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Under the current medical insurance system, laser surgery for hernia is not covered by health insurance. You must pay the relevant medical care costs yourself. High-Cost Medical Care Benefits and additional benefits apply to the 30% copayment on medical care costs covered by insurance. For this reason, medical care costs ineligible for insurance coverage do not qualify for High-Cost Medical Care Benefits or additional benefits.
If the annual medical care costs you paid yourself exceed 100,000 yen, you can claim medical expenses deductions for a refund on your income tax. See the link below for more information.
(Link) Click here for more information on medical expenses deductions.