If you paid the entire medical care cost up front

In some cases covered by health insurance, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Society later.

If you paid the entire medical care cost up front

Required documents:

[Documents to attach]

  • See the table below
Deadline: As soon as possible
Applies to: Insured persons and dependents eligible for payment for the reasons shown below
Submission destination Send the application form
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, Detailed medical fee statement(Medical prescription)
(Issued by requesting individually at the medical institution)
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 you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval: Receipt, Written approval for treatment from an insurance doctor
When making/purchasing glasses or contact lenses for children under 9 for refractive correction treatment after surgery for amblyopia, strabismus, or congenital cataracts (Renewal of glasses etc.: once annually for children under 5; once every two years for children 5 to less than 9) Receipt, copy of lens prescription from an insurance doctor, patient's checkup results (documents listing the specifics of the conditions such as lazy eye)
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
  • Written instructions to wear compression garment or similar item (after surgery for malignant tumor/primary lymphedema)
  • Receipt
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
  • Written instructions to wear compression garment or similar item (treatment for intractable ulcer due to chronic venous insufficiency)
  • Receipt
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:

[Documents to attach]

  • Original receipt
  • Japanese translations of the above (Inscribe address and name of translator)
  • A copy of a document verifying your overseas travel (such as a passport) (The picture and entry/exit stamp pages)
Deadline: As soon as possible
Applies to: Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
Submission destination Send the application form
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]

  • Application Form for Approval of Transportation/Notification of Transportation
  • ** Submit this form, with a doctor's certification, to the Health Insurance Society in advance for approval.

[To claim transportation expenses]

  • Receipt
  • Doctor’s transfer approval form (original)
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
Submission destination Send the application form
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:

  • The medical care for which transportation is required is appropriate as insurance treatment.
  • The sickness or injury for which the medical care is required makes it difficult for the patient to move.
  • In an emergency or other unavoidable case.

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