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Specific medical expenses (designated incurable disease ) subsidy program [including summary and announcement of system]

Last update date July 14, 2020

News about identification of recipient

[we retired, and health insurance card changed employment, and sign, number of health insurance card changed]
[we moved, and Address changed] [full name changed by marriage] to
When change is necessary for the items mentioned of identification of authorized medical expenses (designated incurable disease ) recipient, it is necessary to apply for change of identification of recipient.
(we may not revise mention contents automatically in Yokohama-shi. Change application from the person is necessary.)

[type of procedure and thing to have]
* Person whom health insurance card (we include only sign, number toward the change) turned into by employment, Retirement
 Please go through the procedure after identification of person insured arrived.
 ・Company which turned into employee health insurance: You drink for one of patient of incurable disease , and take. Tax-free person take tax-free certificate.
 ・Person who turned into National Health Insurance (medical system for elder senior citizens): Take identification of person insured for all the households.
 ・Person strange in National Health Insurance Association: Take identification of person insured and taxation (tax exemption) certificate for all the households.
* Person whom Address, full name turned into
 We have you drop in at ward office Elderly and Disabled Support Division after it was filed in ward office Family Registry Division,
 Of address change (person transferred to to the Yokohama suburbs is unnecessary.) please go through the procedure.
 In addition, please be careful as receptionist of Elderly and Disabled Support Division is only weekdays.

※In all application, even family can go through the procedure, but take private seal by all means on this occasion.
※About and that procedure has difficult weekdays where were already moved,
As even mail can go through the procedure, look at the following site.

[important] Announcement of designated incurable disease addition

Colloides drop-formed cornea dystrophy, Hutchinson Guildford syndrome were added as target disease from July 1, 2019.
As for the diagnostic criteria, please see homepages such as incurable disease information center.
http://www.nanbyou.or.jp/ (the outside site) (incurable disease information center homepage)
http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000084783.html (the outside site) (Ministry of Health, Labour and Welfare homepage)
 

About specific medical expenses (designated incurable disease ) subsidy program

Summary of system

Cause is unclear, and, among so-called incurable disease which therapeutic method does not establish, illness that the Minister of Health, Labour and Welfare sets is called "designated incurable disease "
333 illness (at July 1, 2019) is appointed now.
We support a part of medical expenses suffering from treatment of illness in medical expenses meeting authorization standard for the purpose of burden reduction of patients with target illness.
It is necessary to be authorized after application to receive supply of medical expenses .

As for designated list of incurable disease , diagnostic criteria, please see homepages such as incurable disease information center.
http://www.nanbyou.or.jp/ (the outside site) (incurable disease information center homepage)
http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000084783.html (the outside site) (Ministry of Health, Labour and Welfare homepage)
 

Target system

Person who corresponds to all next

  1. The present address of resident certificate patient (as for the cases patient under 18 Address in resident certificate of protector of patient in Yokohama-shi) in Yokohama-shi
  2. National Health Insurance or health insurance union which receives person taking out public medical insurance or social security
  3. Person who contracts a disease in designated incurable disease , and meets authorized standard ([diagnostic criteria] of illness that Ministry of Health, Labour and Welfare sets and [disease severity])

 

Contents of medical care benefits

Medical care benefits is limited to content in designated medical institution based on "law about medical care for patient of incurable disease " (2014 law No. 50).
Medical institution based on the incurable disease method is medical institution which caught designation from the metropolis and districts and ordinance-designated city.
(as for the list of designated medical institutions in Yokohama-shi, designated medical institution nitsuiteogo, please confirm designated medicine.)

