HEGA News

Reimbursement Announcement

Effective as of Dec 1st, 2016

There is no BSC product, but some competitive products are included as followings.

1. Competitive Products

- 두개강내신경자극기 Generator 충전식(이중채널) : Brio IPG (St.Jude)

- PTCA balloon : Ultraverse 035 (Bard)

- 상부소화관용 금속스텐트: BonaSent (Sewoon)

- 대장용금속스텐트 : BonaStent (Sewoon)

- Biliary metal stent: BonaStent (Sewoon)

Reimbursement Announcement

Effective as of Nov 1st, 2016

There is no BSC product, but some competitive products are included as followings.

1. Competitive Products 

- 두개강내신경자극기 Generator 충전식(이중채널) : Activa RC (Recharger 포함) (Medtronic)

- Sclerosing needle: Pentax (유니웍스), Injection needle (LSVP)

- PTCA balloon : Sapphire II  (오버스니치)

- 부정맥의 고주파절제술용 전극카테타-Irrigation 방식: Flexibility (St.Jude)

- PTA Stent: Protege GPS (코비디엔)

- 약물방출 PTA stent: Zilver PTX - THUMBWHEEL (Cook)

Reimbursement Announcement

Effective as of Oct 1st, 2016

There is no BSC product, but some competitive products are included as followings.

Note:  No reimbursement price change related to the FX change (Grade 1) as of Oct 1^st 2016

◆’16.10.1. 치료재료 상한금액 환율 연동 : 1등급 적용 (변동없음)

1. Competitive Products  

- Permanent pacing lead : Beflex(Sorin), Xfine (Sorin)

- Sclerosing needle: Optimal Fixed (Optimedi)

- Pancreatic metal stent (Non-covered) : Non Covered pancreas (MITech)

- Pancreatic metal stent (covered) : Covered Lasso, Covered Pancreas (MITech)

- 대장용금속스텐트: Gate Colon-Rectal (Mediwood)

- Biliary metal stent: Gate biliary (Mediwood), Allium BIS (Allium)

- 상부소화관 슴속스텐트 : Gate …(Mediwood)

- Change : Angiosculpt (Vasocare), Celsius RMT ablation catheter (J&J) 

Reimbursement Announcement

Effective as of Sep 1st, 2016

It includes BSC products (Orion Catheter, JetStream) and some competitive products as follows. 

2. Competitive products

- Sclerosing needle: Injection needle (Medwork), Endoin-Upex (Upexmed)

- 상부소화관용 금속스텐트 : Nexent (Nextbiomedical)

- 대장용 금속스텐트: Nexent (Nextbiomedical)

- Super selection용 micro guide wire (장기용): Anguis (Sungjin)

- 요도용 금속 스텐트 : Allium (Asian medical)

- 심장내영상초음파 카테터: Acumav (J&J) (비급여 -> 급여 전환)

- 삼차원 (3-D) 심장내영상초음파 카테터: Soundstar 3D (J&J) (비급여 -> 급여 전환)

- 고주파를 이용한 흉강경하 심방세동 수술용: Isolator synergy (Atricure) (비급여 -> 급여 전환)

Reimbursement Announcement

Effective as of Aug 1st, 2016

It includes BSC products (Guidezilla and Twister Plus) and some competitive products as follows.

1. BSC Product (New)

-  GuideZilla (IC) : Not Reimbursed (비급여 - No reimbursement price)

2.  BSC product (Change)

- Twister Plus (Endo) : Not reimbursed -> Reimbursed ( 비급여에서 급여 전환)

3. Competitive products

- Sclerosing needle: TING COBRA INJECTION NEEDLE (ING medical)

- PTCA balloon: RAIDEN 3 (AMG Korea)

- 임상전기생리학적검사용 CATHETER-LINEAR TYPE: EASYFINDER FIXED CURVE DIAGNOSTIC CATHETER (SHANGHAI MICROPORT EP MEDTECH)

Reimbursement Announcement

Effective as of July 1st, 2016

It includes BSC product (3D mapping reference catheter) and some competitive products such as BVS (Abbott) and PI detachable coil (Covidien).

1. BSC Product 

-   Location Reference Back Patch (EP) : This product is for Rhythmia system (Orion 3D mapping catheter), and Orion reimbursement will be announced in Q4 2016.

