When visiting a bonesetter's clinic or osteopathic clinic
You might use a bonesetter's clinic or osteopathic clinic to treat a sprain or bruise. However, the extent of cases in which you can use health insurance at such clinics is very limited, since a bonesetter's clinic or osteopathic clinic is not an insurance medical care facility and the judotherapists who provide such care are not physicians.
Cases in which you can use health insurance
Only the following clearly external (traumatic) injuries are covered by health insurance.
- * Conditions due to internal (medical) disorder are not covered by health insurance.
- * Any injury must not have become chronic to be covered by health insurance.
●Bone fractures, dislocations
- * A doctor's consent is required except in cases in which the treatment is provided as first aid.
●Bruises, sprains, contusions (torn muscles, etc.)
Cases in which you cannot use health insurance
Since you cannot use health insurance in the following cases, you must cover the entire cost of treatment yourself.
- You are treated at a neighborhood osteopathic clinic for stiff shoulders due to fatigue from daily activities.
- You are treated at an osteopathic clinic for a knee injury dating back from several years ago that flared up again.
- You visit an osteopathic clinic in the hopes of speeding recovery from an injury for which you are currently being treated at a medical care institution.
- You repeatedly visit an osteopathic clinic to treat long-term joint pain.
- You visit an osteopathic clinic for pain attributable to conditions like neuralgia or rheumatism.
- You are taken to a nearby osteopathic clinic for a bone fracture sustained on your way home from work.
Be sure to check the specific information concerning your treatment
In principle, the costs for treatment at an osteopathic clinic or a bonesetter's clinic are handled as “Medical Care Expenses” for which the patient must pay the entire amount him or herself, then apply to the Health Insurance Association for reimbursement of 70% of the amount. However, for convenience, a judotherapist working at an osteopathic clinic or a bonesetter's clinic that has concluded an agreement with the prefecture may apply for direct payment of medical care expenses. In such cases, you will simply pay a copayment of 30% in principle, just like at an insurance medical care facility.
Even if the judotherapist applies directly for payment, note that you must sign or affix your seal to “the Application Form for Medical Care Expenses”. When requesting payment in this way, be sure to check to confirm that information (e.g., cause and location of the injury) is correct. (Do not sign blank applications.)
Be sure to obtain a receipt
Osteopathic clinics and bonesetter's clinics are required to issue receipts free of charge. Always obtain a receipt, just as if you were undergoing treatment at a medical care institution.
While the receipt will ideally provide detailed indications of the amount of each treatment item to allow future review of treatment specifics, a detailed receipt may cost extra in certain cases.
The Health Insurance Association may inquire about details of treatment and other matters.
After you have undergone treatment at an osteopathic clinic or a bonesetter's clinic using your health insurance card, the Health Insurance Association may inquire at a later day about matters such as the details and progress of treatment, and the cause of injury. We ask for your understanding of and cooperation with such inquiries. They are intended to ensure appropriate use of your insurance premiums.