“Special Case for a Long-Term and High-Cost Care” on Health Insurance Act
Patients who need a long-term and high-cost care may be eligible for the medical expense reduction system which is a special case relating to a specified disease within a High-Cost Medical Care Benefit of each health insurance. Eligible patients will be issued a “Tokutei Shippei Ryouyou Jyuryoushou / Medical Care Certificate for the specified disease and treatment”. Once accepted, it will be effective from the first day of the month you applied and the maximum copayment will be 10,000 yen per month. (Please note that the different paying amount will apply depending on the hospital and your patient status, inpatients or outpatients. For those who are a member of high income household and diagnosed with chronic kidney failure requiring a dialysis treatment, the maximum copayment will be 20,000 yen per month.) *High income household … The household whose total income after tax is higher than 6 million yen.
《For …》 1 Patients who are diagnosed with chronic kidney failure requiring a dialysis treatment 2 Hemophilic patients 3 AIDS patients who receive treatment with an antiviral drug
《Procedure》 1 Receive an application form at the counter 2 Have the application form certified by the doctor 3 Submit the application form to the counter 4 Receive the “Medical Care Certificate for the specified disease and treatment” and submit it to the medical institution
《Counter》 ☆ Government-Administered Employment-Based Health Insurance …… Social insurance office which having jurisdiction over the business ☆ Health Insurance for Union Members …… Health insurance society National ☆ Health Insurance …… National health insurance counter at the local government ☆ National Health Insurance for Union Members … … National health insurance society ☆ Mutual aid association …… Mutual aid association
《Items to bring when applying》 Health Insurance Card, Seal and Application Form
＊ Please visit the counter and reapply for “Medical Care Certificate for the specified disease and treatment” when health insurance is changed.