When you incur high medical care costs
The copayment for medical care costs you can be required to pay is capped. If your copayment calculated based on a certain standards exceeds this maximum, the excess amount will be paid as “High-Cost Medical Care Benefits”.
- When you want to reduce the amount of medical care costs you pay at the medical care institution
- When you face high copayments for medical care or long-term care
When you want to reduce the amount of medical care costs you pay at the medical care institution
| Required documents: | We’re sorry, but the electronic application service is only available in Japanese. To apply in English, please mail a paper application form to Accenture Health Insurance Society. Request for Issue of Health Insurance Eligibility Certificate for Ceiling-Amount Application Form Example |
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| (Those with low income, such as those who are exempt from municipal inhabitant tax) Health Insurance Application for Eligibility Certificate for Ceiling-Amount/Reduction of the Standard Amount of Patient Liability Example |
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| Applies to: | Insured persons or dependents who expect to pay more than their Cost-Sharing Maximum Amounts for medical care costs incurred at the medical care institution over one month |
| Address inquiries to: | See here for more information on where to obtain and submit the documents. |
| Notes: | You can use this system for both inpatient and outpatient costs. |
When you face high copayments for medical care or long-term care
| Required documents: |
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[Documents to attach]
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| Deadline: | As soon as possible |
| Applies to: | Insured persons paying copayments for both medical care and long-term care for all individuals in the same household, for whom the total copayment amount paid under both systems over a one-year period exceeds the maximum amount |
| Address inquiries to: | Health Insurance Society |
| Notes: | For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year. |