Subsidies for Medical Expenses for Pediatric Treatment

In line with the renewal of Medical Certificate for infant in August 2024, the size of Medical Certificate will be changed to an easy-to-carry card size (same size as credit cards).
In addition, the renewal period for those over one year will be changed from August every year to October every other year.
For children aged 0 to 3rd grade who have Medical Certificate as of June 22, 2024, we will send a new Medical Certificate in late July 2024.
※From the beginning, a card size Medical Certificate will be issued to children whose new Medical Certificate will be issued at the counter after Monday, June 24, 2024 due to child birth and transfer.

For flyer download (PDF: 854KB)

※For 2024, due to the renewal time change, the validity period will be two years and two months from August 1, 2024 to September 30, 2026.
※The renewal of the 0-year-old remains unchanged on the 1st of the month following the 1st birthday month (the 1st birthday is the 1st of the birth month).
※As there is no change in the public expenditure payer number or recipient number, both the old and new Medical Certificate are valid within the validity period.

From August 2023, we have eliminated income restrictions and window burdens up to 500 yen at a time paid at the time of going to the hospital so that all children up to the third grade of junior high school can consult a medical institution with peace of mind. .
※Non-insurance benefits, such as hospitalization differential bed charges, document fees, physical checkup, and selected medical expenses, are not eligible for subsidies after August.
For details on the expansion of the system, please refer to "[Subsidies for Medical Expenses for Pediatric Treatment System] We have eliminated income restrictions from August 2023 to third-year junior high school students."

This is a system for subsidizing insurance medical treatment when a child who has a Address in Yokohama and joins employee health insurance consults a medical institution due to illness or injury. (Those that are not covered by insurance benefits, such as hospitalization differential bed charges, document fees, physical checkup, and selected medical expenses, are not eligible for the subsidy.)

• If you are receiving other medical expenses grants (such as medical expenses grants for severely disabled people, medical expenses grants for single-parent families, etc.)
• If you are receiving welfare
• Measures based on the Child Welfare Law When receiving medical treatment, etc.

We can apply for grant, refund, transfer application in common from "Yokohama-shi child care support site Pamatoko".
You can apply 24 hours a day from your smartphone or PC.
You can access the application site from the link below.
・Grant application (outside site)
・Transfer application (outside site)
・Application for refund (outside site)
We will review the application based on the application and issue the Medical Certificate of Subsidies for Medical Expenses for Pediatric Treatment and refund the medical expenses.
※　To apply, you need to register your account in advance on the site.　
※　Before applying, please check the notes at the time of application on the above page before applying.
※ If you wish to apply by mail, please fill out the application form with required items and submit it to your ward office Insurance and Pension Division National Health Insurance Section Payment Section.
　In addition, you can apply directly at the counter.

Please present your Medical Certificate for infant and your health insurance card at the window of the medical institution. The co-payment for insurance medical treatment will be subsidized.
※Medical institutions in the prefecture that do not handle medical treatment under this system cannot use Medical Certificate for infant.

In the following cases, you will need to pay the co-payment at the medical institution, etc., but you will be refunded at a later date by applying to the ward office Insurance and Pension Division National Health Insurance Section Benefits Section.

• When consulting at a medical institution outside Kanagawa Prefecture
• When consulting at a medical institution that does not handle medical treatment under this system in Kanagawa Prefecture
• Those who are members of the National Health Insurance Association outside Kanagawa Prefecture (excluding the National Construction Industry National Health Insurance Association and the National Civil Engineering and Construction National Health Insurance Association) (those who have a Medical Certificate for infant dedicated to redemption payment)

The update is an automatic update, so there is no need to complete the procedure. I'll send you a new Medical Certificate by the last day of the expiration date.
If you do not receive the new expiration date of Medical Certificate by the last day, please contact Insurance and Pension Division National Health Insurance Section Benefits Officer in your district.
The renewal time differs between 0 years old and 1 year old to 3rd year junior high school students as follows.

On the first day of the month following the month of your birthday
※The first day of birth is the first day of birth month
※Renewal after the age of one is October 1, so the first renewal certificate for the age of one is valid until September 30 of even years.

Every other year (even years) October 1

If you do not use the Medical Certificate for infant at a medical institution and pay the copayment amount, please apply to the medical expensesInsurance and Pension Division National Health Insurance Section Payment Section.
It will be refunded in about 3 months. (It will take more time if there are inadequate documents or insurance benefits.)

Please submit a receipt for at least one month and apply within one year from the month following the medical treatment.

Please note that it is statute of limitations in five years from next month 1st of the consultation month and cannot apply.

If the medical expenses paid by a medical institution exceeds the co-payment limit in one month, there is a high medical costs system that provides the excess amount.
Apart from high medical costs, there are additional benefits that are paid if the amount specified by the health insurance union, etc. is exceeded.
If a large amount of medical expenses or additional benefits are provided by the health insurance union, etc., Subsidies for Medical Expenses for Pediatric Treatment will be provided excluding that amount.
Please receive high medical costs and additional benefits from the health insurance union you have joined earlier and receive a notice of payment decision before applying for payment of Subsidies for Medical Expenses for Pediatric Treatment.
Since the standard of payment and the application method vary depending on the health insurance union, etc., please check with the participating health insurance union.
Person who has taken out Yokohama-shi National Health Insurance, please confirm "high medical expenses payment system".

It is necessary to apply for the payment of medical expenses (70% or 80% of medical expenses's health insurance burden) to the health insurance union you have joined earlier (insurance coverage). The application method differs depending on the health insurance union, etc., so please check with the health insurance union, etc. that you have joined.
If you are a member of Yokohama City National Health Insurance, please check "Payment of medical expenses".
Please apply for Subsidies for Medical Expenses for Pediatric Treatment's payment after receiving the medical expenses and receiving the payment decision letter.

※Please note that only a person of 1 pertinence cannot use the electronic application when there is necessary submission of documents.

In the following cases, it is necessary to notify the ward office Insurance and Pension Division National Health Insurance Section Benefits Section.

• When employee health insurance has changed
• Address, when your name changes
• When Medical Certificate is lost or soiled
• When receiving other medical expenses subsidy programs (the medical expenses subsidy program for severely disabled people, the medical expenses subsidy program for single-parent families, etc.)
• When receiving social security
• When using Medical Certificate due to traffic accidents, etc.
• When a parent changes due to marriage, divorce, etc.
• When the parent and spouse who mainly maintain their livelihood changes.

For more information, please contact your ward office Insurance and Pension Division National Health Insurance Section Payment Section.

※If you move out of the city, you will not be able to use Medical Certificate, so please be sure to notify us.
※If you go to a medical institution using Medical Certificate after you lose your qualification due to a transfer, etc., you will be required to refund the amount you received. Please contact the Health and Social Welfare Bureau Medical Aid Division for procedures.

medical expenses and others are provided for injuries to elementary school studenｔ students under the management of elementary and junior high schools in Yokohama City.
If you are injured under school management, please pay medical expenses's co-payment (20% before elementary school and 30% for first-year elementary school students) without using Medical Certificate for infant.

If you are not eligible for the “Independent Administrative Japan Sports Promotion Center Disaster Mutual Aid Benefit Program” (for example, if you do not reach the prescribed amount), you will be required to apply for the above refund, and medical expenses will refund your co-payment.