If you paid the entire medical care cost up front
In some cases under the health insurance system, if you paid the entire medical care cost to the medical care institution or other facility up front, the Health Insurance Society will reimburse you later.
- If you paid the entire medical care cost up front
- If you become sick or are injured overseas
- If you cannot walk to or between hospitals
If you paid the entire medical care cost up front
| Required documents: | |
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[Documents to attach]
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| Deadline: | As soon as possible |
| Applies to: | Insured persons and dependents eligible for payment for the reasons shown below |
| Address inquiries and Submit to: | The person in charge of social insurance administration at your company (If you are voluntarily and continuously insured, please inquire with the Health Insurance Society instead.) |
| Notes: | See the table below concerning reasons for eligibility for payment and required documents to attach. |
| Reason for eligibility for payment of medical care expenses | Documents to attach to application form |
|---|---|
| If you underwent treatment without your health insurance card due to sudden sickness | Receipt (original),"Medical cost details (original)" or "medical treatment details" |
| If you received a live blood transfusion | Receipt, blood transfusion certificate |
| If you purchased and used prosthetic equipment such as an artificial arm or leg, an artificial eye, or a corset, as instructed by a physician: | Receipt, certificate from an insurance doctor If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear) |
| If you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval: | Receipt, written consent from an insurance doctor |
| If you had eyeglasses or contact lenses prepared and purchased to treat juvenile amblyopia or other condition in a child of less than nine years of age: | Receipt, copy of lens prescription from an insurance doctor, patient's checkup results |
| If you purchased limbal-supported rigid contact lenses for disfigured corneas due to ocular sequelae after experiencing Stevens-Johnson syndrome or toxic epidermal necrolysis: | Receipt Copy of written instructions or other document from an insurance doctor (A copy of a prescription or other document noting the name of the illness that can be used to confirm that the contact lenses were prescribed for an illness eligible for benefits) |
If you purchased a compression garment or similar item
Treatment of lymphedema of the arms or legs occurring after surgery for malignant tumor involving lymph node dissection (extensive resection) in the groin, pelvic region, or axillary region; primary lymphedema of the arms or legs
| Documents to attach to application form |
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| Type of compression garment | Compression stocking, compression sleeve, compression glove (compression bandage only if the doctor recognizes that these should not be used) |
| Notes | No more than two compression garments or similar items per body part may be purchased at a time. Repurchase made at least six months after the previous purchase is eligible for payment of medical care expenses. |
Treatment for intractable ulcer due to chronic venous insufficiency
| Documents to attach to application form |
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| Type of compression garment | Compression stocking (compression bandage only if the doctor recognizes that this should not be used) |
| Notes | No more than two compression garments or similar items per body part may be purchased at a time. Eligible for payment of medical care expenses only once (cases involving recurrence after healing are eligible for payment again) |
If you become sick or are injured overseas
| Required documents: | |
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[Documents to attach]
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| Deadline: | As soon as possible |
| Applies to: | Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas |
| Address inquiries and Submit to: | The person in charge of social insurance administration at your company (If you are voluntarily and continuously insured, please inquire with the Health Insurance Society instead.) |
| Notes: | The amount of the benefits will be based on the treatment costs as established under domestic health insurance. |
If you cannot walk to or between hospitals
| Required documents: |
[For approval by the Health Insurance Society]
** Submit this form, with a doctor's certification, to the Health Insurance Society in advance for approval. |
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[To claim transportation expenses] |
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[Documents to attach]
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| Deadline: | As soon as possible |
| Applies to: | Insured persons or dependents transported to or between hospitals as instructed by a doctor because the sickness or injury makes movement difficult |
| Address inquiries and Submit to: | The person in charge of social insurance administration at your company (If you are voluntarily and continuously insured, please inquire with the Health Insurance Society instead.) |
| Notes: |
This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Society determines that all of the following conditions apply:
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