About request for specific medical expenses (designated incurable disease ) subsidy program refund
With refund of specific medical expenses
In interval before identification of recipient arriving after the application of specific medical expenses (designated incurable disease ) subsidy program to identification of recipient by treatment of designated incurable disease of mention,
We can refund a part of the self-pay when designated medical institution (we include drugstore, temporary nursing at home station.) based on the incurable disease method was consulted.
You have you read carefully, and please apply for this page.
About documents necessary for refund such as medical expenses
About how to use specific medical expenses bill
①Please list identification of full name, recipient number, date of birth, self-pay upper limit monthly basis, recipient validity of surface [patient] column beforehand.
(entry of [claimer] column, [transfer] column is unnecessary at this stage. In addition, we fill in the back side on the medical institution side.)
②We submit one piece for each medical facility to appoint hung over to ... "day when identification of recipient arrived" on "day when we applied" and ask for making.
③If specific medical expenses bill comes back from designated medical institution, we fill in surface [claimer] column and [transfer] column.
In addition, seal in private seal to use mention and vermilion of [commission column] of the surface bottom for when we list in [claimer] column and [transfer] column toward other than the patient is necessary.
(if all patient and the claimer, transfer are belonging to equivalence, entry of commission column is unnecessary.)
④[claimer] We seal ㊞ of column. In addition, seal in private seal to use vermilion for is necessary.
⑤If we fill in day to send to city hall on date of the surface top right corner, and bill which we asked for to plural medical institutions is prepared, please mail in one envelope in a mass.
(ward office Elderly and Disabled Support Division window of house ino ward can have you submit. In addition, please understand when there are omission of entry and defects in submission documents as notification comes from Health and Social Welfare Bureau health business section incurable disease measures charge.)
In addition, if, in medical treatment time of specific medical expenses bill, other designated medical institutions have already used the amount of self-pay upper limit management vote,
Please attach copy of the amount of self-pay upper limit management vote.
Please be careful about the following cases
[when we cannot accept specific medical expenses bill]
●[claimer] It "is signed the name signature in substitution for seal" "sealed ㊞ of column (when we entrust [commission column]) stamp mark and thumbmark" or "there is not seal".
●We make modifications using whiteout or modified tape. (when there is correction, you fill in two lines, and please seal in correction seal.)
[in this case there is not refund of specific medical expenses ]
●Self-pay ratio of public medical insurance is 10%, 20%, and the total sum of monthly self-pay does not exceed self-pay upper limit monthly basis of identification of recipient mention.
●Certificate issuance fee more than certificate issuance fee when there is not refund of medical expenses and 1,140 yen.
●(incurable disease ) Specific medical expenses bill which designated outside medical institution made.
●Medical expenses which it costs for identification of recipient before the start date for validity of mention.
●Medical expenses which it costs for treatment except designated incurable disease of mention to identification of recipient.
●When you can refund at window of designated medical institution of capital before this month.
(you would refund minute at window of medical institution in this month, and please refer to medical institution.)
[about amount of money transferred to account and specific medical expenses payment decision notification arriving after the transfer]
●[specific medical expenses payment decision notification] This is not notice to demand payment from patient.
It becomes notifications such as payment amount of money, financial institution name which had transfer, branch names.
●High medical costs which calculates payment amount of money based on specific medical expenses bill, and is paid by public medical insurance
We deduct self-pay upper limit monthly basis minute and make transfer.
[about request for the before March, 2018 use]
Please perform request for refund such as medical expenses until medical treatment minute using bill of Kanagawa to Kanagawa in March, 2018.
Kanagawa homepage "collection of styles" (designated incurable disease medical expenses subsidy program)
http://www.pref.kanagawa.jp/cnt/f531594/p866580.html (the outside site)
Statement of specific medical expenses refund by heir
Submission to ward office window
〒231-0015 1-8, Onoecho, Naka-ku, Yokohama-shi Kannai Arai Building
It is addressed to City of Yokohama, Health and Social Welfare Bureau health business section incurable disease measures person in charge
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