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Medical care cost information

The Health Insurance Association posts the insurance benefits/medical care cost information so that you can check online at any time to determine how much you paid in medical care costs when the insured person (you) or a dependent (a family member) received examination or treatment using a health insurance card, actual medical care costs, and amounts of benefits paid by the Association.
In general, this information is available for review starting three months after the month of the examination or treatment. Check this information against actual medical care costs, using receipts, detailed statements, and other records. (The posting of the insurance benefits/medical care cost information may be delayed if billing by the medical care institution is delayed.)
The medical care costs paid by the Health Insurance Association to medical care institutions are funded by member insurance premiums. We ask for your cooperation in keeping medical care costs down by undergoing examination and treatment in the appropriate way and by avoiding unnecessary and repeated examinations.

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  • Check the actual metical care costs by using your “medical care cost information” and receipts or detailed statements.

Medical care costs for treatment of sickness or injury are uniform at all hospitals in Japan, based on the standards established by the Japanese government as Medical Fees. However, if you show your health insurance card, the only amount you pay at the hospital is the copayment. This can make it difficult to understand the actual amount of the medical care costs.

For this reason, the Health Insurance Association posts “insurance benefit/medical care cost information” to the Web each month showing details such as the amount of medical care costs you paid and the benefits paid by the Association. You can view past records or records for a selected period (e.g., January through December).

In addition, medical care institutions will issue receipts showing medical care costs per item, including charges for the first consultation, checkup charges, and treatment charges, as well as detailed statements showing more detailed medical care information. Try checking these against the “insurance benefit/medical care cost information” from the Health Insurance Association.

All this information is provided to the insured person, based on the assumption that providing this information in this way is accepted by both the insured person and insured dependent family members.

“Insurance benefit/medical care cost information”
For information on logging in, see “Notice” under “Payroll Self-Service Menu” on your employer’s intranet.
** Contact the Health Insurance Association if you are unable to access the intranet.

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