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[patient, product for designated medical institutions] The amount of specific medical expenses (designated incurable disease ) self-pay upper limit management vote

Last update date August 1, 2020

[product for people who already have identification of recipient] When mention column of the amount of self-pay upper limit management vote is not enough

Please stick the following PDF files on the amount of self-pay upper limit management vote of identification of recipient after print.
(because the amount of self-pay upper limit management vote that medical institution listed so far passes out of sight when we paste entirely
Pasting makes only number cm from the top, and you devise so that the amount of self-pay upper limit management vote below is seen, and please stick.)
After having stuck, have border which we stuck on medical institution having you list first push tally seal of medical institution.
 

[we ask patient]
・Medical institution lists the amount of self-pay upper limit management vote. (patient, please do not list.)
・You see the amount of self-pay upper limit management vote each check at window,
Please confirm whether "(including amount of accumulation] of [monthly basis) which hospital lists" [self-burden] accords with "amount of money to pay at window" ※.
※There may not be self-pay, but has you list in the amount of self-pay upper limit management vote as usual when we use other Medical Certificate together.
In addition, have me list about column even if it is social security [for date, designated medical institution name, medical expenses total sum (100%)].
When identification of recipient is used with medical institution mistaking mention (e.g., omission of mention or calculation error),
Calculation error may occur with medical institution and self-burdens increase or to list in the lower step.
 

[product for medical institutions] About mention of the amount of self-pay upper limit management vote

About all designated medical institutions common attention

[Ministry of Health, Labour and Welfare material] About mention method of the amount of self-pay upper limit management vote (for designated medical institution)

About mention methods such as the amount of self-pay upper limit management votes to affect specific medical expenses (for designated medical institution) (PDF: 1,173KB) (June, 2019 version)
[we ask medical institution]
・When we list The Long-term Care Insurance service [for medical expenses total sum (100%)], we list in column by 1 yen unit [self-burden], and column, please list amount of money that rounded off less than 10 yen.
・When you pay the difference in the next month and you request medical expenses , you may list temporary nursing at home in 1 step in a mass in service offer month.
・In the case of request for specific medical expenses refund, to have possibilities to be necessary, in Yokohama-shi of month follow after column was beyond 50,000 yen [for medical expenses total sum (100%)], and ask for mention.
 

About way of thinking of mention of the amount of, self-pay upper limit management vote of that there is not self-pay such as, social security which used other Medical Certificate together that reached self-pay upper limit monthly basis

・Please list medical expenses (including The Long-term Care Insurance) about designated incurable disease which you suffered from the during the month concerned in column [for date, designated medical institution name, medical expenses total sum (100%)] after it reached ... self-pay upper limit monthly basis that reached self-pay upper limit monthly basis. [the amount of accumulation of self-burden, monthly basis] Please draw slanted line about column.
 
・Please list even patient without ... copayment which used other Medical Certificate together in the same way as patient with self-pay. If it reaches self-pay upper limit monthly basis, please draw slanted line about [the amount of accumulation of self-burden, monthly basis] column of afterward.
 
・Please list about social security ... [for date, designated medical institution name, medical expenses total sum (100%)] column. [the amount of accumulation of self-burden, monthly basis] Please draw slanted line about column. In addition, please do not list meal charges and life medical expenses at admission in the amount of self-pay upper limit management vote.
 

[product for hospital, clinics , drugstores] About mention method of the amount of self-pay upper limit management vote

・Each consultation, please list the amount of self-pay upper limit management vote. But you may list in 1 step of the amount of self-pay upper limit management vote in the hospitalization month concerned in a mass when you collect monthly expense that it costs for hospitalization in hospitalization in a mass in the next month.
In addition, please be careful not to list as amounts of money such as meal medical treatment standard burden or life medical treatment standard burden at admission do not include in [for medical expenses total sum (100%)] and [self-burden].
・There may not be self-pay, but please originally list sum that you should pay your own in the amount of self-pay upper limit management vote when you use other public money together (comfirmed in the MHLW).
・About the following columns, I would like mention while being careful to write parenthesis in particular.
[date] ・・ ・ patient lists day using medical institution. (not day when we collected copayment.)
[designated medical institution name] ・We seal or list ・ ・ medical institution name. (please list not to be applied to amount of money of)] column for [medical expenses total sum (100%.)
[for medical expenses total sum (100%)] ・* * List the total sum of day that took advantage of. (not score. In addition, in the case of specific medical expenses refund, it may be necessary. After having exceeded 50,000 yen, please continue listing.)
[self-burden] ・We list to the sum if we reach sum that patient bore at ・ ・ window or self-pay upper limit monthly basis. (the bill of patient of 30% burden becomes 20%. In addition, please draw slanted line like entry example of identification of recipient after it reached self-pay upper limit monthly basis.)
Particularly, [self-burden] please confirm that there are not medical expenses of designated incurable disease to request on column and the day being the same amount, mention leak. (when omission of mention and mention error occur at the upper section, error occurs when it reached self-pay upper limit monthly basis in the lower berth.)
[the amount of accumulation of monthly basis] ・We list amount of money that ・ ・ patient bore at window of each designated medical institution until we reach self-pay upper limit monthly basis for total. (please draw slanted line after it reached self-pay upper limit monthly basis.)
 

[be suitable for office (visit medical treatment, temporary nursing at home station visiting patient's house)] About mention method of the amount of self-pay upper limit management vote

・Each visit, please list the amount of self-pay upper limit management vote. But you may list in a mass on the last day of service offer month when you pay the difference in the next month and you demand multiple visit.
・There may not be self-pay, but please originally list sum that you should pay your own in the amount of self-pay upper limit management vote when you use other public money together (comfirmed in the MHLW).
・About the following columns, I would like mention while being careful to write parenthesis in particular.
[date] ・・ ・ patient lists day using medical institution and service. (not day when we collected copayment. In addition, multiple house call when you visit, please list on the last day of the end of the month of service offer month.)
[designated medical institution name] ・We seal or list ・ ・ medical institution name. (please list not to be applied to amount of money of)] column for [medical expenses total sum (100%.)
[for medical expenses total sum (100%)] ・* * List the total sum of day that took advantage of. (not score. In addition, it may be necessary to confirm specific medical expenses . After having exceeded 50,000 yen, please continue listing.)
[self-burden] ・If it reaches sum that ・ ・ patient bore or self-pay upper limit monthly basis, we list to the sum. (the bill of patient of 30% burden becomes 20%. In addition, please draw slanted line like entry example of identification of recipient after it reached self-pay upper limit monthly basis.)
Particularly, [self-burden] please confirm that there are not medical expenses of designated incurable disease which is about to resemble column on that day being the same amount and mention leak. (when omission of mention and mention error occur at the upper section, error occurs when it reached self-pay upper limit monthly basis in the lower berth.)
[the amount of accumulation of monthly basis] ・We list amount of money that ・ ・ patient bore at window of each designated medical institution until we reach self-pay upper limit monthly basis for total. (please draw slanted line after it reached self-pay upper limit monthly basis.)
 

FAQs

As you publish inquiry to receive a lot from all of the medical institutions in Yokohama-shi, please read in total.
For more information, look here. ➡ FAQs
 

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Health and Social Welfare Bureau health business section incurable disease measures charge

Telephone: 045-671-4040 (weekdays 8:45-17:00)

Telephone: 045-671-4040 (weekdays 8:45-17:00)

Fax: 045-664-5788

E-Mail address [email protected]

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