Benefits of independence support medical care (rehabilitation medical care)

Rehabilitation medical care is designated by each prefecture, government-designated city, or core city based on the Comprehensive Support for Persons with Disabilities Act, and provides medical care necessary to remove or reduce the degree written in the certificate of the physically disabled. It is a system that can be received at medical institutions designated.
The co-payment for rehabilitation medical care is 10% of the total medical expenses, but the monthly co-payment limit is set according to the income of the household receiving rehabilitation medical care.
As a general rule, prior application is required.
　
　You can see a list of designated medical institutions in Yokohama from the following.
　●About designated independence support medical institution
　For designated medical institutions outside Yokohama City, please check with the local government where the medical institution is located.

Guidance of independence support medical care (rehabilitation medical care) (April, 2024 version) (PDF: 589KB)

Persons aged 18 or older who have a certificate of the physically disabled
Households with a municipal inhabitant tax of 235,000 yen or more are not eligible in principle, but are eligible for medical treatment in March 2027 due to transitional measures only if they fall under "severe and continuous". You.
In addition, respiratory, bladder and rectal dysfunction are not eligible.

Corneal surgery, arthroplasty surgery, ear formation surgery, heart surgery, artificial dialysis therapy, renal transplantation, orthodontics of lip and palate, anti-HIV therapy, etc.
For more information, please contact the Rehabilitation Counseling Center.

Advance application is required. Please apply before receiving medical treatment at a designated medical institution.

1. Have the designated medical institution fill in the "Written Opinion" of the prescribed style.
2. Please bring your required documents and come to Health and Welfare Center (Elderly and Disabled Support Division) in each district.
3. 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.

• Payment authorization application
  • Application form (PDF: 179KB)　
• A copy of your health insurance card (required documents differs depending on your employee health insurance*1)
• Rehabilitation Medical Opinion
  • Rehabilitation medical opinion statement style (PDF: 76KB)
• Medical Opinion
  • Medical Opinion Form (PDF: 115KB)
• Handbook for Persons with Disabilities
• Documents for those who are subject to municipal inhabitant tax for the year to be determined in other municipalities ※2 [Only required]
• Identification of recipient of specific illness medical treatment [only if you have one]

Please note that the required documents vary depending on the employee health insurance you are subscribed to.

• National Health Insurance subscribers: In principle, copies of all members
• Association Health Insurance, Mutual Aid Association and Association Kenpo Member: Copy of insured person and target person
• Medical System for Elderly Senior Citizens: For all members of the same resident-registered households in the latter-stage elderly medical care
• social security Households: social security Certificate

• If the municipal tax for the year to be determined is taxed in other municipalities, the following documents are required.
  • Municipal inhabitant tax taxation 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 income tax return"
• The year to be judged depends on the expected month of the examination.
  • If April to June are the scheduled medical treatment start month, a copy of the previous year's “Municipal inhabitant tax tax certificate”, “withholding slip, final income tax return”
  • If July to March are the scheduled medical treatment start month, a copy of this year's “Municipal inhabitant tax tax certificate”, “withholding slip, final income tax return”

Rehabilitation medical care can be received only at medical institutions designated by each prefecture, government-designated city, or core city according to the provisions of the Comprehensive Support for Persons with Disabilities Act. In addition, when using an out-of-hospital pharmacy or visiting nursing station, it is also limited to the designated place.

The co-payment of rehabilitation medical care is 10% of the total medical expenses.
However, the monthly co-payment upper limit is determined according to the income of the household receiving rehabilitation medical care.
In addition, if you belong to a household with a certain income or more (municipal inhabitant tax of 235,000 yen or more) and do not correspond to "severe and continuation", you will not be eligible for public expenses.
The municipal inhabitant tax amount is the full amount before special tax credits such as housing loans.

For those who fall under the following diseases in municipal tax taxable households, there is a monthly upper limit as "severe and continuous".

• Kidney dysfunction, small bowel dysfunction, immune dysfunction, heart dysfunction (limited to anti-immunotherapy after heart transplant surgery), liver dysfunction (limited to anti-immunotherapy after liver transplant surgery)
• Households in which high medical costs, which is provided by employee health insurance, falls under “Many applicable” category.

We issue "independence support medical care (rehabilitation medical care) recipient identification" and "self-pay upper limit management vote (we do not use social security household)" to person who is authorized.
If you visit a medical institution, including a pharmacy or visiting nursing care provider, along with your health insurance card, submit a “Independence Support Medical Care (Rehabilitation Medical) Recipient Certificate” and a “Self-payment Upper Limit Management Form” Please submit it to the window of the medical 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 slip" will not be issued.

In Yokohama City, in rehabilitation medical care, the city subsidizes its own in order to ease the self-pay of middle-income earners.
This subsidy is a transitional measure until the medical treatment in March 2027.

In principle, 10% is charged at the window of the medical institution.
If you reach the monthly upper limit, there is no further burden for that month. For each payment at medical institutions, including pharmacies and visiting nursing care providers, the co-payment amount is entered in the "co-payment upper limit management slip" and managed.
The meal fee 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 hospitalization.

For inquiries regarding the application, please contact Elderly and Disabled Support Division in each district.