About medical assistance

<Notice>
About operation of medical assistance online qualification confirmation (for designated medical institution) (PDF: 1,108KB)
About the handling about report of designated medical institution based on the National Assistance Act and change of style (for designated medical institution, practitioner) (PDF: 573KB)
Points to keep in mind when creating a statement of opinion on the necessity of payment (common knowledge for eyeglasses handlers) (PDF: 185KB)
About change of calculation method of treatment fee for judo reduction (from October 1, 2022) (PDF: 878KB)
Handling of seal in social security medical assistance and medical support benefits to Chinese nationals remaining in China (for designated medical institutions) (PDF: 1,044KB)
Handling of seal in social security medical assistance and medical support benefits for Chinese nationals remaining in China (for designated practitioners) (PDF: 614KB)
Changes in handling of anma, massage and beams and kyu (notice dated January 4, 2021) (PDF: 709KB)
About change of calculation method of treatment fee pertaining to judo reduction (from June 1, 2020) (PDF: 149KB)
Handling of drug delivery costs in time-limited and exceptional handling of medical treatment using telephones, etc. for the spread of COVID-19 infection (Notice of Life Support Section Manager, Health and Social Welfare Bureau, Ministry of Health, Labour and Welfare) (PDF: 1,073KB)
About time-limited and special treatment of medical treatment using telephones, etc. when spread of COVID-19 infection (notice of Ministry of Health, Labour and Welfare) (PDF: 519KB)
Partial revision of "skills concerning the guidelines for the operation of medical assistance under the Livelihood Protection Act" (Notice of the Protection Division, Social and Support Bureau, Ministry of Health, Labour and Welfare) (PDF: 141KB)
Partial change in matters to be noted in the statement of opinion on the necessity of medical care (PDF: 753KB)
Temporary treatment of consent for treatment regarding COVID-19 (Contact by the Ministry of Health, Labour and Welfare) (PDF: 229KB)
Partial amendment to the handling of social security concerning COVID-19 (Ministry of Health, Labour and Welfare) (PDF: 713KB)
Handling of social security concerning COVID-19 (Ministry of Health, Labour and Welfare) (PDF: 502KB)
About change of calculation method of treatment fee (Anma / Massage, judo reduction, beam / kyu) (PDF: 256KB)
Request for cooperation regarding the use of generic drugs in social security (to hospitals and clinics) (PDF: 264KB)
Request for cooperation regarding the use of generic drugs in social security (to pharmacies) (PDF: 359KB)
About the principle of use of generic drugs in social security (for those who have received social security) (PDF: 634KB)
News about treatment (designated medical institution) (PDF: 290KB)

Medical assistance under the Social Security Act provides medical benefits to those who cannot maintain a minimum living due to poverty. (Article 15 of the Livelihood Protection Act)

About designation of medical institution by the National Assistance Act

Downloads such as designated applications for medical institutions under the Public Assistance Act

Medical assistance is provided by the Health and Welfare Center of each ward to medical institutions designated by the Livelihood Protection Act, and in principle, provide in-kind benefits. (Article 34 and Article 34-2 of the Public Assistance Act)

Procedures such as application and abolition are accepted at any time, so even if they are not listed, they may be under the designated procedure, or they may be listed but are in the process of abolition. Please use it as a reference.
In principle, medical assistance benefits must be applied in advance. If you are receiving the social security, please consult with your caseworker before consulting. If you are going to see a doctor at a time when the ward office is not open, such as on a holiday or at night, please present your holiday / night medical treatment request form and contact the case worker in charge immediately later.
List of medical institutions designated by the National Assistance Act (Medical, Dentistry, Pharmacy) .xlsx (Excel: 662KB)
List of Medical Institutions designated by the National Assistance Act (Medical) .pdf (PDF: 1,164KB)
List of Medical Institutions designated by the Public Assistance Act (Dentistry) .pdf (PDF: 720KB)
List of Medical Institutions designated by the Public Assistance Act (Pharmacy). Pdf (PDF: 745KB)

The medical treatment policy and medical fees of designated medical institutions depend on the examples of medical fees and medical fees of the National Health Insurance. In addition, for those who are eligible for medical care for the elderly, it is supposed to be based on the medical treatment policy for the latter-stage elderly medical care and examples of medical fees. (Article 52, Paragraph 2 of the Livelihood Protection Act)
<Caution>
However, please note that there are the following exceptions.
○Non-insurance combined medical expenses: It is not permitted except for some cases.
○Dental assistant: The use of gold alloys of 14 carats or more as dental material is not permitted.

If Health and Welfare Center entrusts the patient's treatment, it will issue a medical ticket to the medical institution. After receiving this medical ticket, the medical institution will post the necessary information to the ministerial ordinance receipt common to each law and request it to the social insurance medical fee payment fund of each prefecture. (Article 53-4 of the Livelihood Protection Act)

Medical assistance is applied to all diseases.
In that case, if you can receive benefits under other laws, such as employee health insurance or other systems, it will be applied preferentially to medical assistance. (Article 4 of the Livelihood Protection Act)