When medical expenses are high ( Maximum Co-payment Certificate )

When a lot of medical expenses are required due to hospitalization etc

Application form Maximum Co-payment Certificate for health insurance
Submission destination Submit to Fujisoft Company Health Insurance
〒247-0072
2-13-18 Okamoto, Kamakura City, Kanagawa Prefecture

3-4 days after receiving the health insurance counter , it will be sent by registered mail to the address stated in the application form.

Application form Health insurance limit application・standard burden reduction certification application
Attached document 「Municipal tax exemption certificate」
・When applying from April to July　→　Tax exemption certificate for the previous year
・When applying from August to March　→　Tax exemption certificate for the current year
Submission destination Submit to Fujisoft Company Health Insurance
〒247-0072
2-13-18 Okamoto, Kamakura City, Kanagawa Prefecture
Notes

Please keep the Maximum Co-payment Certificate in the same place as your health insurance card.

【Expiration date of Maximum Co-payment Certificate for health insurance】

【When you return the certificate】
  1. When the insured person is no longer qualified
  2. When you are no longer a dependent
  3. When the expiration date is reached
  4. When the applicable person reaches the month following the month when he / she reaches the age of 70
    (Please show the newly issued Elderly beneficiary certificate to the medical institution.)
  5. When the applicable person becomes the target person of the longevity (late elderly) medical system
  6. When the classification in the applicable classification column changes due to the change in the standard monthly salary of the insured
    (In this case, the certificate after the classification change will be mailed from the Health Insurance Society.)

When you forget to apply for a "Maximum Co-payment Certificate" and paid high medical expenses at the hospital

If the medical expenses paid at the same hospital (health care institution) in the same month exceed the Maximum Co-payment, the excess amount will be refunded.
This is called “High Medical Expenses Benefits”.

As an additional
Fujisoft Health Insurance will refund an amount exceeding 25,000 yen as an additional benefit.
(Rounded down to less than 100 yen)

Application form

No need


For Fujisoft Health Insurance, you do not need to apply for high medical expenses because it is automatically calculate and pay to you.
Time of payment Approximately 3 to 4 months after the medical treatment month, the total amount of "High medical expenses" and "Additional benefits" will be transferred to the insured (employee)'s salary account.
Precautions
Calculated by outpatient / hospitalization, medical / dental, and general hospitals by department
Not covered by non-insurance medical treatment, additional fee of bed when you inpatient , also partial burden of meals.

Reduce copayment for people with specific illnesses

Other measures to reduce the burden of high medical expenses

You can combine copayments for an entire household (Total High-cost Medical Care Benefits)
Even when the copayment for one case for one month is less than the maximum, if members of the same household have made copayments of 21,000 yen or more multiple times in the same month, they can combine those amounts for the purposes of the Cost-Sharing Maximum Amount.
If the total amount exceeds the Cost-Sharing Maximum Amount, then the excess amount is paid by the Health Insurance Society as “Total High-cost Medical Care Benefits”.

The Cost-Sharing Maximum Amount will be reduced for frequent qualification of expenditures
If a single household qualifies for High-Cost Medical Care Benefits three or more months in a single year (the most recent 12 months), the Cost-Sharing Maximum Amount will be reduced to the amount of the table below starting with the fourth month.