2016년 본인부담상한액 안내 > 병원소식 및 행사

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<!--StartFragment--><table style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; border-collapse: collapse;"><tbody><tr><td valign="center" style="padding: 1.41pt; border: currentColor; border-image: none; width: 365.83pt; height: 3.82pt;"><p class="바탕글">  <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]-->  <o:p></o:p></DIV></td></tr><tr><td valign="center" style="padding: 1.41pt; border: currentColor; border-image: none; width: 365.83pt; height: 24.01pt;"><p class="바탕글" style="text-align: center; line-height: 125%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: HY헤드라인M; font-size: 20pt; font-weight: bold; mso-fareast-font-family: HY헤드라인M; mso-hansi-font-family: HY헤드라인M;">2016년도 본인부담상한액 안내 </span></DIV></td></tr><tr><td valign="center" style="padding: 1.41pt; border: currentColor; border-image: none; width: 365.83pt; height: 3.82pt;"><p class="바탕글">  <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]-->  <o:p></o:p></DIV></td></tr></tbody></table><p class="바탕글">  <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]-->  <o:p></o:p><p class="바탕글" style="margin-top: 14pt;"><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;">1. 관련근거</span><p class="바탕글" style="margin-top: 14pt;"><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;"> </span><span style="color: rgb(40, 40, 40); font-family: 휴먼명조; font-size: 14pt; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy;"><font face="굴림">❍</font></span><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;"> </span><span style="color: rgb(40, 40, 40); font-family: 굴림체; font-size: 13pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">국민건강보험법 시행령 제19조 제2항(별표 3 </span><span style="font-family: 굴림체; font-size: 13pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">요양급여비용 중 본인이 부담하는 상한액</span><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: 굴림체; font-size: 13pt; font-weight: bold; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">)</span><p class="바탕글" style="margin-top: 14pt;"><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;">2. 2016년 본인부담상한액</span><table style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; border-collapse: collapse;"><tbody><tr><td valign="center" style="border-width: 1.41pt 0.28pt 1.98pt 1.41pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 66.43pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 130%; -ms-layout-grid-mode: char;"><span style="font-family: 굴림체; font-size: 11pt; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">소득분위</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.41pt 0.28pt 1.98pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 55.11pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">1분위</span></DIV></td><td valign="center" style="border-width: 1.41pt 0.28pt 1.98pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">2~3분위</span></DIV></td><td valign="center" style="border-width: 1.41pt 0.28pt 1.98pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">4~5분위</span></DIV></td><td valign="center" style="border-width: 1.41pt 0.28pt 1.98pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">6~7분위</span></DIV></td><td valign="center" style="border-width: 1.41pt 0.28pt 1.98pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">8분위</span></DIV></td><td valign="center" style="border-width: 1.41pt 0.28pt 1.98pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 62.99pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">9분위</span></DIV></td><td valign="center" style="border-width: 1.41pt 1.41pt 1.98pt 0.28pt; border-style: solid solid double; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 64.21pt; height: 19.24pt;"><p class="바탕글" style="text-align: center; line-height: 150%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">10분위</span></DIV></td></tr><tr><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt 1.41pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 66.43pt; height: 15.82pt;"><p class="바탕글" style="text-align: center; line-height: 100%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">2014년도</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 55.11pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">120만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">150만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">200만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">250만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">300만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 62.99pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">400만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 1.98pt 1.41pt 0.28pt 0.28pt; border-style: double solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 64.21pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">500만원</span></DIV></td></tr><tr><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 66.43pt; height: 15.82pt;"><p class="바탕글" style="text-align: center; line-height: 100%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">2015년도</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 55.11pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">121만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">151만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">202만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">253만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">303만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 0.28pt 0.85pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 62.99pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">405만원</span></DIV></td><td valign="center" style="background: rgb(255, 255, 255); border-width: 0.28pt 1.41pt 0.85pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 64.21pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">506만원</span></DIV></td></tr><tr><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 66.43pt; height: 15.82pt;"><p class="바탕글" style="text-align: center; line-height: 100%; -ms-layout-grid-mode: char;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">2016년도</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 