If you underwent acupuncture, moxibustion, massage or similar treatment with an insurance doctor's approval

Beginning October 2024 (month of treatment)

• Application Form for Medical Care Expenses (acupuncture, moxibustion)
• Application Form for Medical Care Expenses (massage)
• Letter of consent to inquiries (to submit for the first time you apply)

• * Use the form on the "Web Inquiries" page to obtain the application form for months of treatment received in or before September 2024.

[Documents to attach]

• Receipt (original)
• Letter of approval from a doctor (original)
  • * Required for the first time you apply and every six months thereafter (if treatment continues)
  • * Required monthly for manual correction of deformities
• Report on treatment (copy) (when obtaining subsequent approval)

〒103-0015
10F, Daiwa River Gate South Wing,
36-2, Nihonbashi, Hakozaki-cho,
Chuo-ku, Tokyo

IBM Japan Health Insurance Association

• The payment decision will be made after a review by the Health Insurance Association.
• We may make inquiries with the patient and medical care institution regarding the nature of the treatment and the cause of injury.
• The payment decision will be made three or more months after the month of treatment to confirm the consultation status with the medical care institution.
• Acupuncture and moxibustion are not eligible for health insurance benefits if receiving treatment at a medical care institution for the same illness or injury. (The term "treatment" here does not refer to exams, tests, or issuance of a letter of approval.)
• As a result of the review, some or all of the benefit may be withheld.
• See here for checking the benefit amount and notice of payment decision.