About medical assistance

<Notice>
Partial revision of the Medical Aid Operation Guidelines (Notice of the Ministry of Health, Labour and Welfare) (Change in the method of calculating treatment fees) (PDF: 145KB)
About start of operation of medical assistance online qualification confirmation (for designated medical institutions) (PDF: 1,351KB)
About the handling about report of designated medical institution based on the National Assistance Act and change of style (for designated medical institutions, practitioners) (PDF: 573KB)
About point to keep in mind when making statement of necessity of payment (common knowledge for eyeglass handlers) (PDF: 185KB)
About change of calculation method of treatment fee pertaining to judo reduction (from October 1, 2022) (PDF: 878KB)
Handling of seal in social security Medical Aid and Medical Support Benefits for Chinese Residents in China (for designated medical institutions) (PDF: 1,044KB)
Handling of seal in social security Medical Aid and medical support benefits for Chinese nationals remaining in China (for designated practitioners) (PDF: 614KB)
Changes in the handling of Anma / Massage and beam / 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)
Health and Social Welfare Bureau Life Support Division Manager, Ministry of Health, Labour and Welfare (Ministry of Health, Labour and Welfare) (PDF: 1,073KB)
Time-limited and special handling of medical treatment using telephones, etc. for the spread of COVID-19 infection (Notice of the Ministry of Health, Labour and Welfare) (PDF: 519KB)
About partial revision of "suspection about medical assistance operation point by the Public Assistance Act" (Notice of Protection Division, Social Affairs Bureau, Ministry of Health, Labour and Welfare) (PDF: 141KB)
About partial change of notice matter in mention of medical necessity statement of position (PDF: 753KB)
Temporary handling of consent for treatment related to COVID-19 (Ministry of Health, Labour and Welfare) (PDF: 229KB)
Partial change in handling of social security due to 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 in the principle of use of generic drugs in social security (to hospitals and clinics) (PDF: 264KB)
Request for cooperation in the principle of 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 Public Assistance Act provides medical benefits to those who cannot maintain a minimum level of living due to poverty. (Article 15 of the Public Assistance Act)

About designation of medical institution by the Public Assistance Act

Downloads designated applications for medical institutions under the Public Assistance Act, etc.

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

Procedures such as application and abolition are accepted at any time, so there may be cases where the designated procedure is in progress even if it is not posted, or cases where it is posted but is in the process of abolition. Please use it as a reference.
In principle, the payment of medical assistance must be made in advance. If you are receiving a medical examination in social security, please consult with your caseworker before consulting. If you are consulted during a time when the ward office is not open, such as on a holiday or at night, please show your holiday / night medical treatment request certificate and consult, and notify the case worker in charge immediately at a later date.
List of medical institutions designated by the Public Assistance Act (medical, Dentistry, pharmacy) .xlsx (Excel: 667KB)
List of medical institutions designated by the Public Assistance Act (medical) .pdf (PDF: 1,175KB)
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: 748KB)

The medical treatment policy and medical fees of the designated medical institution 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 latter-stage 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, Article 52-2 of the Public Assistance Act)
<Note>
However, please note that there are the following exceptions.
○Non-insurance combined medical expenses: Except for a part, it is not allowed.
○Dentistry: As a dental material, the use of more than 14 carat gold alloys is not allowed.

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

Medical assistance applies to all diseases.
In that case, if you are eligible for benefits under other laws, such as employee health insurance or other institutions, you will be given priority to medical assistance. (Article 4 of the Public Assistance Act)