55.11pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">121만원</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">152만원</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">203만원</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 63.6pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">254만원</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 60.77pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">305만원</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 0.28pt 1.41pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 62.99pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">407만원</span></DIV></td><td valign="center" style="background: rgb(224, 229, 250); border-width: 0.85pt 1.41pt 1.41pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 64.21pt; height: 15.82pt;"><p class="바탕글" style="text-align: center;"><span lang="EN-US" style="font-family: 굴림체; font-size: 11pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">509만원</span></DIV></td></tr></tbody></table><p class="바탕글" style="margin-top: 14pt;">  <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]-->  <o:p></o:p><p class="바탕글" style="margin-top: 14pt;"><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;">3. 본인부담상한액 산정방법</span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 13pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">  가. 계산식</span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 13pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">    </span><span style="color: rgb(40, 40, 40); font-family: 휴먼명조; font-size: 14pt; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy;"><font face="굴림">❍ </font></span><span style="font-family: 굴림체; font-size: 13pt; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">해당 연도 본인부담상한액 = 2015년 본인부담상한액 × (1 + 전국소비자물가변동률)</span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 13pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">        </span><span style="font-family: 굴림체; font-size: 12pt; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">※2015년 전국소비자물가변동률(통계청 2015.12.31 발표): 0.7%</span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 13pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">  나. 전국소비자물가변동률은 「통계법」 제3조에 따라 통계청장이 매년 고시하는 전전년도와 대비한 전년도 전국소비자물가변동률을 적용하되, 그 전국소비자물가변동률이 100분의 5를 넘는 경우에는 100분의 5를 적용</span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 13pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">  다. 해당 연도 본인부담상한액을 산정한 경우에 1만원 미만의 금액은 버림</span><p class="바탕글" style="line-height: 100%; margin-top: 14pt; -ms-layout-grid-mode: char;">  <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]-->  <o:p></o:p><p class="바탕글" style="margin-top: 14pt;"><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;">4. 적용기간 : </span><span lang="EN-US" style="color: rgb(40, 40, 40); font-family: HY울릉도M; font-size: 14pt; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;">2016.1.1~2016.12.31</span><p class="바탕글" style="line-height: 100%; margin-top: 14pt; -ms-layout-grid-mode: char;">  <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]-->  <o:p></o:p><p class="바탕글"><span lang="EN-US" style="font-family: HY울릉도M; font-size: 14pt; font-weight: bold; mso-fareast-font-family: HY울릉도M; mso-hansi-font-family: HY울릉도M;">5. 적용방법 </span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">  ○</span><span style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">상한제 사전급여:</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> 같은 요양기관의 1년간 본인부담액이 </span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">509만원을 넘을</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> 경우</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> </span><span style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">진료받은 사람은 509만원까지만 납부</span><span style="font-family: 굴림체; font-size: 14pt; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">하고 그 초과액은 요양기관이 공단에 청구</span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">  ○</span><span style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">상한제 사후환급</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> </span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">    -</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;"> </span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">‘</span><span style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">상한액기준보험료</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">‘ </span><span style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">산정 전</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">(</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">‘</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">17년 6월) : 요양급여내역의 본인부담금</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> 누적액이 509만원을 넘을 경우 그 초과액을 지급</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">  </span><p class="바탕글"><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">    -</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;"> </span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">‘</span><span style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">상한액기준보험료</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">‘</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> 산정 후(</span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">‘</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; font-weight: bold; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">17년 7월)</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> : </span><span lang="EN-US" style="font-family: 굴림; font-size: 14pt; mso-fareast-font-family: 굴림; mso-hansi-font-family: 굴림;">’</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;">16년 보험료 부담수준에 따라</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> </span><span style="font-family: 굴림체; font-size: 14pt; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">산정한</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> </span><span style="font-family: 굴림체; font-size: 14pt; mso-hansi-font-family: 굴림체; mso-ascii-font-family: 굴림체;">개인별 상한액과 개인별 상한액 산정 전 기준상한액인 509만원과의</span><span lang="EN-US" style="font-family: 굴림체; font-size: 14pt; mso-fareast-font-family: 굴림체; mso-hansi-font-family: 굴림체;"> 차액을 정산 지급</span></DIV>