When receiving treatment from a judo reduction teacher (osteopath / osteopath)

The number of osteopaths and osteopaths is increasing year by year, making it easy to use, but unlike hospitals and clinics, the scope of treatment covered by employee health insurance is limited.
If you or your family are using it, please understand the treatment of a judo reduction teacher (osteopath / osteopath) and how to get it properly, and then cooperate so that you can receive the treatment.

A judo reduction teacher is a person who has been qualified to take a university entrance exam for more than three years, has acquired expertise at a school or university certified by the government and has passed the national exam.
The osteopath / osteopath and Orthopaedic surgery are not the same.
Judo reduction teachers who perform treatments at osteopaths and osteopaths are not doctors.
Therefore, in osteopaths, osteopaths, etc., it is not possible to perform X-ray tests, perform surgery, or administer medicines for the purpose of medical treatment.

1. Acute or subacute traumatic bruises or sprains (including so-called flesh separation and may be accompanied by bruises)
2. Fractures and dislocations (in the case of first aid, the consent of the doctor is not required, but the treatment after first aid requires the consent of the doctor.) Treatment of a judo reduction teacher (osteopath / osteopath) using the National Health Insurance Can be received only for fractures, dislocations, sprains, and bruise due to trauma, and fractures and dislocations are limited to first aid only when they are recognized as first aid.

• In such a case, employee health insurance cannot be used.

1. Treatment for mere fatigue, stiff shoulders, back pain, poor physical condition, etc. due to daily life such as work and housework
2. Treatment for muscle fatigue caused by sports and muscle pain whose cause of injury is unknown.
3. Treatment for pain and lumps that come from diseases such as neuralgia, rheumatism, fifty shoulders, arthritis, hernia, etc.
4. Diseases caused by medical causes
5. Bruise, inconsistent treatment after the sprain has been cured, chronic diseases such as sequelae of brain disease, long-term inconsistent treatment with no improvement in symptoms, use of massage substitutes
6. When receiving treatment at Surgery Orthopaedic surgery and receiving treatment from a judo reduction teacher at the same location at the same time
7. Muscle pain due to nervousness (rheumatism, arthritis)
8. Those that were cured a few years ago naturally began to hurt.

In the above cases, even if you receive the treatment of a judo reduction teacher, you will be responsible for all costs.

Please note the following when receiving treatment by a judo reduction teacher (osteopath / osteopath) using the National Health Insurance.

1. Let's tell the exact cause of the injury.
2. Let's get a receipt and keep a record of your consultation.
3. In the “Delegation to Receiving proxy/agent” section of the “Application for Payment of Medical Expenses” submitted by the judo reduction teacher to the National Health Insurance, check the name of the illness and the number of days, and be sure to fill out the form by yourself.
4. Be sure to have a co-payment receipt and a statement of treatment issued.
5. If the procedure is prolonged, consult a doctor.

For judo reduction treatment and needle kyu, anma / massage treatment, the head of the household (insured person) bears 100% of the treatment medical treatment expenses originally covered by insurance, and at a later date, the ward office will pay the “medical expenses payment application” with the “medical expenses payment application” It corresponds to the “medical expenses” system that applies and pays the insurer's share (7.8.9%).
However, the patient himself fills out the “Delegation to Receiving proxy/agent” section of the “Application for Payment of Reimbursement Fees” by hand (if it is injured and cannot fill it out), and the insurer's share (7.8.9%) is paid by the practitioner on behalf of the head of the household (insured person).
Please make sure that the contents of the “Application for Payment of Medical Expenses” (number of days of treatment, name of illness, body part, etc.) are correct and fill out (bomark).

In the National Health Insurance, in order to provide appropriate benefits and maintain sound finances, the “medical expenses payment application” submitted by a judo reduction teacher (osteopath / osteopath) matches the treatment actually received. In order to confirm that it is consistent, we may ask the head of the household (insured person) about the number of days of hospital visits and the cause of injury.
Thank you for your cooperation in order to use important insurance premiums correctly.

Only if there is a consent form or medical certificate issued by a doctor under the following disease name:

• Major Disease Name
  • Neuralgia
  • Rheumatism
  • Cervical arm syndrome
  • Fifty shoulders
  • Back pain, etc.

Only in the following cases where there is a written consent or medical certificate issued by a doctor:
Cases such as muscle paralysis or joint contracture that require a massage for medical purposes

• In such a case, employee health insurance cannot be used.
  • Just stiff shoulders and muscle fatigue (such as fatigue)
  • Those who are treating the same injury at medical institutions, etc.

Please contact Insurance and Pension Division National Health Insurance Section in your ward office.