Korean Medical, Education & Insurance Credit Calculator

The special tax credits at year-end settlement, applying the 3%-of-salary medical threshold and the ceiling on each item.

Rules as of 2026-11-13 · Sources: MOLEG statutes · ministry notices

Medical costs only count above 3% of your salary

On a salary of ₩50M, the first ₩1.5M of medical spending gives you nothing. But medical costs for yourself, for anyone over 65 and for people with disabilities have no ceiling, so a large hospital bill for a parent changes the picture considerably.

Gross salary

Insurance premiums ₩1M ceiling on each

Medical costs only above 3% of salary

Education costs 15%

Result

Your credit is ₩2.15M. As a credit it comes straight off the tax you owe, but it cannot exceed your computed tax.

Insurance credit

₩120,000

₩1M ceiling on each

Medical credit

₩225,000

above the ₩1.5M threshold

Education credit

₩1.8M

15%

₩1.5M of your medical spending earns no credit. Nothing counts until you pass ₩1.5M, which is 3% of your gross salary.

₩2M of the education costs is above the ceiling of ₩9M per university student and ₩3M per school or pre-school child.

How the credits are worked out
Insurance credit₩120,000
Medical threshold (3% of salary)₩1.5M
Medical costs that count₩1.5M
Medical credit (15%)₩225,000
Education credit (15%)₩1.8M
Total₩2.15M

The rule is 소득세법 제59조의4. The medical threshold is taken first out of general medical costs, and if that is not enough, out of costs for yourself and those over 65, then fertility treatment. Costs for premature or congenitally ill infants are credited at 20% and are not included here. Postgraduate tuition and education paid from student loans are excluded from children's education costs, while your own education has no ceiling. Because you enter each item yourself here, the split may differ from how the tax office's simplified data classifies it.

How this works

What it calculates

What Korean year-end settlement calls the "special tax credits" are three items: protection-type insurance premiums, medical costs and education costs. All three are credits rather than deductions, meaning they come straight off the tax computed rather than off your income, so the credit amount is exactly what your tax bill falls by. Enter your gross salary and what you spent on each item, and this calculator shows the credit for each, the total, the part of your medical spending that earns nothing because of the threshold, and the part of your education spending that is lost to the ceilings.

The three items work differently. Insurance is simple: cap the premiums, multiply by the rate. Medical costs only start to count above a fixed share of your salary, and whether they are capped depends on whose treatment you paid for. Education costs are capped per child, and the ceiling grows with the number of children. Without knowing those differences it is easy to wonder why heavy spending produced so small a credit.

Who uses it and when

Salaried employees checking, ahead of year-end settlement, how much of this year's hospital bills, premiums and tuition will come back as tax. It matters most in an unusual year: a large hospital bill for a parent, a child starting university, or a course of fertility treatment all change the result sharply, so that is when it is worth running the numbers.

Dual-income couples also use it to decide which spouse should claim the medical costs. The medical threshold is a percentage of gross salary, so the lower earner has the lower threshold and the same bills yield a larger credit. Entering each spouse's salary in turn shows immediately which side comes out ahead. One caveat: a credit can only offset that person's own computed tax, so piling everything onto the spouse who owes little tax can leave part of the credit unused.

Legal basis and how the maths runs

The rule is 소득세법 제59조의4. Insurance falls under paragraph 1: protection-type premiums are credited at 12% and disability-only cover at 15%, each recognised up to ₩1,000,000 a year. Savings-type policies do not count. Medical costs fall under paragraph 2. The calculator first works out the threshold, 3% of gross salary. Whatever you spent above that threshold is eligible, and it is credited at 15% for ordinary medical costs and 30% for fertility treatment. The threshold is taken out of ordinary medical costs first; if they are not enough to absorb it, the rest comes out of costs for yourself, people over 65 and people with disabilities, and then out of fertility treatment.

Ordinary medical costs are recognised only up to ₩7,000,000, but costs for yourself, for anyone aged 65 or over, for people with disabilities and for those with serious illness have no ceiling, which is why the calculator takes them in a separate box. Education falls under paragraph 3: tuition is recognised up to ₩9,000,000 per university student and ₩3,000,000 per school or pre-school child, then credited at 15%. Entering the number of children raises the ceiling accordingly. The three credits added together are the special tax credit total, which can never exceed the tax computed.

