Korean healthcare surprises most newcomers twice: first by how fast and cheap a clinic visit is, then by how expensive the wrong door can be. Walk into a neighbourhood clinic with national health insurance and you pay about ₩6,000 to see a doctor. Walk into a university hospital emergency room with a cold and you can pay ₩200,000. This guide explains the tiers, what each costs in 2026 with and without insurance, where to get English-speaking care, and the phone numbers that actually connect you to an interpreter.
For everyday problems go to a clinic (의원): no appointment, your ARC as ID, and a 30% copay that usually comes to ₩6,000 to ₩15,000 with medicine. Go to a general hospital only with a referral or a real emergency; without a referral at a top-tier hospital you pay 100%. For an interpreter call 1345 (immigration centre, 20 languages) or 1330 (tourist line, 8 languages) and ask for a three-way call, or use the international clinic at a major hospital.
- Copay with NHIS: clinic 30%, hospital 40%, general hospital 50%, top-tier hospital 60%; inpatient 20%; pharmacy 30%
- 2026 clinic first-visit fee: ₩18,840 (your share about ₩5,650); rising to ₩19,980 from December 2026
- No insurance yet: expect ₩19,000–30,000 for a clinic visit, 3–5 times more at an ER
- Minor ER visits at regional emergency centres cost 90% out of pocket since September 2024
- NHIS for foreigners: automatic after 6 months of stay; students and E-9 workers from entry; 2026 minimum premium ₩158,630 (students pay half)
- Emergency: 119, free ambulance, interpreters available
Which door to walk through

| Place | Korean | Use it for | Copay with NHIS | Appointment |
|---|---|---|---|---|
| Clinic | 의원 | Colds, stomach, skin, minor injuries, prescriptions, check-ups | 30% | Walk in |
| Hospital | 병원 | Specialists, imaging, minor surgery | 40% | Walk in or book |
| General hospital | 종합병원 | Serious illness, surgery, several departments | 50% | Usually book; referral advised |
| Top-tier hospital | 상급종합병원 (Severance, Samsung, Asan, SNUH, St. Mary’s) | Complex cases, cancer, transplants | 60%, or 100% without a referral | Referral (진료의뢰서) required |
| Pharmacy | 약국 | Fill prescriptions, over-the-counter medicine | 30% on prescriptions | Walk in |
| Emergency room | 응급실 | Chest pain, stroke signs, major injury, high fever in infants | Up to 90% for minor cases at emergency centres | 119 or walk in |
The referral rule is the one that costs people money. If you go straight to a top-tier hospital without a referral letter (요양급여의뢰서) from a clinic or hospital, insurance pays nothing for that visit, including the prescription. Coverage starts from the next visit after you hand in the letter. Exceptions: emergencies, childbirth, family medicine, registered disability rehabilitation and haemophilia.
What it costs in 2026
| Situation | With NHIS (you pay) | Without NHIS (you pay) |
|---|---|---|
| Clinic first visit, consultation only | about ₩5,650 | ₩18,840 |
| Clinic visit plus 3 days of medicine | ₩8,000–15,000 | ₩25,000–40,000 |
| Hospital specialist visit with blood test | ₩15,000–40,000 | ₩60,000–120,000 |
| Top-tier hospital first visit (with referral) | about ₩13,100 consultation plus tests | ₩21,860 consultation plus tests |
| ER, minor illness (KTAS 4–5) at an emergency centre | ₩100,000–220,000 | ₩300,000 and up |
| ER, moderate case with imaging | ₩300,000–800,000 | 3–5 times more |
| Medical certificate (진단서), Korean or English | ₩20,000 cap | ₩20,000 cap |
Two 2026 changes are worth knowing. Consultation fees are being rebalanced: clinic first-visit fees rise about 6% (₩18,840 to ₩19,980, mostly from December 2026) while some imaging and lab items fall, for example the patient share of a head MRI at a top-tier hospital drops from ₩160,200 to ₩107,700. And from the second half of 2026, anyone with more than 300 outpatient visits a year pays 90% for the extra visits.
Getting national health insurance
Foreign residents are enrolled automatically as local subscribers after six months in Korea. D-2 students, D-4-3 trainees, E-9 workers, F-5 and F-6 holders are covered from the day of registration. Since 3 April 2024 dependents must also have lived in Korea for six months unless they are the spouse or minor child of someone on those visas. The 2026 minimum premium for a foreign local subscriber is ₩158,630 a month (₩140,210 health plus ₩18,420 long-term care); D-2 students and F-4 holders pay half, about ₩79,315. Short-term visas (A, B, C, G-1 except a few G-1 types) are not eligible. Employees are enrolled through their employer at 7.19% of salary, split with the employer.
English-speaking care
Every top-tier hospital in Seoul runs an international clinic with English-speaking coordinators who book, interpret and handle insurance paperwork. Numbers as published by the hospitals and the Seoul city medical guide (confirm before you go):
| Hospital | International clinic | Note |
|---|---|---|
| Severance (Sinchon) | 02-2228-5800 / 5810; ER 02-2228-8888 | Largest international clinic; English, Russian, Chinese |
| Samsung Medical Center | 02-3410-0200 | Russian 02-3410-6531, Chinese 02-3410-1075 |
| Asan Medical Center | 02-3010-5001 | Weekdays 08:30–17:30 |
| Seoul National University Hospital | 02-2072-2890 / 0505 | Referral needed for most departments |
| Seoul St. Mary’s | 02-2258-5745 | Catholic university hospital, Gangnam |
Outside Seoul, the KHIDI directory at medicalkorea.or.kr lists hospitals registered to treat foreign patients. For a plain clinic visit, ask your international office or the Seoul Global Center (medicalreferral@seoul.go.kr) for a nearby doctor who speaks your language; many neighbourhood doctors speak enough English for a cold.
Interpreters by phone
- 1345: Immigration Contact Center, 20 languages, weekdays 09:00–22:00. Ask the clinic to call and put the phone on speaker.
- 1330: Korea Tourism Organization line, 8 languages, 07:00–24:00, also does three-way medical calls.
- 119: ambulance and emergency, free, with interpretation in major languages.
- 1339: Korea Disease Control Agency, 24 hours, for infectious-disease questions; it connects to 1330 or 1345 for other languages. It is not a general medical help line.
- BBB Korea 1588-5644: volunteer interpreters in 22 languages, 24 hours (reported; confirm).
Seoul’s MeSic programme offers free interpreter accompaniment to appointments up to four times a year from 2026; apply three days ahead through the Seoul Global Center.
Korean cards to show at the clinic and pharmacy →
A clinic visit, step by step