2. Competitive products : 

- Sclerosing needle: Injection needle (메디스윕)

- Micro coil – Detachable (말초혈관용): Concerto (Covidien)

- Super selection catheter (장기용 without guidewire) : Radiostar (Taewoon)

- Drug Eluting coronary stent – 흡수성(BVS) : Absorb GT1 (Abbott)

- 비경구 결석제거용 Basket: Grasping Basket(Olympus), Grasping forceps (Olympus)

Reimbursement Announcement

Effective as of June 1st, 2016

There are new BSC product (NC Emerge), some competitive products and CRM product price cut based on landed price markup policy (원가조사에 의한 상한금액 인하) included.

The impact of price cut would not be significant, because the cut rate is low and/or the MRI products are not included in this cut.

1. BSC new Product 

(1)    NC Emerge (IC)

2. Competitive products 

- PTCA balloon: Ikazuchi Zero (AMG Korea)

- Ablation guiding catheter: Swartz Braided transseptal guiding (St.Jude)

- Biliary Metal stent: Nexent (Nexbiomedical), Biliary Stent BC (CGBio)

- 대장용금속스텐트: Colon Stent CC, CP (CGBio)

3. Price cut based on landed markup policy  (원가조사에 의한 상한금액 인하)

1)  Total 25 products  (24 CRM, 1 Uro)

2)  Effective June 1, 2016 : 25 products  (Up to 5.6%)

3)  Effective Dec 1, 2016: 11 products   (The rest %)

Reimbursement Announcement

Effective as of April 1st, 2016

It includes REBEL stent (IC) and some competitive products as followings.

1. BSC Product  

· REBEL coronary stent (IC) 

2. Competitive Products 

- Sclerosing needle: ME-Flex (Mefis Korea), Needle Master (Olympus)

- Occlusion balloon:  Fogarty occlusion (Edwards)

- Super selection catheter (장기용 without guide wire): Carnelian Micro (Tokai)

- 임상정기생리학적검사용 catheter: EP VAVI (Misungchemical)

- 삼차원(3-D) 심실내 혹은 심방내 빈맥 지도화 및 고주파절제술용: Tacticath Quartz contact Force ablation catheter (St.Jude)

- PTCA & PTA용 Micro guide wire: Approach Pro ST (Cook)

- Drug Eluting coronary stent: Genoss DES Sirolimus eluting coronary stent (Genoss)

Reimbursement Announcement

Effective as of March 1st, 2016

Our product, Twister Plus (Endo) is announced as ‘Not reimbursed (비급여)’ as follows. 

Reimbursement Announcement

Effective as of February 1st, 2016

It includes Ingevity MRI lead (CRM) and some competitive products as followings.

1. BSC Product  

·  Ingevity MRI lead (CRM)  : Same reimbursement code and 10% premium price for MRI model (MRI model: All UPNs)

2. Competitive products  : 

- PTA balloon Catheter: Passeo-35 HP (Biotronik)

- Hair Wire: Mini Access (Merit Medical)

- 식도,담도,기관지 성형술용 내시경하 Guide Wire:  GUIDE WIRES_GSLIDER (M.I.Tech)

Reimbursement Announcement

Effective as of January 1st, 2016

It includes Expel Ureteral stent (PI) and Safari Guidewire (IC), and some competitive products such as Abbott’s BVS as followings.

2.       Competitive products 

- Pacemaker MRI lead : Isoflex, Tendril (St.Jude)

- ICD MRI Lead: Durata (St.Jude)

- MRI ICD: Iperia 7 (Biotronik)

- 경피적 혈전제거술용 (Thrombectomy catheter): Straub rotational thrombectomy catheter (바소케어)

- Drug Eluting coronary stent- 흡수성(BVS): Absorb BVS (Abbott)

- Biliary metal stent: Nextent (Nexbiomedical)

- PTA stent: Supera (Abbott)

- 3D  mapping 관련 : Navistar Smart Touch : 20% premium – Please refer to sheet #4

- 혈관 중재적 시술 후 지혈용 – 침습적 지혈기구 : Angioseal 등 (비급여 -> 선별급여 전환, 80% 본인부담) 

Reimbursement Announcement

Effective as of December 1st, 2015

It includes Autogen MRI ICD, Reliance 4-Front MRI lead (CRM), 2 Urology baskets (Uro) and some competitive products as followings.

