Even applicant came to be able to download medical certificate style. The details, please identify thing necessary for application.
As provisional measure about one where income division corresponds to "severeness and continuation" in one above a certain level, the amount of self-pay upper limit is assumed 20,000 yen. These measures would be finished on March 31, 2018, but it was decided to extend until March 31, 2021. (March 30, 2018)
Person who is treated with psychotherapy and medical therapy by continuous going to hospital by mental disease.
※About target disease, there is no change with old mental patient going to hospital medical expenses public expenditure system until March, 2006.
For the condition of a patient (※ 1) that we produced due to mental disorder and mental disorder, it is for performed medical care without being hospitalized in hospital and clinics .
(only for the condition of a patient of range performing going to hospital treatment by doctor in charge of mind going to hospital medical care about ※ 1 treatment and the condition of a patient that we produced in conjunction with symptom.)
At window of medical institution, medical insurance bears 70% of medical expenses and pays our own 30% of remaining medical expenses , but principle, 10% of medical expenses are usually paid at window of designated medical institution when we are authorized as an object of independence support medical care.
(expenses such as treatment, medication, medical certificate charges that medical insurance does not apply are inapplicable.)
It is principle, 10% burden of medical expenses .
○"Household" in independence support medical system authorizes by medical insurance unit.
(different from resident certificate. For example, family taking out different medical insurance becomes another "household".)
※In the case of under 18 years old, testee judges from income of protector.
※When we correspond to "severeness and continuation" in constant income or more as provisional measure until the end of March, 2021, it becomes object (amount of monthly basis burden upper limit 20,000 yen) of system.
Burden net total does not have to have you do further burden in the month while paying the own 10% with the amount of monthly basis burden upper limit in a certain moon after having reached the amount of burden on monthly basis upper limit of the.
For reduction of financial burden, the upper limit is established in monthly self burden when admitted with "one that we need treatment continuously, and large amount of medical expenses burden produces".
When range of "severeness and continuation" (expensive treatment continuator) corresponds to one of following 1-3.
１．A lot applicable medical insurance (when supply of high medical costs is in the past less than 12 months more than four times)
２．One where main mental disorder corresponds to the next classification in the ICD-10 (International Classification of Diseases)
Organic mental disorder (brain functional disorder such as dementia) including F1 symptom characteristics
F2 schizophrenia, schizophrenia type obstacle and paranoid obstacle
F3 mood disorders (manic-depressive psychosis, depression)
Which received authorization as mind medical care which it was diagnosed in by doctor having experience when we needed premeditated concentrated going to hospital medical care (including medical care for maintenance that is in a state, the aggravation prevention) for mental disorder indicating the following symptoms continuously more than 3.3 years
・Emotion and action failure
・Uneasy and threatening state
※Submission documents at the time of application were changed with the enforcement of my number system from January, 2016.
Application submission documents
|Independence support medical care (mind going to hospital) supply authorization application|
It is in each ward Health and Welfare Center (Elderly and Disabled Support Division or child family disorder support section).
You print downloaded file right here in the case of mail application, and please use.
|Independence support medical medical certificate|
(medical certificate in case of update procedure is necessary once in two years.)
|Have me write with family medical institution (medical institution catching designation as designated medical institution).|
One directed to bring style of medical certificate by medical institution, please print this (PDF: 240KB).
※When we apply with mental patient health welfare notebook, we can apply for both notebook and independence support medical care with medical certificate for notebook. Person who needs medical certificate for notebook from this.
(we add from January 1, 2016)
Identification documents (take one of A or B.) of applicant (in the case of ※ mail application, it becomes submission of copying)It is two kinds of copying from health insurance card, independence support medical care certificate, identification of social security recipient, National Pension Plan (Kokumin Nenkin) notebook
It is one among documents with photograph issued by public offices less than A
Submission of A1 kind is enough
Copy of personal number card (the surface), driving driver's license, passport, mental patient health welfare notebook
It is two among documents issued by public offices less than B
For more details, please see this attached sheet.
|Personal number confirmation documents|
(we add from January 1, 2016)
Number confirmation documents of one that had you fill in application with personal number
・Personal number card (the back side), notice of number card, copying (thing which number was listed in) of resident certificate, resident certificate items mentioned certificate
(in the case of ※ mail application, it becomes submission of copying.)
