← 🏥 Health & Insurance
This page is an AI summary of official information. Please check the official page before proceeding.
🏥 Health & Insurance Open

National Health Insurance - High-Cost Medical Care Benefit (Under 70)

💡 The Bottom Line
A notice will be sent to eligible persons about two months later. Wait for the notice before applying.
🗓 5W1H Overview
👤 Who
Ota City National Health Insurance enrollees (under 70) who exceeded the limit
📋 What
Application for High-Cost Medical Care Benefit or Maximum Amount Application Certificate
⏰ When
After receiving the notice (approx. 2 months after treatment)
📍 Where
The location specified in the notice
❗ Why
To reimburse medical expenses exceeding the maximum out-of-pocket limit
📝 How
Follow the instructions in the notice sent by the city
📖 Easy Explanation

If the medical expenses you paid at the same medical institution in the same month exceed the "out-of-pocket maximum amount," the excess amount will be paid upon application.

Under Ota City's National Health Insurance, a notice will be sent to eligible individuals in the latter half of the month, approximately two months after the medical treatment. Please do not apply immediately the next month; wait for the notice to arrive and follow the instructions to apply at the location specified in the notice.

Also, if you know in advance that you will be hospitalized, you can apply for a "Maximum Amount Application Certificate" (Gendogaku Tekiyo Ninteisho). By presenting this, your payment at the hospital counter will be limited to your maximum amount from the start (Note: It may not be issued if you have unpaid National Health Insurance tax).

👥 Who Qualifies
  • Ota City National Health Insurance enrollees under 70 whose medical expenses are high
❓ Terms & FAQ
High-Cost Medical Care Benefit (Kogaku Ryoyohi)
Money paid upon application when the amount you paid exceeds the out-of-pocket maximum limit.
Maximum Amount Application Certificate (Gendogaku Tekiyo Ninteisho)
A certificate that limits your payment at the hospital counter to your maximum limit when medical expenses become high.
📎 Related Procedures
🗺 Find Nearby Facilities

※AI summary. Please verify with the official page.

View Official Page ↗