1. BSC Product - MRI ICD & Lead

1) Autogen MRI ICD  (CRM): New reimbursement code and 10% premium price for MRI model (MRI VR model:  D174, D044 only / MRI DR model: D176, D046 only)

3. Competitive products 

- Sclerosing needle: Sclerotheraphy (HAH meditech)

- Drug Eluting coronary stent: Ultimaster (Terumo)

- PTCA & PTA Micro Guide wire: Hi-torque Versaturn (Abbott)

- PTCA balloon Catheter: Cardioglide (CVBio)

Reimbursement Announcement

Effective as of November 1st, 2015

It includes the current products such as Renegade STC-18(PI), Uromax Ultra Balloon(Uro) and some competitive products as followings.

1.  BSC Product  : Old products with new reimbursement code 

1)      Renegade STC-18  (PI)

2)      Uromax Ultra Balloon Catheter (Uro)

2. Competitive products 

-  심실제세동기 Lead: : Quattro Secure  (Medtronic)

-  심실제세동기 Lead_MRI 촬영가능: Sprint Quattro Secure (Medtronic)

-  Sclerosing needle: BCM Hilzo (BCM)

-  요관용 금속스텐트 : Memokath (동아에스티), Urexel stent (S&G     Biotech) => 선별급여 (본인부담율 80%) 

Reimbursement Announcement

Effective as of October 1st, 2015

It includes current products such as Flexima Ureteral stent (PI), PTFE Guidewire (Uro), and FilterWire EZ (Category change) & competitive products as followings.

The reimbursement prices for all BSC products will be increased by 4% due to the  FX change from Oct 1^st.

1.       BSC Product  : Old products with new reimbursement code

          1) Flexima Double pigtail Ureteral stent  (PI)

          2) PTFE Coated Guidewire (Uro)

3.       Bayer Product : Change category (Not reimbursed -> Selective reimbursement)

4.       Reimbursement price change related to FX change : Please refer to the sheet #10 of the first attachment???

5.       Competitive products

• 약물방출 PTA Balloon Catheter: Lutonix (Bard)
• 관상동맥내 압력측정용 (FFR): Navvus Catheter (Acist medical)
• PTA balloon Catheter: Saber (Cordis)
• PTA stent: Everflex (Covidien)
• 대장용 금속스텐트: Revis (CGBio)
• 상부소화관용 금속스텐트 : Revis (CGGio), Hilzo (BCM)

Reimbursement Announcement

Effective as of September 1st, 2015

It includes Synergy Stent (IC),  Expel Nephrostomy catheter(PI), product name change for Accolade MRI (CRM) and some competitive products as followings.

1. BSC Product

2.   Competitive products 

• 심실제세동기 Lead: Epicardial Transvene lead (MDT)
• Sclerosing needle: BCM Hilzo (BCM)
• Super selection Catheter : Artec Mirco catheter (솔빛)
• Biliary Metal Stent: Bonastent for Biliary (Sewoon)

Reimbursement Announcement

Effective as of August 1st, 2015

It includes Expel Multipurpose drainage catheter(PI) and some competitive products such as PI DEB, PI DES as followings.

*BSC Product

1.  Expel Multipurpose Drainage Catheter (PI)   

2.   Competitive products 

• Super Selection용 Micro Guide wire (장기용) :  Radifocus Glideview (Terumo)
• PTA Balloon Catheter : Genoss (Genoss)
• PTCA Balloon Catheter : Sequent Neo (B.Braun), Sleek Prime (Sino)
• Drug Eluting coronary stent: Biomime (Meril Life), Biofreedom (Biosensors), Xience Alpine (Abbott)
• 부정맥의 고주파절제술용 전극카테타 : Alcath flutter (Biotronik)
• 약물방출 PTA Stent : Zilver PTX (Cook)
• 약물방출 PTA Balloon: In Pact (Medtronic)
• 혈관내영상카테타: Kodama Intravascular (브라코이미징코리아)

Reimbursement Announcement

Effective as of July 1st, 2015

It includes Autogen X4 CRT-D & Acuity X4 lead with 10% premium and some competitive products as followings.

*BSC Product

1. Autogen X4 CRT-D & Acuity X4 Lead (CRM)   - 10% premium

2.  Biopsy Forceps (Endo) : Effective as of Aug 1^st, 2015  

*Competitive Products

• 경피적 대동맥판 삽입용(TAVI) : PORTICO TRANSCATHETER HEART VALVE  (St.Jude)
• PTCA Balloon Catheter : Fluydo  (CID S.P.A)
• 혈관내막 Penetrating Catheter : Enteer Re-entry catheter (EV3)
• 부정맥의 고주파절제술용 전극카테타: Alcath Flutter (Biotronik)

Reimbursement Announcement

Effective as of June 1st, 2015

It includes Acuity Pro guide catheter(CRM), Lotus Introducer (IC) and some competitive products as followings.

