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- medical care benefits, Grants, etc.
- Benefits for independence support medical care (rehabilitation medical care)
- Benefits for independence support medical care (rehabilitation medical care)
Here's the text.
Benefits for independence support medical care (rehabilitation medical care)
Last update date April 1, 2024
１．What is Rehabilitation Medicine?
Rehabilitation medical care is based on the Comprehensive Support for Persons with Disabilities Act, and provides medical care necessary to remove or reduce the disability described in the certificate of the physically disabled or reduce the degree of disability described in the certificate of the physically disabled. It is a system that can be received at medical institutions.
The out-of-pocket amount for rehabilitation medical care is 10% of the total medical expenses, but the maximum monthly co-payment is set according to the income of the household who receives rehabilitation medical care.
As a general rule, advance application is required.
２．Those who are eligible
Persons 18 years old or older who have a certificate of the physically disabled
Households with a municipal tax amount of 235,000 yen or more are not eligible in principle, but only if they fall under "severe and continuous", they will be eligible until March 2027 medical treatment by transitional measures .
In addition, respiratory, bladder and rectum dysfunction are not eligible.
３．Eligible medical care
Corneal surgery, arthroplasty surgery, outer ear plastic surgery, heart surgery, artificial dialysis therapy, renal transplantation, orthodontics for lip and palate, anti-HIV therapy, etc.
For more information, please contact the Rehabilitation Center for the Disabled.
４．Application method
Application will be made in advance. Please apply before receiving medical treatment at a designated medical institution.
- Please have designated medical institution write "statement of opinion" of predetermined style.
- Please bring your required documents and come to Health and Welfare Center each ward.
- Based on the contents of the statement of position, we will judge whether rehabilitation medical care is accepted at the Rehabilitation Consultation Center for Persons with Disabilities.
（１） required documents
- Payment authorization application
- Copy of health insurance card (required documents differs depending on the employee health insurance you have)
- Rehabilitation Medical Opinion Statement
- Medical opinion
- Handbook for Persons with Disabilities
- Documents for those who are subject to municipal tax for the year to be determined in other municipalities [only required]
- Certificate of Receiving Receiving Specific Diseases [Only for those who have one]
About copy of health insurance card
Please note that the required documents vary depending on the employee health insurance you are subscribed to.
- National Health Insurance members: Copy of all members in principle
- Union Health Insurance, Mutual Aid Association and Association Kempo Members: Copy of insured person and target person
- Members of the Medical System for Elderly Seniors: For all members of the same resident registered household for late-elderly medical care
- social security households: social security Certificate
About documents of one where municipal inhabitant tax of the year to be judged is taxed in other municipalities
- Those who are subject to municipal tax for the year to be determined in other municipalities, the following documents are required.
- Municipal inhabitant tax tax certificate of the municipality where you lived
- For those who have applied for special tax credits such as housing loans, a copy of the "withholding slip, final tax return"
- The year to be determined varies depending on the expected month of consultation.
- If the medical treatment is scheduled to start from April to June, a copy of the previous year's "Municipal Tax Tax Certificate" and "Withholding slip, final tax return"
- If the medical treatment is scheduled to start from July to March, a copy of the “Municipal Tax Taxation Certificate” and “Withholding slip, final tax return” for this year
（２） Caution: About designated medical institution
Rehabilitation medical care is available only at medical institutions designated by each prefecture, government-designated city, or core city under the provisions of the Comprehensive Support for Persons with Disabilities Act. Similarly, when using out-of-hospital pharmacies and home-visit nursing stations, it is also limited to those designated.
５．Out-of-pocket expenses
Out-of-pocket expenses for rehabilitation are 10% of the total medical expenses.
However, the monthly co-payment upper limit is determined according to the income of the household of the person receiving rehabilitation medical care.
In addition, if you belong to a household with a certain income or more (municipal tax amount of 235,000 yen or more) and do not fall under "severe and continuous", you will not be eligible for public expenses.
The municipal tax amount is the full amount before special tax credits such as housing borrowings.
| Classification according to income | Maximum monthly burden | Fees for meals at admission | Delivery of the medical care certificate | Issuance of self-pay upper limit management vote |
|---|---|---|---|---|
| None | 0 yen | No burden | Yes | None |
| Classification according to income | Maximum monthly burden | Fees for meals at admission | Delivery of the medical care certificate | Issuance of self-pay upper limit management vote |
|---|---|---|---|---|
| Households whose income is 800,000 yen or less | 2,500 yen | Out-of-pocket expenses | Yes | Yes |
| Households whose income exceeds 800,000 yen | 5,000 yen | Out-of-pocket expenses | Yes | Yes |
| Classification according to income | Maximum monthly burden | Fees for meals at admission | Delivery of the medical care certificate | Issuance of self-pay upper limit management vote | Remarks |
|---|---|---|---|---|---|
| Households with a municipal tax income rate of less than 33,000 yen | 10,000 yen |
Out-of-pocket expenses | Yes | Yes | Until March 2027 medical treatment |
| Households with a municipal tax income rate of 33,000 yen or more and less than 235,000 yen | 40,200 yen （※） |
Out-of-pocket expenses | Yes | Yes | Until March 2027 medical treatment |
Municipal tax income percent is the amount before special tax credits such as housing loans.
In addition, tax rate of municipal tax income percent of government-designated cities such as Yokohama-shi was changed from 6% to 8% from 2018, but, in judgment of municipal tax income percent in independence support medical care, tax rate before change Calculate using 6%.
