Treatment Appointment If you have the Korean National Health Insurance and you wish to see a specialist, since Gangnam Severance hospital is a tertiary-level hospital, you have to bring a referral letter from a local clinic in order to get the full coverage.If you have International insurance which has contract with Gangnam Severance hospital, please ask them regarding gaurenteeof payment.For some insurances, if there is no guarantee of payment letter by the day you have the appointment, you will need to pay outof your pocket.For Tricare holders, since Tricare is a secondary insurance, if you have other insurance, please askthe International clinic billing department for the usage.If you have insuracewhich our hospital does not have contract, you will need to self-pay.For more information, please contact our International Healthcare Center(gnseverance2@yuhs.ac,02-2019-3600) Patient Information * Necessary Input Information Patient Information table Name, Date of Birth, Gender, Nationality,E-mail, Phone No, Address(Korea), Insurance Information * Name Please enter your name on the passport * Date of Birth * Gender Male Female * Nationality ::Select:: AFGHANISTAN ALBANIA ALGERIA AMERICANSAMOA ANDORRA ANGOLA ANGUILLA ANTIGUAANDBARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BosniaandHerzegovina BOTSWANA BRAZIL BRUNEIDARUSSALAM BULGARIA(REP) BURKINAFASO BURUNDI CAMBODIA CAMEROON CANADA CAPEVERDE CAYMANISLANDS CENTRALAFRICANREPUBLIC CHAD CHILE CHINA(HONGKONG) CHINA(PEOPLE'SREP) COLOMBIA CONGO COSTARICA COTEDIVOIRE CROATIA CUBA CYPRUS CZECHOSLOVAKIA CZECHREP DENMARK DJIBOUTI DOMINICA DOMINICANREPUBLIC ECUADOR EGYPT ELSALVADOR ERITREA ESTONIA ETHIOPIA FAROEISLANDS FIJI FINLAND FRANCE FRENCHGUIANA FRENCHPOLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HUNGARY(REP) ICELAND INDIA INDONESIA IRAN(ISLAMICREP) IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA KUWAIT KYRGYZSTAN LAOPEOPLE'SDEMREP LATVIA LEBANON LESOTHO LIBERIA LIBYANARABJAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURE MACAO MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALLISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA MOLDOVA,REPUBLICOF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NEPAL NETHERLANDS NETHERLANDS(ANTILLES) NEWCALEDONIA NEWZEALAND NICARAGUA NIGER NIGERIA NORFOLKISLAND NORTHERNMARIANAISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA(REP) PAPUANEWGUINEA PARAGUAY PERU PHILIPPINES POLAND(REP) PORTUGAL PUERTORICO QATAR REUNION ROMANIA RUSSIANFEDERATION RWANDA SAINTKITTSANDNEVIS SAINTLUCIA SAINTVINCENTANDTHEGRENADINES SAMOA SANMARINO SAUDIARABIA SENEGAL SEYCHELLES SIERRALEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMONISLANDS SOUTHAFRICA SPAIN SRILANKA SURINAME SWAZILAND SWEDEN SWITZERLAND TAIWAN TAJIKISTAN TANZANIA(UNITEDREP) THAILAND TOGO TONGA TRINIDADANDTOBAGO TUNISIA TURKEY TURKSANDCAICOSISLANDS TUVALU U.S.A UGANDA UKRAINE UNITEDARABEMIRATES UNITEDKINGDOM URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGINISLANDSBRITISH VIRGINISLANDSU.S. YEMEN ZAMBIA ZIMBABWE * E-mail @ etc (Direct input) gmail.com naver.com daum.net yahoo.com aol.com icloud.com * Phone No. * Address(Korea) * Korean National Health Insurance Yes No Please provide insurance comment * Medical Referral Yes No Request an Appointment * Necessary Input Information Request an Appointment table Type of Inquiry, Alien Register No., PassportNo., PreferredDate, Status, Diagnosis/Symptoms, Automatic inputprevention, Special Comments * Type of Inquiry ::Select:: Medical appointment Medical tourism Patient referral Alien Register No. Passport No. * Preferred Date ~ Status Business Travel Student Treatment Other * Diagnosis/Symptoms(Please be specific) Special Comments * Automatic input prevention Please write in the order you see * Information on the Collection and Use of Personal Information Information on the Collection and Use of Personal Information I agree NEXT Reset