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We will tell about specific medical expenses (designated intractable disease) medical expenses subsidy program

The last update date:
About medical expenses subsidy program for the patients with intractable disease, we support medical expenses about 330 diseases by "law about medical care for the patients with intractable disease" enforced on January 1, 2015. We apply to receive the furtherance, and it is necessary to receive supply authorization.
※ From April 1, 2017, disease targeted for the medical expenses furtherance was escalated from 306 diseases to 330 diseases in total.

 

 

Medical expenses that the furtherance is received

It is necessary to meet all of following (1) - (2) to receive supply authorization of the medical expenses furtherance. 

(1) One that satisfies any of the following in one infected with designated intractable disease (disease established in Ministry of Health, Labour and Welfare law)

  • One that meets diagnostic criteria that the Minister of Health, Labour and Welfare establishes, disease severity standard
  • When if we do not meet disease severity standard, the monthly medical expenses total sum (for 100%) having designated intractable disease is in month more than 33,330 yen more than March for 12 months before application month (PDFmild large amount of We open with the other window(PDF: 137.6 kilobytes))

(2) Resident's card is in Saga 

※ Please talk about whether you meet standard that the Minister of Health, Labour and Welfare establishes with attending physician

※ You can confirm diagnostic criteria of each designation intractable disease and disease severity standard in Ministry of Health, Labour and Welfare HP We open with the other window(external link)

 

Disease that is targeted for the medical expenses furtherance

Disease We open with the other window(PDF: 1.38 megabytes) becoming a target of medical expenses subsidy program has 330 diseases nowPDF.

 

 

Contents of medical benefit 

  • On the starting date of the medical expenses furtherance, it is from day when we accepted application documents in each Public Health and Welfare Office. 
  • It is only medical expense to suffer from treatment for sickness and wound that medical expenses targeted for the medical expenses furtherance accompany authorized disease and the disease and develop.
  • We do not become a target of the furtherance about insurance medical care out of the application. In addition, it is paid privately about meal allowance for family medical expenses at admission in full.
  • Amount of money to bear adds up contribution that all designated medical institutions (include Pharmacies, temporary nursing at home station) described in identification of recipient were huge a month, and to monthly basis self burden burden. For more detailsPDF, please see the monthly basis self-pay ceiling We open with the other window(PDF: 60.6 kilobytes).
  • The amount of monthly basis self-pay upper limit is set according to the amount of municipal inhabitants tax of member of supply authorization standard household (※) (the amount of income percent). 

 

※  We say member of household which becomes standard when we calculate self-pay upper limit monthly basis. We point at member of household taking out medical insurance same as testee.

 

About procedure after having received authorization

When you add full name, address, case that there was change to health insurance cards and designation medical institution to consult, please file in each Public Health and Welfare Office.

When you change the name of disease, exception of the amount of self-pay upper limit, intractable disease, children chronicity recipient in household, designated medical institution and add, please submit to Public Health and Welfare Office.

When health insurance of name or address of testee and protector or testee has change, please submit to Public Health and Welfare Office.
※ Copies of letter of introduction are not necessary for change, addition of designated medical institution

   We send amount of self-pay upper limit control documentation in conformity to identification of medical recipient in Saga. When self-pay upper limit control documentation which we sent is short, please inflect.

 When the moon more than 50,000 yen has the medical expenses total sum of designated intractable disease every one month more than six times a year, the amount of self-pay upper limit may be reduced.


 


 

 

Documents necessary for new application

 Documents necessary for new application are as follows.

 

[presentation documents that all the members are common] 

(1) PDF Specific medical expenses (designated intractable disease) supply authorization application (newly) We open with the other window(PDF: 132 kilobytes)

(2) Clinical Surveys individual vote [for newcomer] (to Ministry of Health, Labour and Welfare HP link We open with the other window(external link))

※ It is necessary for doctor who received designation as "specialist in intractable disease designation" from the metropolis and districts to fill out. Clinical Surveys individual vote whom non-specialist in intractable disease designation filled in becomes void.

(3) PDF Written consent We open with the other window(PDF: 477.4 kilobytes) which depends on large amount allowance for family medical expenses

(4) Copy of health insurance card

(5) 2017 city (town) prefectural tax income tax (tax exemption) identification certificate (but, as for municipalities National Health Insurance, the latter-stage elderly, unnecessary more than general income by employee insurance insurance)

(6) Papers such as public pensions

(7) Resident's card which all the households are listed in

(8) Documents (PDFflyer We open with the other window(PDF about my number: 297.6 kilobytes)) which identify my number

※Insurance that city (town) prefectural tax income tax certificate, health insurance card, presentation of my number take out in the case of National Health Insurance, the National Health Insurance association, latter period,

 For all the people taking out the same insurance in household on resident's card is necessary.

 

[only in the as follows applicable one] 

(9)  Documents (copies of identification of recipient) which prove that there are other intractable disease medical expenses furtherance recipients or children chronicity identification illness medical care recipient in the same household

(10)PDF Only in the one applied to for medical expenses breakdown certificate (style twelfth) as mild large amount of pertinence newly We open with the other window(PDF: 39.3 kilobytes))

 

 

"Specialist in designation" about "designated medical institution"

 

About "specialist in designation" 

 It is limited to doctor who received designation as "specialist in intractable disease designation" by the metropolis and districts that we can make "clinical Surveys individual vote" [for newcomer] necessary for new application. Clinical Surveys individual vote whom non-specialist in intractable disease designation filled in becomes void.

    ※ Please refer to each metropolis and districts or medical institution for specialist in intractable disease designation to be registered at medical institution of outside the prefecture directly.

About "designated medical institution" 

 It is limited to treatment that we gave with appointed designated medical institution (medical institution, Pharmacies, temporary nursing at home station) by the metropolis and districts that we are targeted for the furtherance of medical expenses. About treatment that we gave with medical institution which is not designated medical institution, we do not become a target.

 When you fill in specific medical expenses (designated intractable disease) supply authorization application with medical institution in hope of consultation, you receive designation as designated medical institution, or please confirm.

    ※   Please refer to each metropolis and districts or medical institution for designated medical institution of outside the prefecture directly. 

 

Application filing of paper point

We can apply in Public Health and Welfare Office of neighborhood.

Central Saga Public Health and Welfare Office

Location 1-20, Hacchonawatemachi, Saga-shi

Telephone 0952-30-1673 

Tosu Public Health and Welfare Office

Location 1234-1, Motomachi, Tosu-shi

Telephone 0942-83-3579

Karatsu Public Health and Welfare Office

Location 3-1, Daimyokouji, Karatsu-shi

Telephone 0955-73-4187

Imari Public Health and Welfare Office

Location Shintencho, Imari-shi Sakaguchi 122-4

Telephone 0955-23-2101

 

Kito Public Health and Welfare Office

Location 265, Takeochoshowa, Takeo-shi

Telephone 0954-22-2105 

 

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Saga prefectural government office (corporation number 1000020410004) 〒 840-8570  1-1-59, Jonai, Saga-shi   Tel: 0952-24-2111 (main)     
Copyright© 2016 Saga Prefecture.All Rights Reserved.

Saga prefectural government office (corporation number 1000020410004)

〒840-8570
1-1-59, Jonai, Saga-shi
Tel: 0952-24-2111 (main)
Copyright© 2016 Saga Prefecture.All Rights Reserved.