Cash Benefits (Medical Expenses Assistance for Out-of-Town Medical Visits, Glasses for Low Vision, Assistive Devices, Full Coverage, etc.)

Cash Benefits (Cash Reimbursement)

You can apply for a refund of Medical Expenses in the following cases

• Those who visited medical institutions outside Tokyo and could not use their medical certificate
• Those who have received medical treatment at medical institutions before the issuance of the medical certificate due to procedures such as birth or relocation.
• Those who have visited medical institutions in Tokyo that do not have a medical expense subsidy system
• Individuals who have incurred costs for therapeutic devices (such as glasses for low vision and assistive devices)
• Those who have had their medical expenses fully covered (100% coverage)
• Those who are enrolled in the National Health Insurance outside Tokyo
• Those who have borne the out-of-pocket expenses for other medical expense assistance programs
• Those who were unable to present their medical certificate to medical institutions for unavoidable reasons

In cases like those mentioned above, the eligible subsidy amount will be refunded for the out-of-pocket portion of insured medical treatment paid at medical institutions within the qualification period of the medical certificate.
Please fill out the Application Form and submit it along with the required documents.

Please check before applying

• Items not covered by health insurance (Health Checkup, Vaccination, treatments not covered by insurance, etc.) are excluded.
• If your child becomes ill or injured at school, Kindergarten, Nursery School, etc., they may be eligible for benefits under the Japan Sports Promotion Center Act. Please check with the school or institution in advance. (For details, please see the information below.)
• If you are injured due to the actions of others (such as in a traffic accident), separate procedures will be required.
• Receipts cannot be returned as a general rule. However, if the Medical Expenses include items not eligible for subsidies from the city, the receipt can be returned after indicating the subsidy amount from Inagi City. If you wish to have the receipt returned, please inform us of this at the time of application.

• Regarding Benefits Based on the Japan Sports Promotion Center Act (PDF 439.2 KB)

About the Application

If you were unable to present the medical certificate at the counter or received treatment at a hospital outside Tokyo

The settlement method when the medical certificate could not be used, such as when receiving treatment at a hospital outside Tokyo or before the issuance of the medical certificate due to birth, moving in, etc., and you were unable to present the medical certificate at the medical certificate counter, is as follows.

Note: If you could not present health insurance information and paid 100% of the Medical Expenses, please refer to the page "When You Bear the Full Cost of Medical Expenses (100% Payment)".

Required Documents for Application

1. Application Form for Medical Expense Subsidy (You can download it from the link below or it is also available at the counter)
   Note: Please submit separate applications for inpatient and outpatient charges.
2. Receipt (Original)
3. Maru Milk, Child, and Blue Medical Certificate (Original required for in-person procedures. Copy required for submissions by mail.)

If you want to change the transfer account

• Cash card or bankbook (original when applying at the counter. Copy when submitting by mail.)
  Please bring your passbook if you are using Japan Post Bank.

Those who have medical certificates from other systems

• Certificate of Eligibility for Maximum Amount, Children's Chronic Medical Care Certificate, etc.

Application Form Formats

• Application Form for Medical Expenses Subsidy (PDF 163.7 KB)
• [Example of Completion] Application Form for Medical Expenses Subsidy (PDF 220.3 KB)

When the cost of glasses and assistive devices for low vision is covered

If your child’s treatment glasses (such as for pediatric amblyopia) or assistive devices (such as treatment casts) are made and covered by health insurance, they will be eligible for Medical Expenses subsidy.

After claiming the health insurance portion from the enrolled Health Insurance Association, etc., it becomes possible to proceed with the settlement procedure under the Medical Expenses subsidy system.

Required Documents for Application

1. Application Form for Medical Expense Subsidy (You can download it from the link below or it is also available at the counter)
2. Receipt (original is preferred. A copy is acceptable if it has been submitted to the insurer.)
3. Maru Milk, Child, and Blue Medical Certificate (Original required for in-person procedures. Copy required for submissions by mail.)
4. Notification of Benefit Decision from Health Insurance Association (Original)
   Note: The subsidy procedure at City Hall will follow after the subsidy procedure with the Health Insurance Association.
5. Physician's instruction or diagnosis document (original copy is required in principle. If submitted to the insurer, a copy is acceptable.)

If you want to change the transfer account

• Cash card or bankbook (original when applying at the counter. Copy when submitting by mail.)
  Please bring your passbook if you are using Japan Post Bank.

Those who have medical certificates from other systems

• Limit amount application certification, pediatric chronic medical certificate, etc. (Original required for in-person procedures. Copy required for submissions by mail.)

