If you paid the entire medical care cost up front

In some cases covered by health insurance, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Association later.

Description

Procedures

FAQ

If you paid the entire medical care cost up front
If you become sick or are injured overseas
If you cannot walk to or between hospitals

If you paid the entire medical care cost up front

Required documents:	Application Form for Medical Care Expenses Example
	Application Form for Medical Care Expenses (acupuncture, moxibustion)Treatment performed before the end of September 2024 Example
	Application Form for Medical Care Expenses (acupuncture, moxibustion)Treatment performed after October 2024 Example
	Application Form for Medical Care Expenses (massage, shiatsu)Treatment performed before the end of September 2024 Example
	Application Form for Medical Care Expenses (massage, shiatsu)Treatment performed after October 2024 Example
	[Documents to attach] See the table below
Deadline:	As soon as possible
Applies to:	Insured persons and dependents eligible for payment for the reasons shown below
Address inquiries to:	Health Insurance Association
Notes:	See the table below concerning reasons for eligibility for payment and required documents to attach. It will be paid after checking the content of the Rezept from the hospital. (3 ~ 4 months after the visit)

Reason for eligibility for payment of medical care expenses	Documents to attach to application form
If you undergo treatment without your Myna health insurance card due to sudden sickness	Receipt(original), a medical fee statement that indicates the illness or injury name (original medical statements cannot be used), dispensing fee statement
If you received a live blood transfusion	Fresh blood test receipt (original), blood transfusion certificate
If you purchased and used prosthetic equipment such as an artificial arm or leg, an artificial eye, or a corset, as instructed by a physician: *The equipment is necessary for treatment and prescribed by the doctor. However,there is a case that it is not eligible for payment even if there is a doctor's instruction.（It is the doctor who approves the creation of the equipment. However, the insurer(health insurance association) can approve the payment as medical expenses). If a medical institution that has obtained consent and instructions to create an orthosis is the first medical examination and there is no process to visit the hospital before that, or if there is no visit to the medical institution after creating the orthosis, it may not be recognized as a treatment purpose. In addition, for the convenience of daily life after fixing symptoms, (Relief of pain, assistance in walking, etc). equipment, things that are made repeatedly, and things that are made for cosmetic purposes are not considered therapeutic equipment and are not eligible for payment. In addition, plantar braces etc. due to hallux valgus, flat feet, arthralgia, etc. in adults are only provided after surgery. Outfits for diseases that cannot be cured or are caused by congenital diseases are not covered by health insurance.(Please consult with the social welfare desk in your municipality). If you have any questions, please contact Nomura health insurance association.	Receipt(original), Certificate of Installation of Instructions for Production of Therapeutic Orthosis If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear) Regarding orthosis photos
If you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval:	Receipt (original), written consent from an insurance doctor (original) When submitting a consent form, the consent record must be indicated on the second and subsequent claims, so be sure to keep a copy. If medical treatment is received again after six months have passed since the date of the first visit, it is necessary to once again undergo an examination by an insurance doctor and obtain medical treatment consent (reconsent).
If you had eyeglasses or contact lenses prepared and purchased to treat juvenile amblyopia or other condition in a child of less than nine years of age: When glasses or contact lenses are created or purchased for the treatment after amblyopia(lazy eye), strabismus(crossed eyes), or the treatment of refraction correction after congenital cataract surgery for children less than nine years old, a refund can be received from the health insurance association. In addition, the renewal of glasses, etc. is eligible for payment once per year in the case of children under five years old and once every two years in the case of children who are five to less than nine years old. The amount refunded is equal to 70% or 80% of the creation or purchase cost. (There is a limit specified by the notice). It may not be eligible for payment as a result of the content examination by health insurance association even if there is a doctor’s written instruction. （It is the doctor who approves the creation of the eyeglasses. However, the insurer(health insurance association) can approve the payment as medical expenses).	Receipt (original), A creation order for glasses, etc. used to treat amblyopia (lazy eye), etc. (original) Something that indicates the disease name (amblyopia (lazy eye), etc). and the vision test results The date of the creation order must be before the date of the receipt. *A prescription for glasses is not acceptable.
If you purchased limbal-supported rigid contact lenses for disfigured corneas due to ocular sequelae after experiencing Stevens-Johnson syndrome or toxic epidermal necrolysis:	Receipt(original) Copy of written instructions or other document from an insurance doctor (A copy of a prescription or other document noting the name of the illness that can be used to confirm that the contact lenses were prescribed for an illness eligible for benefits)

Regarding orthosis photos

orthopedic shoes

To apply for, photos of the orthosis are necessary. (Photos are not necessary for items other than orthopedic shoes).

