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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

If you have undergone treatment at a medical care institution without showing your health insurance card in cases such as sudden sickness while traveling, you will have to pay the entire amount of medical care costs yourself. However, you can apply to the Health Insurance Association for reimbursement of the amount you paid up front corresponding to the cost of insured medical consultation and treatment. This method is permitted only in exceptional cases deemed unavoidable by the Health Insurance Association: for example, if you were unable to present your health insurance card.
The benefits paid for such medical care costs paid up front are referred to as “Medical Care Expenses.”

If you had prosthetic equipment or prescription eyeglasses made

Even if you did not show your health insurance card, health insurance will pay “Medical Care Expenses” in cases such as the following:

Reason for payment of Medical Care Expenses Benefit details
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 70% of the basic charges
If you purchased a compression garment or similar item to treat lymphedema of the arms or legs 70% of the basic charges or the maximum amount, whichever is the smaller
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. 70% of the basic charges or the maximum amount, whichever is the smaller (80% for a preschool child)
If you received a live blood transfusion 70% of the basic charges
If you underwent acupuncture, moxibustion, massage, or similar treatment with a physician's consent 70% of the basic charges
  • ** Benefit rates vary by age and income.

Caution

The right to receive health insurance benefits expires two years from the day after the date on which the patient paid the costs.

If you become sick or are injured overseas

If you received examination and treatment at a medical care institution overseas in unavoidable cases involving sudden sickness or injury while traveling, you can apply to the Health Insurance Association for reimbursement of the amount you paid. Attach the attending physician’s statement and itemized receipts (translated into Japanese if originally prepared in a foreign language), a copy of a document verifying your overseas travel, such as a passport, and a letter stating that you will permit the Health Insurance Association to make inquiries to the overseas medical care institution or other organization concerning your treatment.

No benefits will be paid if you went overseas specifically to undergo treatment or if you received treatment not permitted in Japan or medical practices or drugs not covered by insurance in Japan.

Additionally, note that since healthcare systems, treatment methods, and other details may vary overseas, the amount of benefits you receive may be considerably less than the amount you actually paid.

Employees stationed overseas and family members accompanying them should check with GLB HR first.

There is no frequently asked questions and answers that have been registered.

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