IBM Japan Health Insurance Association

IBM Japan Health Insurance Association

  • Small
  • Medium
  • Large
  • japanese
  • English

If you paid the entire medical care cost up front

In some cases, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Association for your insurance benefits.

If you paid the entire medical care cost up front

Procedures

  1. STEP1 Obtain a receipt and details of the treatment received when paying the medical care costs.
  2. STEP2 Submit the Application Form for Medical Care Expenses.
  3. STEP3 Receive reimbursement of the medical expenses.
Required documents

Attachments required:

  • See the table below
Deadline At the earliest possible date
Applies to Insured persons and dependents eligible for payment for the reasons shown below
Address inquiries to
  • In-house mail: HZD-YY1, IBM Japan Health Insurance Association
    Or:
  • IBM Japan Health Insurance Association (HZD-YY1)
    19-21 Nihonbashi Hakozakicho, Chuo-ku, Tokyo 103-8510
Notes
  • See the table below concerning reasons for eligibility for payment and attachments required.
  • If you were treated overseas, you will need to submit the Application Form for Overseas Medical Care Expenses. Request a copy of this application form from the IBM Japan Health Insurance Association.
  • If you underwent acupuncture, moxibustion, or massage, submit the following applications:
    Application Form for Medical Care Expenses (Acupuncture, Moxibustion)
    Application Form for Medical Care Expenses (Massage)

>> Click here if you have questions or inquiries.

Reason for eligibility for payment of medical care expenses Attachments required to application form
If you were treated at a medical care institution that does not accept insurance, for unavoidable reasons Receipt
Details of treatment
If you were unable to show your health insurance card Receipt
Medical cost details (rezept)
If you received a live blood transfusion
  • Note: Not paid for a blood transfusion from a relative, including a parent, spouse, or sibling
Receipt
Blood transfusion certificate
If you purchased and used prosthetic equipment, including an artificial arm or leg, an artificial eye, or a corset, as instructed by a physician Receipt
Certificate from an insurance doctor
If you underwent acupuncture, moxibustion, massage, or similar treatment with a physician’s consent:
  • Note: Available only for a limited range of conditions
Receipt
Written consent from an insurance doctor
If you had eyeglasses or contact lenses prepared and purchased to treat juvenile amblyopia or other condition in a child of less than nine years of age: Receipt
Copy of lens prescription
Patient’s checkup results
If you purchased a compression garment or similar item to treat lymphedema of the arms or legs
  • Note: For purchase of up to two garments for the same body part at one time

Receipt

Instruction from an insurance doctor

If you become sick or are injured overseas

Procedures

  1. STEP1 Be sure to obtain a receipt and details of the treatment received when paying the medical care costs.
  2. STEP2Use the Web inquiry service to request an Application Form for Overseas Medical Care Expenses from the Health Insurance Association.
  3. STEP3 Attach the required documents to the Application Form for Overseas Medical Care Expenses and submit to the Health Insurance Association.
Required documents
  • Application Form for Overseas Medical Care Expenses  
    (Since this form is a five-sheet carbon-copy form, it is not available to download. Request it from the Health Insurance Association.)

Attachments required:

  • Attending physician’s statement issued by the overseas hospital (original)
  • Itemized receipt issued by the overseas hospital (original)
  • Japanese translations of the above
  • A copy of a document verifying your overseas travel (such as a passport)
  • A letter stating that you agree to the health insurance society making detailed inquiries to the overseas medical care institution or other organization about your treatment
Deadline At the earliest possible date
Applies to Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
Address inquiries to

Those traveling overseas on business:

Submit the application form and required documents through the head of your section.

  • In-house mail: HZD-YY1, IBM Japan Health Insurance Association

Others:

  • IBM Japan Health Insurance Association (HZD-YY1)
    19-21 Nihonbashi Hakozakicho, Chuo-ku, Tokyo 103-8510EEZD-YY1EE
Notes
  • The amount of the benefits will be based on the treatment costs as established under domestic health insurance.
  • Benefits cannot be paid if the attending physician’s statement is not attached, due to the difficulty of calculating costs eligible for insurance benefits.

>> Click here if you have questions or inquiries.

If you used medical transportation

Procedures

  1. STEP1Obtain approval in advance.
    Obtain the approval of the IBM Japan Health Insurance Association in advance to receive payment of transportation expenses. (You may request approval after the fact where unavoidable.)
  2. STEP2 Request payment of transportation expenses
    If you paid the transportation expenses after approval, you will need to complete the procedures to request reimbursement. Download the document below and submit to the IBM Japan Health Insurance Association.
Required documents

For approval by the Health Insurance Association:

  • Submit this form with doctor’s certification to the Health Insurance Association in advance for approval:

To claim transportation expenses:

  • Receipt
Deadline At the earliest possible date
Applies to Insured persons or dependents transported to or between hospitals by doctor’s orders because illness or injury impedes normal movement
Address inquiries to
  • In-house mail: HZD-YY1, IBM Japan Health Insurance Association
    Or:
  • IBM Japan Health Insurance Association (HZD-YY1)
    19-21 Nihonbashi Hakozakicho, Chuo-ku, Tokyo 103-8510
Notes

This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Association determines that all of the following conditions apply:

  • The medical care for which transportation is required is covered by insurance.
  • The illness or injury for which the medical care is required impedes the normal movement of the patient.
  • In an emergency or other unavoidable case.

>> Click here if you have questions or inquiries.

PAGE TOP