(1) Photos of the following orthosis parts (all accessories, etc).
- Front
- Side (from either the left or the right)
- Photos that make it possible to see the logo, size, product number, manufacturer, etc. (inside of the shoes, etc).
- *Take photos that show the device from all angles
(2) A photo that shows the orthosis actually being worn (front)
(3) Send color photos of (1) and (2), or email images of them.
Email address　kenpokumiai-r9200001@jp.nomura.com
Please include the items below in the email body in order to identify the sender.
- Insured person’s number
- The company name
- The insured person’s name
- The orthosis wearer’s name
(4) If the orthosis shape, etc. cannot be confirmed, you may be asked to resubmit the photos.

If you purchased a compression garment or similar item

Treatment of lymphedema of the arms or legs occurring after surgery for malignant tumor involving lymph node dissection (extensive resection) in the groin, pelvic region, or axillary region; primary lymphedema of the arms or legs

Documents to attach to application form	Written instructions to wear compression garment or similar item (after surgery for malignant tumor/primary lymphedema) Receipt
Type of compression garment	Compression stocking, compression sleeve, compression glove (compression bandage only if the doctor recognizes that these should not be used)
Notes	No more than two compression garments or similar items per body part may be purchased at a time. Repurchase made at least six months after the previous purchase is eligible for payment of medical care expenses.

Treatment for intractable ulcer due to chronic venous insufficiency

Documents to attach to application form	Written instructions to wear compression garment or similar item (treatment for intractable ulcer due to chronic venous insufficiency) Receipt
Type of compression garment	Compression stocking (compression bandage only if the doctor recognizes that this should not be used)
Notes	No more than two compression garments or similar items per body part may be purchased at a time. Eligible for payment of medical care expenses only once (cases involving recurrence after healing are eligible for payment again) * Treatment at your own expense is not eligible for benefits.

If you become sick or are injured overseas

Required documents:	Application Form for Overseas Medical Care Expenses Example
Required documents:	[Documents to attach] “Attending physician's statement” issued by the overseas hospital For medical: attending physician’s statement (form A) For dental: attending dentist’s statement (form C) “Itemized receipt” issued by the overseas hospital Itemized receipt (form B) The original receipt detailing on-site payment Japanese translations of the above A copy of a document verifying your overseas travel (such as a passport) A letter stating that you agree to the health insurance association making detailed inquiries to the overseas medical care institution or other organization about your treatment Consent form of medical care expense
Deadline:	As soon as possible
Applies to:	Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
Address inquiries to:	Health Insurance Association
Notes:	The amount of the benefits will be based on the treatment costs as established under domestic health insurance.

If you cannot walk to or between hospitals

Required documents:	[For approval by the Health Insurance Association] ** The Health Insurance Association in advance for approval.
	[To claim transportation expenses] Application Form for Transportation Expenses Example
	Receipt
Deadline:	As soon as possible
Applies to:	Insured persons or dependents transported to or between hospitals as instructed by a doctor because the sickness or injury makes movement difficult
Address inquiries to:	Health Insurance Association
Notes:	This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Association determines that all of the following conditions apply: The medical care for which transportation is required is appropriate as insurance treatment. The sickness or injury for which the medical care is required makes it difficult for the patient to move. In an emergency or other unavoidable case. Urgency is required. [Examples] ・If the patient is injured at a disaster site, etc. and is transferred in an emergency ・If the person gets sick or injured on a remote island, etc., and they are transferred for a reason such as the following: their symptoms are serious and suitable medical treatment is not available at a nearby hospital. Transfers in cases where there is no urgency, such as temporary transfers when going to a hospital, etc., are not covered.