A worked example

The calculator's defaults are a gross salary of ₩50,000,000, ₩1,000,000 of protection-type premiums, ₩3,000,000 of ordinary medical costs, ₩10,000,000 of tuition for one university student and ₩4,000,000 for one school-age child. The premiums sit inside the ceiling, so 12% of ₩1,000,000 gives a credit of ₩120,000. The medical threshold is 3% of ₩50,000,000, or ₩1,500,000, so only ₩1,500,000 of the ₩3,000,000 counts and 15% of that is ₩225,000. The other ₩1,500,000 is swallowed by the threshold and earns nothing.

For education, the ₩10,000,000 of university tuition is cut to the ₩9,000,000 ceiling and the ₩4,000,000 of school costs to the ₩3,000,000 ceiling, so ₩2,000,000 is lost, and 15% of the recognised ₩12,000,000 gives ₩1,800,000. Adding the three items, the tax falls by ₩2,145,000. Now keep everything else but reduce ordinary medical costs to ₩1,000,000 and put ₩8,000,000 of hospital bills for a parent aged over 65 in the uncapped box. The ₩1,500,000 threshold takes ₩1,000,000 from the ordinary box and the remaining ₩500,000 from the parent's bills, leaving ₩7,500,000 eligible; the medical credit jumps to ₩1,125,000 and the total to ₩3,045,000.

Common mistakes

The most common mistake is not knowing about the medical threshold. Up to 3% of gross salary the credit is zero no matter what you spend, so on a ₩50,000,000 salary the first ₩1,500,000 of hospital bills changes nothing. The next is entering a parent's or your own medical costs in the ordinary box. They belong in the uncapped box, which avoids the ₩7,000,000 ceiling, and because the threshold is deducted from the ordinary box first, simply splitting the costs correctly changes the result.

On education, people often include a child's postgraduate tuition. That is not eligible, whereas your own postgraduate study is recognised with no ceiling, so it does not belong in the children's box here. Tuition paid from a student loan is also excluded from children's education costs. On insurance, savings-type policies are sometimes mistaken for protection-type cover, and any payout received from an indemnity policy has to be taken off the medical costs. Medical costs incurred abroad do not qualify. Finally, because you enter each item yourself, the split may differ from how the tax office's simplified data classifies it, so it is worth reconciling with that data before filing.

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Common questions

I spent a lot at hospital. Why is there no credit?
Medical costs only count above 3% of your gross salary. On a ₩50M salary, the first ₩1.5M gives you nothing.
Is there a ceiling on a parent's hospital bills?
No. Costs for anyone over 65, for people with disabilities or serious illness, and for yourself are outside the ₩7M ceiling. Only other dependants' medical costs are capped.
Is fertility treatment different?
Yes. It carries the highest rate at 30%, against 15% for general medical costs. Medicines prescribed in connection with the treatment count too.
How much insurance can I claim?
Protection-type premiums are credited at 12% up to ₩1M a year. Disability-only cover has its own separate ₩1M ceiling at 15%. Savings-type policies do not qualify.
Does postgraduate tuition count?
Not for a child. Postgraduate tuition is excluded there. Your own postgraduate study is credited without a ceiling. For children the limits are ₩9M per university student and ₩3M per school or pre-school child.
In a dual-income household, who should claim?
For medical costs, usually the lower earner. The threshold is 3% of gross salary, so a lower salary means a lower threshold. Check that their computed tax is large enough to absorb the credit.
Can foreign residents claim these credits?
Yes, if you are a tax resident with employment income. 소득세법 attaches no nationality requirement. Note that medical costs incurred abroad do not qualify, and tuition at institutions outside Korea has its own separate conditions. Electing the 19% flat rate removes these credits entirely. If your dependants live in your home country, check the income and age conditions and what evidence you will need before you rely on them.

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Proposed changes that touch this calculation

The 2026 tax reform bill has 2 items bearing on this calculation, the earliest from 2027-01-01. None of it has passed the National Assembly, so the calculator still applies the law as it stands.

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