Is the Initial Dental Checkup Covered by NHIS?
Yes—partially. In Korea, the initial dental checkup is covered by the National Health Insurance Service (NHIS) when it is considered medically necessary. This applies to both Korean citizens and registered foreigners enrolled in NHIS.
However, coverage is not 100%, and patients are expected to pay a co-payment at the clinic on the same day.
What’s Covered During the First Dental Visit
NHIS typically covers the basic diagnostic components of an initial dental appointment.
Covered services include:
- Dental consultation and oral examination
- Basic diagnostic assessment
- Standard dental X-rays (when medically needed, such as periapical or panoramic)
Typical patient co-pay:
- Around 30–50% of the total insured cost
- Usually paid immediately after the visit
What’s NOT Covered in the Initial Checkup
Some services are considered non-essential or cosmetic and are not covered by NHIS.
Not covered:
- Cosmetic consultations only (no medical issue)
- Smile design or aesthetic evaluations
- Whitening consultations
- Non-essential imaging requested for cosmetic planning
- Detailed reports for cosmetic or overseas treatment planning
If your visit is purely aesthetic, the clinic may charge 100% out-of-pocket.
How Much Does the First Visit Usually Cost?
For NHIS-covered visits, most patients pay a small amount compared to private systems.
Typical out-of-pocket range with NHIS:
- ₩10,000 – ₩30,000 for consultation + basic X-ray
- Costs vary depending on clinic type and imaging used
Private (non-insured) first visits may cost more, especially at foreigner-focused or cosmetic dental clinics.
How Payment Works at the Clinic
- Payment is made immediately after your appointment
- Clinics accept credit cards, debit cards, and sometimes bank transfer
- The clinic handles NHIS claims directly—no paperwork required
- Always ask whether a service is 보험 적용 (insured) or 비급여 (non-insured) before proceeding
Important Tips for Foreigners
- Bring your ARC and NHIS enrollment status
- Clearly explain symptoms (pain, swelling, sensitivity) to ensure coverage
- Ask for a cost explanation before treatment starts
- English-speaking clinics may recommend non-covered options—this is normal
Quick Summary
- ✔ Initial dental checkups are covered by NHIS when medically necessary
- ✔ You pay a 30–50% co-pay, usually ₩10,000–₩30,000
- ✖ Cosmetic-only consultations are not covered
- ✔ Payment is made on the same day at the clinic