For more details, please see this attached sheet.
|Seal kan||Please seal supply authorization application. (we do not mind in signet.)|
|Health insurance card (copying)||○In the case of National Health Insurance|
Health insurance card (copying) for the whole family taking out National Health Insurance
○In the case of other than National Health Insurance (health insurance union, association kempo) health insurance card (copying) of testee and person insured (the employed)
○When we do not take out medical insurance in social security household, it is unnecessary.
|Taxation certificate (or tax-free certificate)||When confirmation by Yokohama-shi can give agreement to when we can confirm the taxation situation in Yokohama-shi, we can omit taxation certificates. But taxation certificates of the municipalities before transference are necessary as we cannot confirm in Yokohama-shi at the January 1 present of the year (application month from January through June the previous year) when Yokohama-shi does not have resident registration.|
|We know yearly income||In the case of municipal tax tax exemption household, it is necessary…Rente, notice of pension transfer|
|We know hospital, drugstore||The location is identified as name (in the drugstore to supporting store's name) including bag of patient's card Shinryo-ken , drugstore (we do not need one where medical institution, drugstore does not turn into by update application)|
|Independence support medical care certificate||Only at the time of update application|
●Application at window is Health and Welfare Center (Elderly and Disabled Support Division or child family disorder support section) of ward to live. （Phone number is this）
●Guide when we apply by mail look at this (PDF: 291KB).
As it takes around two months until we are authorized, and identification of recipient arrives after applying, please understand.
With the enforcement of the number system my than January, 2016, submission documents at the time of application were changed. (information for mail application) (PDF: 291KB)
Other than ward Health and Welfare Center window, we perform application acceptance by mail.
Destination of mail application and reference are Health and Social Welfare Bureau mind going to hospital medical care paperwork center.
City of Yokohama, Health and Social Welfare Bureau mind going to hospital medical care paperwork center
〒231-0017 1-1, Minatocho, Naka-ku, Yokohama-shi
Inquiry time: 9-17:00 (except Saturdays, Sundays and holidays, New Year holidays)
For more information about mail application, please see information for mail application (PDF: 291KB).
★Application of mental patient health welfare notebook (disability certificate) is not possible by mail. In addition, you apply in Health and Welfare Center of ward to live, and please file as you cannot do it by mail when you apply for independence support medical care with notebook either.
With the enforcement of the number system my than January, 2016, submission documents at the time of application were changed. The details are this
Style of application is common with application at window, mail application.
Application documents download the following data version, and you print, and please use.
Validity of independence support medical care is one year. (please confirm validity of identification of recipient.)
When it is used sequentially after validity, procedure of re-authorization (update) is necessary.
(we can file for update for expired three months of validity. We would like that it takes time before issuance of identification of recipient from authorization by one month if possible.)
As you cannot receive independence support medical care when it is past validity till you apply again, please be careful.
In addition, please confirm validity of identification of recipient in what individual treatment may not tell about update application beforehand from Yokohama-shi by yourself.
Medical institution holding independence support medical system becomes designated system by securing being medical care planned beforehand, high quality medical care.
Only with medical institution (we include daycare, drugstore, temporary nursing at home station.) which user chose from medical institution appointed as designated independence support medical institution beforehand, it is applied independence support medical care. (not applied at hospital, drugstore which is not listed in identification of recipient.)
(it becomes premise that the companies such as hospital or drugstore receives designation of designated medical institution (mind going to hospital medical care) from Yokohama-shi. Person of medical institution look at this.)
In addition, independence support medical care is not applied to prescription at drugstore when medicine is prescribed by hospital and prescription from clinics which are not listed in identification of recipient even if it is drugstore listed in identification of recipient.
In addition, application of change is necessary when we change medical institution to use.
From the acceptance day of change application (day after the acceptance day that or applicant appoints), we can use independence support medical care in the new medical institution. (there is not sailing up on date.)
・List of independence support medical care (mind going to hospital) designation medical institutions (Excel: 142KB)
We issue "the amount of self-pay upper limit management vote" to monthly basis which the amount of burden upper limit is set.
When you are consulted, in window of hospital and drugstore, you match with identification of recipient, and please show the amount of upper limit management vote. (we have you fill in self-burden at medical institution and drugstore.)
When self-burden reaches "the amount of upper limit", after it, self-pay does not occur by consultation of the month.
When address, full name, employee health insurance joining, contents of identification of recipient including medical institution to use are changed, it is necessary to apply for change.
In addition, please file for re-grant when you lose identification of recipient and are damaged.
Application at window is Health and Welfare Center (Elderly and Disabled Support Division or child family disorder support section) of ward to live. As for the information for procedure when we make mail application, please see this (PDF: 291KB).
Adobe Acrobat Reader DC (old Adobe Reader) is necessary to open file of Portable Document Format.
We can download one that you do not have gratis from Adobe company.
To downloading of Adobe Acrobat Reader DC