*BSC Product

1. Acuity Pro Guide Catheter (CRM)   

*Competitive Products

• CRT용 LV Lead : Sentus OTW BP (Biotronik)
• 배액용 catheter : THAL-QUICK DRAINAGE CATHETER (Cook)
• Biliary metal stent: Hilzo (BCM)
• 대장용 금속스텐트: Lzo, Hilzo (BCM)
• 상부소화관용 금속스텐트 : Hilzo (BCM)
• Biliary metal stent: HILZO BILIARY STENT (BCM)

Reimbursement Announcement

Effective as of May 1st, 2015

It includes Autogen CRT-D (CRM)  and some competitive products such as Resolute Onyx as follows.Quadripolar products (Autogen X4 CRT-D and Acuity X4 lead) are expected as of July 1^st, 2015 with 10% premium price.

*BSC Product

Autogen CRT-D (CRM)  

*Competitive Products

• CRT-P : ALLURE QUADRA CRT-P RF (St.Jude)
• Pacemaker : ACCENT MRI (St.Jude)
• Pacing lead: TENDRIL MRI (St.Jude)
• 경구 결석제거용 basket : FUSION EXTRACTION BASKET (Cook)
• Super Selection용 Guide Wire (장기용) : REAL GUIDE MICRO GUIDE WIRE (인터벤션메디칼)
• Drug Eluting coronary stent: RESOLUTE ONYX (Medtronic)
• Biliary metal stent: HILZO BILIARY STENT (BCM)

Reimbursement Announcement

Effective as of Feb 1st, 2015

It includes Ingevity lead,  Autogen ICD (CRM), manufacturer change and some competitive product as follows.

*BSC Product

1. Ingevity Lead (CRM) - with Non-MRI spec  

*Competitive Products

• PTA Stent: Smartflex (J&J)
• PTCA Balloon: Jive (대신메디칼)

*Manufacturer Change for BSC Products (제조회사변경)- 45 products

• 기존 보험고시 목록에서 제조회사명이 예전 명칭인 Target, Scimed, Medi-Tech 등으로 되어 있는 제품들에 대하여 ‘Boston Scientific’ 등 현재 상황에 맞게 변경된 것입니다.
• 각 병원에 등록된 보험 목록에 제조회사 정보 변경 작업을 하면 가장 좋겠지만 상황이 여의치 않으면 병원에서 문의 시 변경하면 될 것 같습니다. (신규는 본 내용으로 등록신청)  

  (변경고시의 예)

Reimbursement Announcement 

Effective as of Mar 1^st, 2015.

It includes Ingenio MRI DR type (CRM),  PCB Flextome (PI) and some competitive product as follows.

(FYI, Ingenio MRI SR type is under review and will be announced later.)

*BSC Product

1. Ingenio MRI Pacemaker (CRM)  :  DR type  - 10% premium

*Competitive Products

-          Sclerosing needle: Injection needle (지인시앤티)

-          배액용 Catheter: Straight drain drainage catheter (Cook)

-          Super Selection Catheter (장기용): Total Across Microcatheter (Medtronic)

-          PTA balloon Catheter: Rapicross (EV3)

-          PTCA balloon Catheter: NC Euphora (Medtronic), Mozec RX (페트라메디칼) If you have any questions, please let me know.

Reimbursement Announcement 

Effective as of Apr 1^st, 2015.

It includes Ingenio MRI SR type (CRM)  and some competitive products such as MDT’s MRI ICD. 

*No reimbursement price change in connection with FX rate => Grade ‘0’ as of April 1. 

*BSC Product

1. Ingenio MRI Pacemaker (CRM)  :  SR type  - 10% premium

*Competitive Products

-          Pacemaker: Advisa SR MRI (Medtronic)

-          Pacemaker lead: Capsurefix Novus MRI lead, Capsuresense MRI lead (Medtronic)

-          심실제세동기: Evra MRI XT ICD (Medtronic)

-          심실제세동기 lead: Sprint Quattro Sequre MRI Lead (Medtronic)

-          Super Selection 용 Micro Guide Wire (장기용): Enteer Guidewire (EV3)

-          PTCA balloon Catheter: NC Traveler Coronary Dilatation Catheter (Abbott)

-          상부소화관용 금속스텐트: Revis Esophagus stent (CG Bio), Hilzo Esophageal covered stent (BCM)

-          Biliary Metal stent: Revis Biliary stent (CB Gio)