We become a target of medical care benefits

[target medical range]
Sickness and wound to accompany designated incurable disease and the designated incurable disease concerned, and to develop
(public medical insurance expense and service out of the application are excluded)
 
[contents of medical payment]
Hospitalization, outpatient department, charge for medicine, temporary nursing at home using public medical insurance
 
[) needing "certification for long-term care" on contents (errand of payment of care]
It is for eight following services using The Long-term Care Insurance.
(but limited to service that "designated medical institution" carried out and "the supply limit of The Long-term Care Insurance".)
[temporary nursing at home]
[visit rehabilitation]
[home medical treatment management instruction]
[care medical treatment facility service]
[care prevention temporary nursing at home]
[care preventive visit rehabilitation]
[care preventive home medical treatment management instruction]
[the House of care medical care service]
 

Medical care benefits becomes not intended

・Medical treatment costs of sickness and wound not to be caused by the medical service under health insurance outside and the designated incurable disease concerned
・Medical treatment in hospital, clinics , drugstore, temporary nursing at home station which is not designated medical institution
[example]
・Medical expenses (as prescription does not apply, charge for medicine is excluded, too.which had a medical examination in hospital which was not designated medical institution (incurable disease ), and worked
In addition, please be careful as it may not be designated medical institution even if it is medical institution which specialist in designation is.)
・Medical expenses and charge for medicine that it cost outside validity listed in identification of recipient
・Medical expenses and charge for medicine that hung over treatment (a cold or cavity) except authorized illness and sickness and wound to accompany, and to occur
・Medical expenses and charge for medicine that cannot receive application of public medical insurance out of the medical service under health insurance
・Hospitalized meal charges (but it applies to social security recipient)
・Insurance rate such as hospital room not covered by a health insurance plan charges and sheet, diaper, TV which paid during hospitalization out of the application
・Amount of money that can receive refund from each public medical insurance by high medical costs system
・Transportation expenses and pay, fee out of insurance application to pay to medical institution with house call rates
・Certificates rate such as clinical investigation individual votes (document charges)
・Expense of glasses and corset, assistive devices such as wheelchairs, assistive device for treatment
・Needle, moxacautery, massage, expense of massage
・tsushokaimamori (day service (elderly day care)), visit care service
 

When we show identification of authorized medical expenses (designated incurable disease ) recipient with designated medical institution

・30% is reduced to 20% window burden of medical expenses (20%, 10% is the same).
・We add up burden with plural medical institutions (hospital, drugstore, temporary nursing at home) which we consulted for treatment of designated incurable disease every month,
We will bear self-pay upper limit monthly basis listed in identification of recipient as limit. In addition, there is no distinction between going to hospital, loanword.
 

About burden
Hierarchy divisionStandard of hierarchy divisionPatient's share of medical expenses ratio: 20% (as for the 10% 10%)
The amount of self-pay upper limit
(foreign + hospitalization + charge for medicine + temporary nursing at home)
The publicExpensive incurable disease
Treatment continuation (※ 1)
Respirators
Person of wearing
ASocial security0 yen0 yen
B1Low income 1Inhabitants' tax
Tax exemption
Yearly income of patient
800,000 yen or less
2,500 yen

1,000 yen
(※ 2)

B2Low income 2Yearly income of patient
More than 800,000 yen
5,000 yen
C1The public income 1Inhabitants' tax (the amount of income percent)
(per capita rate) is less than 71,000 yen more than taxation
10,000 yen5,000 yen
C2The public income 2Inhabitants' tax (the amount of income percent)
It is less than 251,000 yen 71,000 yen or more
20,000 yen10,000 yen
DHigher incomeInhabitants' tax (the amount of income percent)
251,000 yen or more
30,000 yen20,000 yen
Hospitalized meal chargesThe total amount self-pay (there is no self-pay in social security recipient)

・Self-pay upper limit monthly basis member of supply authorization standard household (as for principle, patient (cases under 18 protector) and
According to the amount of inhabitants' tax of person) joining same komatoi*hoken (the amount of income percent), we are calculated.
・In the household in medical insurance same as patient of "specific medical expenses " (designated incurable disease ) or "children chronicity identification illness"
When we receive the medical expenses furtherance and need elsewhere, we are reduced so that burdens on household do not increase,
There is system to prorate the amount of upper limit of each patient, and to set.
For more details, "guide of specific medical expenses (designated incurable disease ) subsidy program new application" that there is on page about new application
Please confirm.

