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”.
- Description
- Procedures
- FAQ
- 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
- Annual High-Cost Medical Care Benefits for outpatient care (annual total of outpatient costs) for those aged 70 or older
When you want to reduce the amount of medical care costs you pay at the medical care institution
Required documents: |
|
---|---|
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: | Please send any inquiries to the Health Insurance Society by e-mail Mail address : Healthinsurance_Society@takeda.co.jp |
Period of validity | Six months from effective date (first day of month of issue) |
Using the certificate |
|
Returning the certificate | Please return the certificate to your employer or the Society if you lose your eligibility for insurance or its term of validity has expired. |
Notes: | You can use this system for both inpatient and outpatient costs. Persons aged 70 or older can receive the same services by presenting their elderly benefits cards. However, those earning income at the same levels as active workers II or active workers I must submit a Maximum Copayment Certificate for Health Insurance. To apply, provide the necessary information on the above document and submit to the Health Insurance Society if you are a Takeda Pharmaceutical Company Limited employee or a Voluntarily and Continuously Insured Person. If your employer is not Takeda Pharmaceutical Company Limited, submit via your employer. |
When you face high copayments for medical care or long-term care
Required documents: |
|
---|---|
[Documents to attach] |
|
Deadline: | As soon as possible |
Applies to: | Insured persons whose total copayments for medical care and long-term care for persons within the same household during the one-year period exceeded the maximum amount |
Address inquiries to: | Please send any inquiries to the Health Insurance Society by e-mail Mail address : Healthinsurance_Society@takeda.co.jp |
Notes: | For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year. |
Annual High-Cost Medical Care Benefits for outpatient care (annual total of outpatient costs) for those aged 70 or older
Required documents: |
|
---|---|
Deadline: | As soon as possible |
Applies to: | Insured persons and dependents aged 70 or older whose total copayments for outpatient care during the one year period (from August 1 of the previous year to July 31) exceeded 144,000 yen
|
Address inquiries to: | Please send any inquiries to the Health Insurance Society by e-mail Mail address : Healthinsurance_Society@takeda.co.jp |
Notes: |
Apply to the health insurer that provides your coverage as of the base date. Reference link Measures for reducing cost burdens for persons aged 70-74: Cost-sharing maximum amounts for high-cost medical care |
There is no frequently asked questions and answers that have been registered.