Benefits of independence support medical care (upbringing medical care)

Part of the medical expenses when a child under the age of 18 is treated at a designated medical institution to reduce or restore physical disability.
This is a system that pays public funds. (It will be provided in kind. Only the treatment equipment cost will be refunded at a later date. )
Out-of-pocket expenses are 10% in principle. However, there is a monthly upper limit on the out-of-pocket amount depending on your income.
In addition, households (same insurance) with a certain income or more (municipal tax income percent before special tax credits such as housing loans and donation deductions is 235,000 yen or more)
If you belong to "severe and continue" and do not fall under "severe and continuous", you will not be covered by public expenses.

In principle, prior application is required.
However, if there is an unavoidable reason, such as when the procedure is not completed in time due to emergency surgery, we will accept applications after the fact, so please consult us.
In addition, if we are unable to obtain a written opinion on nursing care due to the influence of COVID-19, we are accepting applications after the fact.

　You can look at list of designated medical institutions in Yokohama from the following.
　(Medical consultation fee, a medical institution listed as "Rehabilitation only" in the right column, does not provide nursing care.)
●About designated independence support medical institution　

　For medical institutions outside Yokohama City, please check with the local government where the medical institution is located.

Notice
　As a measure to prevent COVID-19 infection, we are temporarily accepting applications by mail.
　　　　　　　●Destination of application documents: Children and Families Support Division, ward office of your ward (same as the application window)
　　　　　　　　　　　　　　　　　※From the ward name button at the bottom of the page, the address can be entered in the column on the homepage of each ward office.
　　　　　　　●Notice Phone number, where you can contact us during the day after confirming that there are no omissions or errors in the documents.
　　　　　　　　　　　　Please be sure to enter your fax number.
　　　　　　　　　　　　(If the documents are incomplete or need to be confirmed, we will contact you.)　　　　　　　　　　　　
　　　　　　　　
[Application window] Health and Welfare Center, each district

Parents are children under the age of 18 who have Address in Yokohama (until two days before their 18th birthday) who have a disability.
Or there is a disease that is considered to leave a disability in the future if left unchecked, and treatment such as surgery at a designated medical institution for nursing care.
Those who can expect a certain effect to remove or reduce the obstacle

1 Visual impairment
2 Hearing and equilibrium dysfunction
3 Audio, Language, and Mastic Functional Disorders
4 Physical disability
5 Cardiac dysfunction
6 Kidney dysfunction (including dialysis therapy)
7 Small bowel dysfunction (including central venous nutrition therapy)
8 Liver dysfunction
9 Other visceral dysfunction
10 Immunodeficiency virus immunodeficiency virus (HIV)

The co-payment of insurance medical treatment (for which employee health insurance applies) for the treatment of the target disability at designated medical institutions is eligible for payment.

※Expenses not covered by employee health insurance, such as differential bed charges, and meals at the time of hospitalization are not included. (For households receiving social security, meals at the time of hospitalization are also available.
　It is eligible.

Except for treatment equipment costs, medical expenses, which has been paid (payment) at medical institutions, is not eligible. You can't get a refund later.
The cost of creating a treatment corset and other equipment necessary for nursing care and paying the full amount (100%) is first to employee health insurance.
When you request and receive a payment decision letter from employee health insurance, please apply for a refund at upbringing medical care.

The target period varies depending on the type of disability and the type of treatment.

Surgery and postoperative outpatient treatment are generally within three months, and are the expected period of medical treatment described in the nursing care statement by the designated physician of the nursing care medical care.
For heart dysfunction, only the length of hospital stay with surgery (within 3 months), but anti-immunotherapy after heart transplant surgery is also applicable to outpatients.

Hemodialysis therapy, anti-immunotherapy after kidney, liver, and heart transplantation, central venous nutrition for small bowel dysfunction, orthodontics and language training associated with palate.
Some are eligible for up to one year, such as physical disability treatment, rehabilitation, and anti-HIV therapy. Continuation with these treatments
If necessary, you can apply for recertification.

Please refer to “1. Information on independence support medical care (upbringing medical care)”.
You can download the form from the link below. You can also hand it over at the ward office Children and Families Support Division window.

[Documents other than Form]
１．Documents required for all people
　　・Copy of health insurance card…Those of the child and the insured (in the case of National Health Insurance, the whole family member)
　　・My Number Confirmation Documents…All family members who join the same employee health insurance as their child
　　・Identification documents for those who come to the application window…A photo with a face photo issued by a public organization (driver's license, passport, my number card, etc.)
　　　　　　　　　　　　　　　　　　　If you don't have a photo, you need two types.
２．Documents required only for those who apply　
　　・social security's certificate of protection
　　・The taxable year for which the insured person in employee health insurance to which the child is enrolled applies (depending on the scheduled start date of treatment for nursing care) applies.
　　 January 1, 2021 (e.g., January 1, 2020 for treatment start in June 2021, 2021 for treatment start in July 2021)
　　 If you did not live in Yokohama City on January 1), you will be issued a tax certificate issued by the municipality where you lived (the breakdown of deductions, etc. will not be omitted.)
　　 All of them are listed)
　　・If you live abroad and have not been taxed on January 1 above, your employer will be able to prove your overseas assignment period (“5. Overseas Work Certificate”).
　　　(Refer to [Sample]) or “family register's tag” issued by your domicile.
　　・If you are a foreign national and have not lived in Japan, you can confirm that you lived in a foreign country on January 1 above, or enter or leave the country.
　　 Documents that can confirm the date

１. If the application is accepted and there are no defects in the documents, the Yokohama City Hall will conduct a review, and if approved, it will usually take about one month from the ward office.
　“Nurturing medical care certificate” and “Self-pay upper limit management slip” (social security has no self-pay, so the self-pay upper limit management slip is required.
　No) will be mailed to your home. (Please note that it will be delivered by ordinary mail and will not be forwarded.)

２. When you receive the training medical care certificate, you will receive a health insurance card and a medical care certificate, at the time of payment at a medical institution.
Please present the 　 self-pay upper limit management slip together. (If you have a Medical Certificate for infant, etc., a medical institution in Kanagawa Prefecture.
　If so, you can use it together.
　Without the presentation of medical care certificate, upbringing medical care will not be applied, and it will be treated as general insurance medical treatment (20 to 30% of self-pay).
　There is no charge for 10%.

３. If you are charged for treatment equipment, please submit the claim documents to the application window after receiving the ID of the recipient.
　(For details on the billing procedure, see “6. Billing for treatment equipment costs”.)

４. If upbringing medical care is not certified, the ward office will mail a “Independence Support Medical Non-certification Notice” to your home.
　(Delivery by ordinary mail.)

５. One and a half months after the application, without any notice from the ward office regarding inadequate documents, etc., training medical care certificate or independence support medical care
　If you do not receive any of the non-certified notices, please contact the ward office Children and Families Support Division where you applied.　

To the ward office Children and Families Support Division in your ward
For the Phone number fax number, please see the last page of “1. Information on Independence Support Medical Care (Nursing Medical Care)”.
You can look at location on homepage of each ward office from button of ward name at the bottom of page.

Yokohama City Hall Health and Social Welfare Bureau Medical Aid Division Welfare and Medical Care Section
Telephone 045-671-4115 FAX 045-664-0403