Social welfare system

HIV and Social Welfare

Medical Payment Assistance Using the Physical Disability Certificate

Severe Disability Medical Expenses Assistance Program (Welfare and Medical Service)
What is the Severe Disability Medical Expenses Assistance Program (Welfare and Medical Service)?
The Severe Disability Medical Expenses Assistance Program is for persons holding a Physical Disability Certificate with a disability rating of grades 1 – 3 (1 – 2 for some governments) who meet the income requirement. Governments have individual titles for this program.
Through this program, medical fees for all diseases are either reduced or exempt. (There may be a 500-yen fee for some government jurisdictions.) However, hospital meals will be charged. Unless otherwise approved, the program can only be used within the prefecture of residency.
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. (Reimbursements will not be deposited to post office accounts.) 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.)
4. Personal seal

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.
>> Severe Disability Medical Expenses Assistance Program The City of Hiroshima
Comparison of severe disability medical expenses assistance and medical payment for services and supports for persons with disabilities (The City of Hiroshima).
  Medical payment for services and supports for persons with disabilities Severe disability medical assistance
Target Holders of a Physical Disability Certificate aged 18 or older Holders of a Physical Disability Certificate graded 1 – 3
Income None Income of less than 1,595,000 yen in the previous year
Copayment
expenditure
Amount determined in accordance to taxable income Exempt (excluding hospital meals)
Eligibility Antiviral treatment and treatment for opportunistic infection Treatment for all diseases
Locations
of eligibility
Designated hospitals approved for medical payment for services and supports for persons with disabilities All medical facilities within prefectural and city governments within residential jurisdiction
Basic
regulations
Services and Supports for Persons with Disabilities Act Article 19 City of Hiroshima Ordinance for Severe Disability Medical Expenses Assistance Program
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