The Children’s Medical Expenses Payments Scheme（こども医療費支給制度）
System of Subsidies for Medical Expenses for Children (PDFファイル: 65.5KB)
Overview（概要）
This is a system that subsidizes part of the medical expenses for infants, etc., when they receive medical treatment covered by insurance at a medical institution.
Eligibility（対象児童）
Parents living in Higashihiroshima City who are raising children up to the third grade of high school. However, children who are already receiving other medical care systems (welfare, single-parent medical care, medical care for the severely mentally or physically handicapped, etc.) are not eligible for this subsidy.
From October 1, 2024, the eligibility for subsidies for medical expenses incurred when going to a hospital has been expanded, and income restrictions have been abolished.
| Category | Outpatient | Admission |
|---|---|---|
| Before the change | Until the third grade of junior high school |
Until the third grade of high school |
| After the change (from October 2024) | Until the third grade of high school | Until the third grade of high school |
The Eligible Amount for Partial Subsidy（一部支給の対象となる額）
The amount obtained by deducting the amount of partial payment (individual payment by the guardian) from the amount paid by the individual for medical treatment covered by insurance (usually 20-30%).
| Category | Partial payment amount (amount to be paid by the parent/ guardian) |
|---|---|
|
Outpatient
|
500 yen per day per medical institution, up to four days a month. ※ If a child goes to hospital as an outpatient five days or more in a month, from the fifth day the parent/guardian is not required to pay any amount. ※ There is no person contribution to be paid by the parent/guardian for medicine dispensed at a pharmacy where health insurance is valid, nor for assistive devices (glasses, etc.). |
|
Admission
|
500 yen per day per medical institution, up to 14 days a month. If a child is admitted to hospital for 15 or more days in a month, from the 15th day the parent/guardian is not required to pay any amount. |
Payments of subsidies are only made for items/treatment covered by insurance.
※ If you go to a medical facility with 200 or more beds without a letter of introduction, costs for services not covered by health insurance, such as the fee for the first examination, fees for health checks, costs of vaccinations, costs of orthodontic treatments, charges for higher grade rooms, charges for diapers, etc., and costs for dietary treatments while in hospital will not be paid.
How to Åpply（申請方法）
Application Counter
Children and Family Support Division (Kodomo Katei-ka), or a branch office or sub-branch office of the City Office.
If it is difficult to visit while the counters are open, applications can be accepted by post too. Please enquire for details.
Documents Needed For the Application
- The Health Insurance Certificate of the eligible child;
- If the applicant is currently living outside the city, a document showing the personal number (My Number) for the applicant (a My Number Card, a My Number notification card, etc.)
- Proof of identity for the applicant (a My Number Card, a driving license, etc.)
※ Even if you do not have all the necessary documents to hand, please apply within 14 days of giving birth or moving into Higashihiroshima City. (The application will be stamped as having been received. You can submit the necessary documents at a later date.)
※ If you apply after 14 days have passed, please be aware that any eligibility to receive subsidies will date from the date of application.
Other Times When Paperwork Needs To Be Completed（その他、手続きが必要なとき）
- If your address changes (moving within the city, moving out of the city);
- If your Health Insurance Certificate changes;
- If you lose your Certificate of Eligibility;
- If the person who is the center of the household’s finances changes;
- If your name changes, etc.
Renewal of Certificates of Eligibility (for children between 0 and 5 years of age only)（受給者証の更新）
The Certificate of Eligibility will be renewed every year on the first day of the month following your child's birth month (the same month for children born on the first day of the month), and a Certificate of Eligibility with a new number will be sent to you. In principle, it is not necessary to apply for renewal. However, you may be asked to submit the necessary documents if the required items cannot be verified.
The new Certificate of Eligibility will be sent by the expiration date of the old one.
Claim for Refund of Medical Expenses（医療費の返還請求）
If you have incurred medical expenses covered by insurance that exceeded your contribution during the valid period of your Certificate of Eligibility, you may request a refund of the medical expenses.
Inquiries
Children and Family Support Division General Child Raising Section (Kodomo Katei-ka Kosodate-somu-gakari, こども家庭課 子育て総務係) : 082-420-0941
Location: 2F Main building
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更新日：2024年10月01日