（※） It will be the upper limit after Yokohama City's original grant application.
| Classification according to income | Maximum monthly burden | Fees for meals at admission | Delivery of the medical care certificate | Issuance of self-pay upper limit management vote | Remarks |
|---|---|---|---|---|---|
| Households with a municipal tax income rate of less than 33,000 yen | 5,000 yen |
Out-of-pocket expenses | Yes | Yes | None |
| Households with a municipal tax income rate of 33,000 yen or more and less than 235,000 yen | 10,000 yen | Out-of-pocket expenses | Yes | Yes | None |
| Households with an income percent of municipal tax of 235,000 yen or more | 20,000 yen | Out-of-pocket expenses | Yes | Yes | Until March 2027 medical treatment |
- Municipal tax income percent is the amount before special tax credits such as housing loans.
In addition, tax rate of municipal tax income percent of government-designated cities such as Yokohama-shi was changed from 6% to 8% from 2018, but, in judgment of municipal tax income percent in independence support medical care, tax rate before change Calculate using 6%. - The transitional exception of the country with a monthly co-payment limit of 20,000 yen for households that fall under "severe and continuous" and have a municipal tax income percent of 235,000 yen or more is until March 2027 medical treatment It has become.
６．About "severe and continuous" (continuation of expensive treatment)
（１） What is "severe and continuous"?
For those who fall under the following illnesses in municipal tax taxable households, a monthly upper limit is set as "severe and continuous".
- Kidney dysfunction, small intestine dysfunction, immune dysfunction, heart dysfunction (limited to anti-immunotherapy after heart transplantation), liver dysfunction (limited to anti-immunotherapy after liver transplantation)
- Households in which the high medical costs is provided by the employee health insurance.
（２） Identification support medical care (rehabilitation medical care) recipient ID and self-pay upper limit management vote
We issue "identification support medical care (rehabilitation medical care) recipient identification" and "self-pay upper limit management vote (social security household is not used)" to one authorized supply.
If you are going to a medical institution, including a pharmacy or home-visit nursing care provider, you will need to submit a “Independence Support Medical (Rehabilitation Medical Care) Recipient Certificate” and “Self-pay upper limit management slip” together with your health insurance card. Please submit it to the window of the institution.
As a general rule, 10% of the burden is entered in the “self-pay upper limit management slip”.
In addition, meal charges at the time of hospitalization do not correspond to target amount of "self-pay upper limit management vote".
In the case of hospitalization only, a "self-pay upper limit management vote" will not be issued.
７．About Yokohama-shi original subsidy (transitional measures) in rehabilitation medical care
（１） About Yokohama-shi original grant
In Yokohama-shi, in rehabilitation medical care, we perform subsidy in city to alleviate self-pay of middle-income group.
This subsidy is a transitional measure until March 2027 medical treatment.
| Number | Municipal tax income percent | Determined by the State |
Yokohama City's own subsidy |
Date of transitional measures |
|---|---|---|---|---|
| 1 | In municipal tax taxable households Households less than 33,000 yen |
10% of total medical expenses | Maximum monthly burden |
March, 2027 Up to medical treatment |
| 2 | In municipal tax taxable households 33,000 yen or more Households less than 235,000 yen |
10% of total medical expenses | Maximum monthly burden 40,200 yen |
March, 2027 Up to medical treatment |
The municipal tax income percent is the amount before special tax credits such as housing borrowings.
In addition, tax rate of municipal tax income percent of government-designated cities such as Yokohama-shi was changed from 6% to 8% from 2018, but, in judgment of municipal tax income percent in independence support medical care, tax rate before change Calculate using 6%.
（２） Transitional measures and upper limit of monthly burden by income category
At the counter of medical institutions, in principle, 10% of the burden.
If you reach the monthly upper limit, there is no further burden for that month. For each payment at a medical institution, including pharmacies and home-visit nursing care providers, you will be asked to fill out the “self-pay upper limit management slip” and manage it.
Meals at the time of hospitalization (standard burden) will be paid separately from the 10% burden, but will not be filled out in the "self-pay upper limit management slip". However, social security households do not have to pay for meals at the time of admission.
８．About contact point
For inquiries regarding the application, please contact the Elderly and Disabled Support Division of each ward.
| Ward name | Phone number | FAX number |
|---|---|---|
| Aoba Ward | 045-978-2453 | 045-978-2416 |
| Asahi Ward | 045-954-6128 | 045-955-2675 |
| Izumi Ward | 045-800-2417 | 045-800-2513 |
| Isogo Ward | 045-750-2416 | 045-750-2540 |
| Kanagawa Ward | 045-411-7114 | 045-324-3702 |
| Kanazawa Ward | 045-788-7849 | 045-786-8872 |
| Konan Ward | 045-847-8458 | 045-845-9809 |
| Kohoku Ward | 045-540-2237 | 045-540-2396 |
| Sakae Ward | 045-894-8068 | 045-893-3083 |
| Seya Ward | 045-367-5715 | 045-364-2346 |
| Tsuzuki Ward | 045-948-2316 | 045-948-2309 |
| Tsurumi Ward | 045-510-1847 | 045-510-1897 |
| Totsuka Ward | 045-866-8463 | 045-881-1755 |
| Naka Ward | 045-224-8165 | 045-224-8159 |
| Nishi Ward | 045-320-8417 | 045-290-3422 |
| Hodogaya-ku | 045-334-6384 | 045-331-6550 |
| Midori Ward | 045-930-2433 | 045-930-2310 |
| Minami Ward | 045-341-1141 | 045-341-1144 |
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For inquiries to this page
Health and Welfare Department, Health and Social Welfare Bureau
Phone: 045-671-4115
Phone: 045-671-4115
Fax: 045-664-0403
Email address: kf-iryoenjo@city.yokohama.jp
Page ID: 217-277-946
