To the general public and patients
Severe Disability Medical Expenses Assistance Program (Welfare and Medical Service)
What happens if I see a doctor in another prefecture?
For consultations out of the prefecture, copayment for the medical fee must first be paid in full. Submit the receipt and request for reimbursement to your local public office for payment into your bank account. Please be aware that discussion may be allowed between the Federation of National Health Insurance Organizations outside of the prefecture and your local government. Seeking prior advice at your hospital is recommended.
How do I apply for the Severe Disability Medical Expenses Assistance Program?
Submit necessary documents to your local government welfare office. This is often done when picking up the Physical Disabilities Certificate.
What you need to apply for the Severe Disability Medical Expenses Assistance Program
1. Health insurance card
2. Proof of income for the previous year (two years prior if applying between January and July).
This can be obtained through the taxation division of the local public office where you resided on January 1. Be advised that you may need to go to the office in your previous jurisdiction if you have recently moved.
3. Documents to prove grade of disability (Physical Disability Certificate, Annuity Certificate, etc.)
When can I start using the severe disability medical assistance?
This assistance is effective as of the first day of the month of issuance.
What is the difference between the severe disability medical assistance and the medical payment for services and supports for persons with disabilities?
Medical assistance for severe disabilities and medical rehabilitation are summarized below.
*Please note that assistance for severe disabilities is not the same with all local governments. Please consult your local government for details. The information below is relevant to the City of Hiroshima.
As medical payment for services and supports for persons with disabilities is applied to those with a certain amount of income, most individuals rely on the medical rehabilitation program. Combining both programs alleviates copayment expenditures.
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Severe Disability Medical Expenses Assistance Program The City of Hiroshima
| Medical payment for services and supports for persons with disabilities | Severe disability medical assistance | |
|---|---|---|
| Target | Medical payment for services and supports for persons with disabilities;
Holders of a Physical Disability Certificate aged 18 or older |
Severe disability medical assistance;
Holders of a Physical Disability Certificate graded 1 – 3 |
| Income | Medical payment for services and supports for persons with disabilities;
None |
Severe disability medical assistance;
Income of less than 1,695,000 yen in the previous year |
| Copayment expenditure |
Medical payment for services and supports for persons with disabilities;
Amount determined in accordance to taxable income |
Severe disability medical assistance;
Exempt (excluding hospital meals) |
| Eligibility | Medical payment for services and supports for persons with disabilities;
Antiviral treatment and treatment for opportunistic infection |
Severe disability medical assistance;
Treatment for all diseases |
| Locations of eligibility |
Medical payment for services and supports for persons with disabilities;
Designated hospitals approved for medical payment for services and supports for persons with disabilities |
Severe disability medical assistance;
All medical facilities within prefectural and city governments within residential jurisdiction |
| Basic regulations |
Medical payment for services and supports for persons with disabilities;
Services and Supports for Persons with Disabilities Act Article 19 |
Severe disability medical assistance;
City of Hiroshima Ordinance for Severe Disability Medical Expenses Assistance Program |
Social welfare system
- Social welfare system TOP
- 1.Coordinating lifestyles with available service
- 2.Medical Payment Assistance Using the Physical Disability Certificate
- 3.Other medical payment services
- 4.Other financial support services
- 5.Day-to-day Life Services, Including Long-term Care
- 6.Procedures for changes in status
- 7.Privacy protection
