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If you paid the full cost of the medical care provided; if you had prosthetic equipment and prescription eyeglasses made

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 Association will reimburse you later.

If you paid the full cost of the medical care provided

Required documents:
  • Application Form for Medical Care Expenses (for use if you were unable to present your health insurance card or other such cases)
    Form Excel Example
Documents to attach:
  • Receipt
  • Medical compensation details (Rezepts) or medical (pharmaceutical) statement

If you had prosthetic equipment or prescription eyeglasses made

Reason for payment of medical care costs Required documents: Documents to attach
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
  • Application Form for Medical Care Expenses (Prosthetic Equipment)
    Form Excel Example
  • Receipt
  • Written opinion from an insurance doctor (certificate of necessity, certificate of use)
  • If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear)
If you purchased a compression garment or similar item to treat lymphedema of the arms or legs
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 See here for details.
  • Application Form for Medical Care Expenses (Prescription Eyeglasses, Contact Lenses)
    Form Excel Example
  • Receipt
  • Preparation instructions from an insurance doctor (written doctor’s opinion)
  • 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 received a live blood transfusion
  • Application Form for Medical Care Expenses (for use if you were unable to present your health insurance card and other such cases)
    Form Excel Example
  • Receipt
  • Blood transfusion certificate
If you underwent acupuncture, moxibustion, massage, or similar treatment with a physician’s consent
  • Application Form for Medical Care Expenses (for use if you were unable to present your health insurance card and other such cases)
    Form Excel Example
  • Receipt
  • Written consent from an insurance doctor
  • Details of treatment
  • Attached documents all must be originals and cannot be returned.
  • Certificates of benefit payment will be mailed by the Health Insurance Association to your home address.
  • If you underwent massage, acupuncture, or moxibustion with a physician’s consent, you may not receive concurrent treatment for the same condition at a general hospital or clinic.

If you become sick or are injured overseas

Required documents:
  • Attending physician’s statement (Form A)
    Form
  • Attending dentist’s statement (Form C)
    Form

Documents to attach:

  • A copy of a document verifying your overseas travel (such as a passport)
  • Note: Japanese translations of the above are required if the originals were prepared in another language.
  • Attending physician’s statement, Itemized receipt etc
Notes The amount of the benefits will be the lower of the amount based on treatment costs as established under domestic health insurance (using the insurance points [average prices] specified by the Ministry of Health, Labour and Welfare of Japan) or the price paid overseas. In some cases, note that the amount of benefits you receive might be considerably less than the amount of money you actually paid. For this reason, we recommend obtaining overseas travel insurance and other such measures before traveling to ensure peace of mind.

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