(※ 1) With large amount incurable disease treatment continuation
・It is exception to suffer from the supply amount of self-pay upper limit of person who is authorized, and catches the medical expenses furtherance.
・Self-pay upper limit monthly basis of the face of the "public income 1" "public income 2" "high rank income" mentioned above is reduced.
・In latest 12 months (including the belonging moon of application day) of change application day to this exception,
Month more than 50,000 yen applies to there being the medical expenses total sum (100%) to affect designated incurable disease more than six months.
・It is before new application (former than new application submission of documents day), and medical expenses which it cost does not include in calculation.
 
(※ 2) People such as respirators of wearing
・": enforcement during day the enforcement situation" that "we anticipate, and there is no of the secession" that "there is in having wearing or not" in the clinical investigation individual vote who had you submit
"Living condition there being is for check for part assistance or all assistance in all items".
As errand does not apply respirator to all the members, please be careful.
 

About various application procedures

When we apply for identification of recipient for the first time

Where specific medical expenses is applied to for for the first time about ➡ new application
 

About change application

In having identification of recipient, person with change already have ➡ change application in mention contents of identification of recipient
[, e.g., ...]
・Full name, Address, self-pay upper limit monthly basis, designated medical institution with change to affect addition (deletion)
・Public medical insurance (different sign, number of health insurance card which entered support of employee health insurance of family who retires, and began National Health Insurance who finds a job, and got health insurance card from company we became 75 years old and took identification of latter-stage elderly medical care insured person) which identification of person insured turned into
・Designated incurable disease with addition or change
 

When we move into from the Yokohama suburbs

When it was moved from the Yokohama suburbs, and specific medical expenses (designated incurable disease ) subsidy program is used like before transference
Application to Yokohama-shi is necessary. ➡ About transference procedure
 

When when identification of recipient was lost, we return identification of recipient

Identification of recipient loss or damage and case that has been damaged,
Person to return identification of recipient by healing or the death about re-grant, return of identification of ➡ recipient
 

Refund of specific medical expenses

In interval before identification of recipient arriving in where specific medical expenses (designated incurable disease ) subsidy program has been already applied to for
Designated incurable disease which was treated, and was paid in the range of normal medical service under health insurance with designated medical institution based on the incurable disease method concerned
We can demand refund later. ➡ About refund of medical expenses
 

Identification of recipient that mention column of the amount of self-pay upper limit management vote was not enough

When, in where had identification of recipient, mention column of the amount of self-pay upper limit management vote was not enough anymore,
You print, and please use. ➡ About self-pay limit management vote
 

About designated medical institution

It is necessary for the medical institution to be designated medical institution (incurable disease ) to use identification of recipient.
Please confirm whether medical institution which wants to work catches designation of incurable disease by all means. ➡ About designated medical institution
 

About specialist in designation

When we apply for identification of authorized medical expenses (designated incurable disease ) recipient, attachment of clinical investigation individual vote is necessary.
Is specialist in designation in neighborhood and family hospital (incurable disease )?
Please confirm from this. ➡ About specialist in designation
 

About identification of 2020 (Raiwa 2) recipient update procedure

Of identification of authorized medical expenses (designated incurable disease ) recipient of 2020 [, about update application, application procedure became needless.
As update procedure is unnecessary, submission of clinical investigation individual vote (for update) becomes needless, too.
For more details, please see page of "specific medical expenses (designated incurable disease ) subsidy program" (update procedure).
Update procedure about ➡ update procedure
 

Application

Application at ward office window

Each ward Health and Welfare Center Elderly and Disabled Support Division
 

Application by mail

〒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
 

FAQs

We publish incurable disease -related question to have you ask well on the telephone in Yokohama-shi.
For more information, look here. ➡ FAQs

Inquiry to this page

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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Page ID: 403-468-143

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