FAQ

I incurred high medical care costs. Can I receive benefits from the Health Insurance Society?

If you or a family member paid high medical care costs, any amount in excess of a certain amount will be refunded by the Health Insurance Society as "High-Cost Medical Care Benefits" and "Cost-Sharing Reimbursements and Additional Benefits or an additional family member treatment amount." The refund payment amount will be calculated based on the rezept submitted to the Health Insurance Society by the medical care institution via the payment fund. Voluntarily and continuously insured persons will be directly paid by the Health Insurance Society. This amount will be paid along with your salary around three months after the medical treatment month. No claim from you (the insured person) is necessary.

• * However, because medical care costs related to infant medical care, child medical care, chronic specified children's diseases and disorders, the specified disease and disorder medical expense subsidy system for incurable and special diseases, the independence support medical care system, etc. are covered in whole or in part as public expenditures, confirmation might take a while. In this case, it might take three months or more before the money is transferred. In addition, there are cases where local governments (prefectures and municipalities) implement "medical expense subsidy systems" to subsidize the cost-sharing amount of medical care costs incurred by persons 18 years old or younger (High-Cost Medical Care Benefits), so—to prevent the double benefit provision of local government subsidies and Health Insurance Society benefits—we do not automatically provide High-Cost Medical Care Benefits. If you receive subsidies from your local government, please contact the Health Insurance Society.