Specified medical expenses (Designated incurable disease) Grant Program (Application for Change)

[Change of disease name indicated on recipient ID]
Based on the notification issued by the Ministry of Health, Labour and Welfare that came into effect in April 2024, the names of diseases listed on the identification card of recipients of the specified medical expenses (designated incurable disease) issued by Yokohama City will be partially changed as follows. In addition, the recipient ID for which the disease name has not been changed can be used as before if it is within the validity period of the recipient ID.
Disease Comparison Table (PDF) (PDF: 177KB)
Disease Comparison Table (Excel) (Excel: 21KB)

[About mention of designated medical institution on identification of recipient]
From April 1, 2022, the designation of designated medical institutions listed on the Certificate of Recipients of Specified medical expenses (Designated incurable disease) issued by Yokohama City is governed by "Medical institutions designated by prefectures or ordinance-designated cities based on the Act on Medical Care for Patients in incurable disease." If you are a medical institution designated by a prefectural government or a designated city under the incurable disease Law, you can use a designated medical expenses (designated incurable disease) recipient ID. As a result of this change, procedures related to changes (additions, deletions) of designated medical institutions will no longer be required from April 1, 2022 (changes other than designated medical institutions such as name, Address, insurance card, etc.) will continue to apply and report.)
About mention change of designated medical institution (PDF: 176KB)
Please check with one of the following to see if it is a designated medical institution.
・Contact a medical institution directly
・Confirm on the Yokohama City website (only medical institutions in Yokohama City)
https://www.city.yokohama.lg.jp/kurashi/kenko-iryo/iryo/nanbyo/joseiseido/tokuteiiryo-shitei.html

Please fill out the application form and change registration form, and mail it with required documents or apply at the ward office Elderly and Disabled Support Division officemedical expenses office.

・Address, name change ... attached documents is unnecessary.
・attached documents is not required in principle if you have lived in Yokohama for more than two years.
(However, if you do not attach a taxable (non-taxable) certificate, it may take more than two months to arrive the recipient ID.)
For those who are taxed in municipalities other than Yokohama City, the description of my number and the attachment of confirmation documents that show my number are attached.
You will need it. In addition, as a result of the investigation, you may be required to submit a tax (non-taxable) certificate. For more information, please contact us.

・Taxable (non-taxable) certificates, etc.※
※Please refer to required documents's confirmation flow (PDF: 766KB) to see which cases require taxable (non-taxable) certificates.

・If the co-payment limit management slip shows that the total amount of medical expenses (100%) exceeds 50,000 yen per month, a copy of the co-payment limit management slip (for 6 months)
・If there is a refund from the specified medical expenses invoice, a copy of the specified medical expenses invoice (if the original has been submitted, a copy of the receipt)
※What is the continuation of expensive incurable disease treatment?
This is a special case for those who are certified and receive the medical expenses grant.
If the maximum monthly co-payment is “General Income I (10,000 yen per month)”, “General Income II (20,000 yen per month)”, and “Higher Income I (30,000 yen per month)”, apply by application.
The maximum monthly co-payment limit is reduced.
Change to this exception Of the last 12 months (including the month to which the application date belongs) of the application date
Those who have 6 months or more of a month in which the total medical expenses (100%) pertaining to the designated incurable disease exceeds 50,000 yen.
※medical expenses earlier than the effective date cannot be included in the calculation.
　　However, medical expenses may be included in the last 12 months if it had a chronic childhood illness prior to the designation of the designated incurable disease.

・Information about employee health insurance
　〇 “Qualification Confirmation Form” or “Notice of Qualification Information”※
　〇 Minor insurance card of minor portal ※Printing
　Please print and bring the insurance card information screen of the minor portal in advance.
　※If the information of "insured person" is not described, it is necessary to confirm the name of the insured person.

●When the number of certified household members increases
・Those who know the status of participation in the National Health Insurance, National Health Insurance Association, and medical care for the elderly in the elderly who join the payment authorization standard household
・Personal Number Declaration Form for Specific medical expenses Payment Certification
　Excel (Excel: 31KB) PDF (PDF: 363KB) Power of Attorney (PDF: 38KB)
●When the number of certified household members is reduced
・If the member of the supply authorization standard household dies, rejection etc. (If you live in Yokohama City, you do not need to attach it.)
　Depending on your employee health insurance subscription, you may not need to apply, so please contact us for details.
　

Clinical survey individual card (original) of target disease
　The validity period start date may be the same as when applying for a new application. It also takes time to make a decision because it is necessary to review the clinical survey personal card.

Copy of medical care certificate (attached documents is not required if you are certified by Yokohama City.)
Information about employee health insurance
　〇 “Qualification Confirmation Form” or “Notice of Qualification Information”※
　〇 Minor insurance card of minor portal ※Printing
　　Please print and bring the insurance card information screen of the minor portal in advance.
　※If the information of "insured person" is not described, it is necessary to confirm the name of the insured person.
・There is a system that reduces the burden on households and sets the upper limit of each patient by apportioning the upper limit of each patient in the same public health insurance household as the patient, if there are other people who are subsidized by the medical expenses for "Specific medical expenses (Designated incurable disease)" or "Chronic Pediatric Specific Diseases".
・The co-payment limit is apportioned between patients and those who are subsidized by the medical expenses for "Specific medical expenses (Designated incurable disease)" and "Chronic Pediatric Diseases" (e.g., Mr. A (incurable disease) 20,000 yen / B (child chronic) 10,000 yen → [after reduction] Mr. A: 13,330 yen, Mr. B: 6, Mr. B:…Total households: ¥19,990)
・If the recipient of "Specific medical expenses (Designated incurable disease)" and "Chronic Pediatric Illness" of the same public health insurance household is outside Yokohama, the fact cannot be confirmed in Yokohama, so a copy of medical care certificate is required. It is not necessary for those who have medical care certificate of "Specific medical expenses (Designated incurable disease)" or "Chronic Pediatric Disease" in Yokohama City.
・If you are in Yokohama or out of Yokohama, please fill out the application form "Persons who have been certified by the specified medical expenses of incurable disease" and "Persons who have been certified by medical expenses for chronic childhood illness".
　

Documents such as specific medical expenses (designated incurable disease) Recipient ID and renewal of recipient ID will be sent to your home (Address on resident certificate).
・If you have been hospitalized for a long time and cannot return home.
・When we want you to send to family living together or separated family due to dementia or visual impairment.
It can be set by application when you want to send it to someone other than your home or yourself. (attached documents is not required.)
※Please note that once you set the destination, renewal guidance and recipient ID will always be sent there.
Please apply for change again to return to your home or to yourself.
　

From September 1, 2018, the tax lawmedical expenses (designated incurable disease) grant grants will be applied to unmarried single-parent families, and will determine the hierarchy of the maximum amount of self-pay (monthly basis) as defined in the tax law.
　incurable disease Countermeasures Section Leaflet, Health Bureau, Ministry of Health, Labour and Welfare (PDF: 403KB)
For more information, please refer to the following website.
　Guidance of application without widow deduction in specified medical expenses (designated incurable disease) (word: 101KB)
Refer to the calculation example of "2 Handling of the maximum amount of self-pay by applying only widow deduction etc." in the guide
Please use the calculation sheet to check the maximum co-payment amount (monthly).
　Calculation sheet (Excel: 12KB)

〒231-0062
56 Minato Mirai 21 Clean Center at 1-1 Sakuragicho, Naka-ku, Yokohama City
City of Yokohama, Health and Social Welfare Bureau Medical Aid Division, incurable disease
　

Health and Welfare Center Elderly and Disabled Support Division