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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 333 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 July 1, 2019, disease targeted for the medical expenses furtherance was escalated from 331 diseases to 333 diseases in total.
 

Person who can receive the furtherance of medical expenses

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

(1) Person who satisfies any of the following in infected with designated intractable disease (disease established in Ministry of Health, Labour and Welfare ordinance)

  • Person who 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
     

(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.

※ Look at diagnostic criteria of each appointment 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

We have 333 diseases to disease (for leaflet) We open with the other window(PDF: 1.04 megabytes) becoming a target of medical subsidy program nowPDF.

 

Contents of medical benefit 

  • On the start 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 expenses 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 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 monthly basis self-pay limit 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 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 to 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 appointment 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 the 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 six times a year or more, the amount of self-pay upper limit may be reduced.

 

 

About return of identification of recipient

 

 We attach identification of recipient for "report of return" (style No. 7) if we transfer to outside the prefecture when qualification of recipient disappeared by healing, the death and return to each Public Health and Welfare Office 

 Uncool.

 

 

Documents necessary for new application

 Documents necessary for new application are as follows.

 

[submission 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: 179.6 kilobytes)

※ After checking attachment written consent (PDFwritten consent We open with the other window(PDF to depend on specific medical expenses supply authorization: 133.6 kilobytes)) contents, please apply.

(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 "intractable disease-designated medicine" from the metropolis and districts to fill out. Clinical Surveys individual vote whom other than intractable disease-designated medicine filled in becomes void.

(3) PDF  Written consent We open with the other window(PDF: 60.4 kilobytes) which depends on large amount of medical expenses

(4) Copy of health insurance card

(5) 2019 city (town) prefectural tax income tax (tax exemption) identification certificate (but insurance is the employed insurance and does not need the municipalities National Health Insurance, latter-stage elderly general income or more)

(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, submission 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 as for the as follows applicable person] 

(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 applied to for medical expenses breakdown certificate (style No. 12) as mild large amount of pertinence newly We open with the other window(PDF: 87.4 kilobytes))

 

 

"Specialist in designation" about "designated medical institution"

 

About "specialist in designation" 

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

    ※ Please refer to each metropolis and districts or medical institution for intractable disease-designated medicine 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 medical institution which you wish to consult on specific medical expenses (designated intractable disease) supply authorization application, 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, Daimyokoji, 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.