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I underwent a surgical procedure not covered by insurance (laser surgery to treat a hernia). Can I receive reimbursement for part of the cost (approximately 500,000 yen) as high-cost medical expenses? If so, what do I need to do?

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.