When you receive benefits from national or local government
In some cases, national or local government may cover all or part of medical care costs by drawing on public funds, depending on factors such as type of illness or patient condition.
Cases in which medical care costs are paid from public funds
Cases including the following are eligible for payment of medical care costs by public funds. For details, consult with your doctor when receiving treatment for an eligible condition or when hospitalized.
- Cases involving national responsibility, such as medical care for war sick and wounded and atomic-bomb survivors
- Cases involving control of infectious diseases
- Cases involving social welfare benefits, such as medical care for those with physical disabilities
- Illnesses caused by pollution attributable to corporate activities
- Treatment of serious illnesses, medical care for research purposes, etc.
Medical care benefits provided by local governments independently
In addition to national systems that use public funds to cover medical care costs, local governments, including prefectures and municipalities, provide numerous benefits. Primary examples include subsidies for medical care for infants, subsidies for medical care for those with physical or mental disabilities, and subsidies for medical care for the aged. The nature of the subsidies and other details vary by prefecture or municipality. Check with the relevant office within your prefecture or municipal government for more information.
Main types of medical care eligible for public funding
Medical care eligible for health insurance benefits is limited to types certified in advance by the government of Japan as eligible for insurance coverage and recognized as safe and effective medical treatments.
Law | Details | Coverage |
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Law for Special Aid to the Wounded and Sick Retired Soldiers |
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Entire amount covered by national treasury (No copayment) |
Medical Treatment for Atomic Bomb Victims Act |
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Law Concerning the Prevention of Infectious Diseases and Medical Care for Patients Suffering Infectious Diseases |
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Entire amount covered by public funds (A copayment applies in some cases) |
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Priority given to use of health insurance (Copayment: 5% of medical care costs) |
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Implementation guidelines for medical aid for specific chronic diseases | Cases of so-called “intractable diseases” whose causes are unclear, for which no treatment methods have been established, and that have aftereffects (e.g., Behcet’s disease, Crohn’s disease) | Priority given to use of health insurance A system of differing maximum costs applies depending on the income of the chief income earner in the household (per institution, per month; no copayment for low-income individuals) |
Child Welfare Law (Specific chronic diseases of children)*2 |
Chronic diseases affecting children (under 20 years of age; must have received benefits for the treatment before the age of 18) and requiring extended treatment (e.g., cancer, asthma, collagen disease) | |
Services and Support for Persons with Disabilities Act*3 (Treatment supporting self-sufficient living) |
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Priority given to use of health insurance In principal, the copayment is 10% of the medical care costs (persons with income at or above a certain level are not eligible for treatment in support of self-sufficient living) Maximum copayment amounts apply for low-income individuals and persons requiring high-cost medical care on a continuing basis |
Mental Health and Welfare Law |
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Priority given to use of health insurance (A copayment applies in some cases.) |
Child Welfare Law |
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Maternal and Child Health Law |
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Public Assistance Law |
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Law Concerning the Prevention of Infectious Diseases and Medical Care for Patients Suffering Infectious Diseases*1 |
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Preventive Vaccinations Law |
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Priority given to use of health insurance (No copayment) |
Law Concerning the Relief of Atomic Bomb Survivors |
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Implementation guidelines for medical aid for specific chronic diseases | Patients with intractable diseases, specifically subacute myelo-optico-neuropathy, fulminant hepatitis, serious chronic pancreatitis, and prion disease, and patients with serious conditions markedly impeding everyday living | |
Child Welfare Law (Specific chronic pediatric conditions) |
Serious chronic diseases and hemophilia affecting children (under 20 years of age; must have received benefits for the treatment before the age of 18) | |
Pharmaceuticals and Medical Devices Agency | Persons suffering from harmful side effects despite proper use of drugs or biological products | |
Act on Asbestos Health Damage Relief (asbestos health damage relief system) |
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Act on Compensation, etc. of Pollution- related Health Damage | Patients with designated conditions attributable to serious cases of air pollution, water pollution, etc. | Entire amount covered by polluter (No copayment) |
- *1 The Law Concerning the Prevention of Infectious Diseases and Medical Care for Patients Suffering Infectious Diseases was amended in April and June 2007 to integrate it with the earlier Tuberculosis Prevention Law.
- *2 The copayment system dependent on income was implemental on April 1, 2005 due to revisions in the Child Welfare Law.
- *3 With the enactment of the Services and Supports for Persons with Disabilities Act, the system of medical care covered by public funds for disabilities was shifted to a system of treatment supporting self-sufficient living in April 2006.