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Specialized Commissioned Treatment

Overview of Specialized Consignment

The Specialized Consignment System allows certain patients eligible for government-funded medical treatment to receive specialized care at designated hospitals when treatment at a VHS Hospital is difficult due to the lack of medical specialists, equipment, or facilities. This program is designed to ensure that eligible veterans receive appropriate and timely treatment through referral to specialized institutions.

Target

Among patients whose medical expenses are fully covered by the government (excluding reduced-fee patients):

Those diagnosed or suspected of having infectious diseases that cannot be treated within the VHS Hospital.
Those with rare, intractable, or severe diseases that cannot be adequately treated at the VHS Hospital.
Those whose required medical specialties or equipment are unavailable or insufficient at the VHS Hospital.
Note: For patients registered after July 1, 2012 with Grade 7 disability, those registered after June 23, 2016 with mild Agent Orange aftereffects (including second generation), 5·18 Democratization Movement injured persons (Grades 12–14), and Special Mission injured persons (Grade 7), a 10% copayment applies for treatment unrelated to the injury site.

Specialized Consignment Treatment Procedure

Consignment to a specialized hospital is only permitted when the attending physician determines that treatment is not possible within the VHS Hospital and approval is granted by the hospital director.

01. ConsultationReceive medical consultation at the VHS Hospital.
02. Decision for Specialized ConsignmentIf treatment is deemed impossible within the VHS Hospital, the attending specialist issues a “Specialized Consignment Treatment Request Form.”
03. Consignment GuidanceThe Consignment Team provides information on support coverage, claim procedures, and related matters.
04. Treatment and ClaimsSubmit individual medical receipts, detailed statements, etc.
05. Medical Expense ReviewThe Claims Department reviews submitted medical expenses.
06. Payment of Medical ExpensesApproved medical expenses are deposited directly into the patient’s personal account.

Application for Medical Expense Reimbursement

After first paying the medical institution or pharmacy, submit the following documents to apply for reimbursement:

Original medical expense receipt
Detailed statement of medical charges
Original prescription drug receipt (with prescription attached)
Imaging report for specialized outpatient tests (CT, PET-CT, MRI, Ultrasound, etc.)
Confirmation of higher-grade room usage (if applicable)
Applicant’s real-name bank account (pension deposit account)

The following expenses are excluded from coverage under Specialized Commissioned Treatment (further details provided at application)

Medical or examination expenses unrelated to the referred disease, or costs incurred beyond the approved treatment period
Expenses from changing hospitals without authorization by the patient or guardian
Non-reimbursable medical expenses not defined by the National Health Insurance Standards for Benefits and Reimbursements
Additional room charges for higher-grade rooms (covered for up to 7 days only if standard rooms unavailable; VIP rooms excluded)
Donor-related costs in organ transplant surgeries
Certain non-covered items under Article 9(1) of the Rules on the Standards of Health Insurance Benefits
Dental prosthetic materials, assistive device costs, certificate issuance fees, caregiver fees, telephone charges, and medical supplies or equipment purchased outside certified medical institutions or pharmacies
Any other cases separately defined by the Minister of Patriots and Veterans Affairs.