (2.0%) compared to the 7.9 trillion won recorded in the previous year.’,
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, ‘The category with the largest share of non-covered benefits paid in general medical insurance was “non-covered injections.” This category accounted for 28.9%, higher than 28.6% for treatments such as musculoskeletal disorders. The Financial Supervisory Service stated that “the relaxation of COVID-19 prevention measures led to an increase in respiratory diseases, affecting this trend.”‘,
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, ‘The Financial Supervisory Service stated that “with new non-covered items such as knee stem cell injections continuing to emerge, non-covered benefits still account for a high proportion of total general medical insurance benefits.” The agency also announced plans to improve the system to prevent benefit leakage and protect numerous ethical policyholders to ensure that general medical insurance continues to serve as a private safety net for the public. They added that they plan to strengthen supervision to ensure prompt payment for legitimate benefit claims.’