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If you paid the entire medical care cost up front

In some cases covered by health insurance, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Society later.

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If you paid the entire medical care cost up front

Required documents:
  • Application Form for Medical Care Expenses

[Documents to attach]

  • Submit the originals of the relevant documents. Refer to the table below.
Deadline: As soon as possible
Applies to: Insured persons and dependents eligible for payment for the reasons shown below
Address inquiries to: Health Insurance Society
Notes:

[Submit to]

  • The Health Insurance Society if you are a Takeda Pharmaceutical Company Limited employee or Voluntarily and Continuously Insured Person
  • The section at your company responsible for health insurance administration if you are not a Takeda Pharmaceutical Company Limited employee or Voluntarily and Continuously Insured Person

[Certificate of benefit amount]

  • A crimped postcard will be sent by post to the insured person’s address late in the month in which the benefit is paid. This postcard serves as both notification of the details of the benefit and payment certificate.
  • This information is also included in the annual medical care cost information sent in late February.
Reason for eligibility for payment of medical care expenses Documents to attach to application form
If you underwent treatment without your health insurance card due to sudden sickness Receipt, details of examination or treatment (indicating insurance points, names of medications, amounts administered, prices, and items of examination and treatment)
If you received a live blood transfusion Receipt, blood transfusion certificate

If you purchased and used prosthetic equipment such as a corset, artificial arm or leg, or artificial eye, as instructed by a physician

 Receipt (showing details of charges and the name of the prosthetist), written instructions for preparing the prosthetic equipment/certificate of fitting (stating that the equipment is required for treatment purposes)
If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear)
If you underwent acupuncture, moxibustion, massage, or similar treatment with a physician's consent: Receipt, written consent from an insurance doctor, application for payment of medical care expenses issued by the treating bonesetter’s or acupuncture and moxibustion clinic
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: Receipt (cash-register receipt not acceptable), prescription from an insurance doctor, or other certification of examination results by a doctor
If you purchased a compression garment or similar item to treat lymphedema of the arms or legs:
  • ** Since the documents attached must be originals (copies are not acceptable) and cannot be returned, if you need a copy, make one for yourself, then send the original. For certification of payment of benefits, use the postcard notice sent from your employer in the middle of the month of the payment.
 Receipt, written instructions from an insurance doctor for fitting the compression garment or similar item
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 judo-based chiropractic treatment, massage, acupuncture, or moxacautery, you will be refunded the medical care costs as Medical Care Expenses after first paying the entire amount up front.
  • Except for first-aid treatment, the consent of a physician is required when you receive such treatment for a bone fracture, incomplete fracture, or dislocation.
  • You cannot be treated simultaneously at a standard hospital for a condition already being treated by massage, acupuncture, or moxacautery with the consent of an insurance doctor.
  • No procedures with the Society are necessary when visiting a bonesetter’s clinic or acupuncture or moxacautery clinic that accepts insurance.
    Benefits for prosthetic equipment are paid in accordance with the benefit standards under law and Ministry of Health, Labour and Welfare ordinances.

If you become sick or are injured overseas

Required documents:
  • Application Form for Overseas Medical Care Expenses
  • [Documents to attach]
    • ① Medical consultation details (for non-dental care)
      Form
    • ② Dental consultation details (for dental care)
      Form
    • ③ Itemized receipt
      Form
    • * Each document under ①-③ above is a certificate prepared directly by the physician or dentist overseas administering the examination or treatment.
      Please submit the original documents to the Health Insurance Society. Be sure to attach Japanese translations of all descriptions in the documents. (Also indicate the name and contact information of the translator.)
      The patient him or herself is responsible for the cost of preparing the above documents. Such costs are not eligible medical care costs.
    • ④ A copy of a document verifying your overseas travel (e.g., passport)

    • ⑤ A letter stating that you agree to the Health Insurance Society making detailed inquiries to the overseas medical care institution or other organization about your treatment
Deadline: As soon as possible
Applies to: Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
Address inquiries to: Health Insurance Society
Notes: The amount of benefits will be the smaller of the standard amount for medical care under the health insurance system in Japan (the Takeda Health Insurance Society uses the insurance points (average amounts) specified by the Ministry of Health, Labour and Welfare) or the actual amount paid overseas. For this reason, since the amount of benefits might be less than the actual amount you paid, we recommend taking out overseas travel insurance when traveling overseas.

If you cannot walk to or between hospitals

Required documents:

[For approval by the Health Insurance Society]

  • Application Form for Approval of Transportation
  • ** Submit this form, with a doctor's certification, to the Health Insurance Society in advance for approval.

[To claim transportation expenses]

  • Application Form for Transportation Expenses

Receipt
Deadline: As soon as possible
Applies to: Insured persons or dependents transported to or between hospitals as instructed by a doctor because the sickness or injury makes movement difficult
Address inquiries to: Health Insurance Society
Notes:

This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Society determines that all of the following conditions apply:It is not available for car fares for outpatient hospital visits or similar costs.

  • The medical care for which transportation is required is appropriate as insurance treatment.
  • The sickness or injury for which the medical care is required makes it difficult for the patient to move.
  • In an emergency or other unavoidable case.

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