Only 4.6% of Insurance Claims Filed Through 'Silson24'... 6 Out of 10 Healthcare Institutions Not Participating

Only 4.6% of Monthly Indemnity Claims Filed via Silson24
Traditional Korean Medicine Hospitals 2.7%, Long-term Care Hospitals 5.2%
Min Kyu Park: "Promote Hospital and Clinic Participation"

Among all subscribers of indemnity medical insurance, only 4.6% have filed insurance claims through “Silson24,” according to recent data. Silson24 is a service that allows consumers to request insurance claims via an application or web platform. Participating medical institutions electronically transmit the necessary documents for insurance claims—such as invoices, receipts, detailed statements of medical expenses, and prescriptions—directly to insurance companies, alleviating the burden on subscribers.

According to documents submitted to Min Kyu Park, a member of the National Assembly’s Political Affairs Committee from the Democratic Party of Korea, by the Insurance Development Institute, as of the end of July, there were 4,538,661 Silson24 subscribers. This figure represents just 13.0% of the total 34,796,140 indemnity insurance subscribers as of the end of last year.

The number of insurance claims made using Silson24 in July reached only 458,388 cases, which amounts to 4.6% of the average monthly indemnity insurance claim volume in 2025 (10,018,680 cases).

By region, Seoul had the highest Silson24 claim rate at 8.0%, followed by Daejeon (6.0%), Ulsan (4.8%), and Jeju (4.8%). Gyeongnam recorded the lowest claim rate at 2.8%, while Busan (3.0%), Chungnam (3.0%), Jeonnam and Gwangju (3.1%), Sejong (3.2%), and Chungbuk (3.3%) also fell below the national average of 4.6%.

The low usage rate of Silson24 among subscribers is mainly attributed to the insufficient participation of medical institutions.

According to documents provided by the Insurance Development Institute, the Silson24 linkage rate among healthcare institutions stood at 40.5% as of the end of July. Out of the 105,643 healthcare institutions eligible for Silson24 linkage, only 42,808 had actually completed the process electronically.

Regionally, Seoul had the lowest linkage rate among healthcare institutions at 36.0%. This was followed by Busan (37.4%), Gyeonggi (38.6%), Ulsan (39.3%), Incheon (39.4%), and Daejeon (39.4%), all below the national average linkage rate of 40.5%.

By institution type, the linkage rates for traditional Korean medicine hospitals (2.7%), long-term care hospitals (5.2%), psychiatric hospitals (6.1%), and dental clinics (10.0%) were all below 10%. Even among general outpatient clinics used by the public on a daily basis, the linkage rate was just 18.1%.

Assemblyman Park said, “Silson24 was introduced to enhance the convenience of insurance claims for the public. It is necessary to analyze the causes of low linkage rates among healthcare institutions and strengthen measures to increase participation of hospitals and clinics in Silson24 so that its benefits can be felt in clinical settings.”

Min Kyu Park, member of the Democratic Party of Korea. Office of Min Kyu Park

This content was produced with the assistance of AI translation services.