When you incur high medical care costs
Your copayment for medical care costs is capped. If your copayment calculated based on certain standards exceeds the maximum, the excess amount will be paid as "High-Cost Medical Care Benefits".
- When you want to reduce the amount of medical care costs you pay at the medical care institution
- To receive specific disease treatment
- When you face high copayments for medical care or long-term care
When you want to reduce the amount of medical care costs you pay at the medical care institution
We recommend using a Myna health insurance card. By doing so and consenting to provide your cost-sharing maximum amount information, you will not need a Certificate of Application of Maximum Copayment Amount.
Required documents | |
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Applies to | Insured persons or dependents whose copayment amounts for one month are expected to exceed their individual cost-sharing maximum amounts in the following cases:
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Submit to | 〒103-0015 IBM Japan Health Insurance Association |
Notes: |
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To receive specific disease treatment
Required documents | Contact the Health Insurance Association before submitting this application form. |
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Deadline | At the earliest possible date |
Applies to | Insured persons and dependents receiving treatment for the following conditions:
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Submit to | 〒103-0015 IBM Japan Health Insurance Association |
Notes |
When you face high copayments for medical care or long-term care
Required documents |
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Documents to attach |
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Deadline | At the earliest possible date |
Applies to | Insured persons making copayments for both medical care and long-term care in the same household for whom the total copayment amount paid under both systems over a one-year period exceeds the maximum amount |
Address inquiries to | Base amounts may differ with differences in the age distribution of household members and income categories. For more information, contact your municipality's long-term care insurance office. |
Submit to | 〒103-0015 IBM Japan Health Insurance Association |
Notes: | For calculation purposes, the one-year period above refers to the period August 1 ? July 31. |