- Find a clinic for your problem: 내과 internal medicine, 이비인후과 ear-nose-throat, 피부과 skin, 정형외과 bones and joints, 소아과 children, 산부인과 women’s health, 치과 dental, 안과 eyes.
- At reception hand over your ARC. No insurance card exists; the ID number is enough. Say whether it is your first visit (초진).
- Fill the short intake form. Our cards cover symptoms, duration and allergies in Korean.
- See the doctor, usually within 10 to 30 minutes. Ask for a referral letter if you may need a hospital.
- Pay at reception and take the prescription (처방전) to the pharmacy next door. Prescriptions are not filled inside the clinic.
- Keep the receipt and ask for an itemised bill (진료비 세부내역서) if you have private insurance.
Emergencies and after hours
Call 119 for chest pain, stroke signs, serious bleeding, breathing trouble or a high fever in a baby; the ambulance is free and takes you to the right hospital. For a child’s evening or weekend illness, search 달빛어린이병원 (moonlight children’s hospitals) on the emergency portal e-gen.or.kr or the 응급의료정보제공 app; they are clinics open late so you avoid ER prices. Since 13 September 2024, minor cases at regional emergency centres pay 90% of the bill, so a cold at a university ER costs ₩100,000 to ₩220,000 even with insurance. Pharmacies open on rotation at night and on holidays; convenience stores sell 13 basic medicines such as Tylenol and digestive aids.
Private insurance
Korean indemnity insurance (실손보험), which refunds most of the copay, is available to foreigners with a valid ARC. F-5 holders are treated like Koreans; F-2, F-6 and E-1 are easy; D-2 students may get it with loadings; short-term and working-holiday visas are excluded. Insurers check NHIS enrollment, remaining stay and sometimes nationality. For visitors, travel insurance from home is the realistic option.
Frequently asked questions
Can I see a doctor before my ARC and insurance are ready?
Yes, with your passport, paying the full price. Keep receipts; some clinics refund the difference if insurance becomes effective retroactively, which happens when enrollment is backdated to your registration date.
Is dental covered?
Partly. Check-ups, scaling once a year, fillings and extractions are covered at the usual copay; implants and crowns are mostly out of pocket.
How do I get a medical certificate for my employer or school?
Ask at reception for a 진단서 (diagnosis certificate, ₩20,000 cap, also in English) or a cheaper 진료확인서 (proof of visit, ₩3,000).
Why did the hospital refuse to apply my insurance?
Most often because you came to a top-tier hospital without a referral. Get the letter from a clinic and return; coverage starts from the next visit.
Can I get my medical records?
Yes. Copies cost ₩1,000 per page for the first five pages and ₩100 per page after; a CD of images ₩10,000.
What if I cannot pay an ER bill?
Hospitals will treat emergencies first. Ask for the social work office (사회사업실); public hospitals have hardship programmes, and your embassy can sometimes help with contact to your family.
Bottom line
Clinic first, referral before a big hospital, ARC at reception, prescription at the pharmacy next door, and 1345 or 1330 on speaker when words run out. With insurance a doctor visit costs less than lunch; without a referral a hospital visit costs more than a flight home.
Related guides
- National health insurance for foreigners
- Pharmacies and over-the-counter medicine
- Emergency numbers in Korea
- Dental care costs and insurance
- The free national health check-up
※ Copay rates and 2026 fee schedule from the National Health Insurance Service and Ministry of Health announcements (February and June 2026), the emergency-room copay change of 13 September 2024, foreign-resident enrollment rules (April 2024), 2026 premium figures as published by insurers, hospital international-clinic listings, and the KDCA, KTO and MOJ hotline pages. Checked 20 October 2026. Hospital numbers and hours change; confirm before you visit. General information, not medical or legal advice.

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