Application should be made within 30 Days

To qualify for benefits, an “application form for dependency approval” must be submitted to PMAC through the member’s school. It shall come with documents that prove the relationship between the dependent and the member, the dependent’s date of birth, and his/her income, to confirm that the member financially supports the dependent. After examination of the documents and approval by PMAC, the individual can receive medical treatment covered by health insurance, etc. as a dependent.

If a new member has a dependent person who satisfies the requirements for dependency, the date when the membership is established is considered as the approval date. Or, if a member has a new dependent person who satisfies the requirements for dependency, the date when the person satisfies requirements as an approval date. This application should be made to PMAC via the member’s school within 30 days after the conditions for becoming a dependent are fulfilled. If the application is not made within 30 days after membership is established or the requirements for becoming a dependent are fulfilled, the date when the application form is received by PMAC is considered to be the approval date of dependency (if the date when the application form is sent can be confirmed, this date is the approval date of dependency). Any sicknesses or injuries before the approval date are not covered by PMAC health insurance.

Note 1:
A dependent can receive benefits from the date when the dependency is approved. Any medical fees incurred before the approval date are not covered by PMAC. Therefore, the member must make sure to submit an application for dependency approval as soon as a person becomes a dependent.

Note 2:
If a person covered under the National Health Insurance satisfies the requirements for dependency approval due to an income decrease, the date when the application is received is the approval date of dependency (if the date when the application form is sent can be confirmed, this date is considered to be the approval date of dependency).