Application Form Formats

• Application Form for Medical Expenses Subsidy (PDF 163.7 KB)
• [Example of Completion] Application Form for Medical Expenses Subsidy (PDF 220.3 KB)
• About Subsidy for Your Child’s Therapeutic Glasses (Pamphlet) (PDF 624.6 KB)

In the case of full coverage of medical expenses (100% coverage)

If you are unable to present either your Health Insurance Card information or medical certificate and have paid the Medical Expenses in full (100% coverage), after claiming the Health Insurance portion from your enrolled health insurance society, etc., you can proceed with the settlement procedure under the Medical Expenses Subsidy System.

Note: The number of years you can go back from the receipt date for settlement varies depending on the health insurance association, so please check with your health insurance association or similar organization.

Required Documents for Application

1. Application Form for Medical Expense Subsidy (You can download it from the link below or it is also available at the counter)
   Note: Please submit separate applications for inpatient and outpatient expenses.
2. Receipt (original is preferred. A copy is acceptable if it has been submitted to the insurer.)
3. Maru Milk, Child, and Blue Medical Certificate (Original required for in-person procedures. Copy required for submissions by mail.)
4. Notification of Benefit Decision from Health Insurance Association (Original)

If you want to change the transfer account

• Cash card or bankbook (original when applying at the counter. Copy when submitting by mail.)
  Please bring your passbook if you are using Japan Post Bank.

Those who have medical certificates from other systems

• Limit amount application certification, pediatric chronic medical certificate, etc. (Original required for in-person procedures. Copy required for submissions by mail.)

Application Form Formats

• Application Form for Medical Expenses Subsidy (PDF 163.7 KB)
• [Example of Completion] Application Form for Medical Expenses Subsidy (PDF 220.3 KB)
• Regarding cases where Medical Expenses are fully borne (100% burden) (Pamphlet) (PDF 1.1 MB)

In the case of high-cost medical expenses

High-cost medical expenses refer to a system where, if the same insured person (or dependent) incurs medical expenses exceeding a certain amount within the same month for the same medical department (the total amount is combined for the same household), the portion exceeding a certain amount is reimbursed later by the Health Insurance Association or similar organizations.

The Child Medical Expenses Subsidy System provides assistance for the difference after deducting the portion covered by the Health Insurance Association from the insurance-covered medical expenses. (In the case of Maruko and Maru-Ao, 200 yen per outpatient visit is excluded.) If you qualify for high-cost medical care benefits, please apply for the benefits through your Health Insurance Association. For application procedures, please contact your Health Insurance Association.

After the subsidy procedure with the Health Insurance Association, it becomes possible to settle the difference in the out-of-pocket Medical Expenses under the Child Medical Expenses Subsidy System.

Required Documents for Application

1. Application Form for Medical Expense Subsidy (You can download it from the link below or it is also available at the counter)
   Note: Please submit separate applications for inpatient and outpatient expenses.
2. Receipt (original is preferred. A copy is acceptable if it has been submitted to the insurer.)
3. Medical certificate (original for in-person procedures. Copy for submissions by mail.)
4. Notification of Benefit Decision from Health Insurance Association (Original)

If you want to change the transfer account

• Cash card or bankbook (original when applying at the counter. Copy when submitting by mail.)
  Please bring your passbook if you are using Japan Post Bank.

Those who have medical certificates from other systems

• Limit amount application certification, pediatric chronic medical certificate, etc. (Original required for in-person procedures. Copy required for submissions by mail.)

Application Form Formats

• Application Form for Medical Expenses Subsidy (PDF 163.7 KB)
• [Example of Completion] Application Form for Medical Expenses Subsidy (PDF 220.3 KB)
• Regarding cases applicable to high-cost medical expenses (Pamphlet) (PDF 951.1 KB)

Application Window

City Hall Main Office

2111 Higashi-Naganuma, Inagi City
Inagi City Hall Child Care Support Division Allowance and Subsidy Section (2nd Floor, Counter No. 5)
Open on weekdays from 8:30 AM to 5:00 PM

Note: Excluding holidays.

Branch Office

Hirao and Wakabadai Branch Offices
From 8:30 AM to 5:00 PM on office days

Note: The Branch Office only accepts document deposits. We are unable to answer questions, etc.

Mailing

206-8601
2111 Higashi-Naganuma, Inagi City, Tokyo
Inagi City Child Welfare Department Child Care Support Division Allowance Subsidy Section

Points to Note When Submitting by Mail
The acceptance date by mail will be the date the application form or notification arrives at City Hall.
If the arrival date at City Hall is delayed due to postal accidents, the effective date of eligibility for benefits may be delayed (the month you start receiving allowances or the start of the validity period of the medical certificate may be delayed). To ensure that the Application Form or notification reliably reaches City Hall, please send it using methods such as specified recorded mail or simplified registered mail.
If there are any deficiencies in your application or notification, we will contact you later by phone or letter. Please be sure to provide your address, name, and phone number.