Expenses in the Case of Illness

If you paid substantial medical costs, you can often be reimbursed the amount of expenses exceeding the monthly ceiling.

High Cost Medical Care Benefit

Patients are generally required to pay 30% of actual treatment costs, but there are “ceilings” (limits) on out-of-pocket treatment expenses for certain income levels. This means that even if treatment costs for a given month exceed your ceiling, you only need to pay the amount corresponding to your self-pay ceiling. Please note that you must complete the necessary procedures to receive these services.

Note:

• You must apply
• You need to pay the full amount of the co-payment when you leave the hospital. After the application procedures have been completed, reimbursement is issued.
• Please ask at your local municipal / ward office for further details.

Registration Place

your local municipal / ward office

Required Documents

1. ID (driver’s license, passport, residence card, etc)
2. Individual Number Card
3. Insurance Card
4. Receipt from hospital
5. Bank Account Book

Certificate of Eligibility for Ceiling-Amount Application

If you complete the application procedure in advance, the amount in excess of the self-pay limit is not charged at the hospital. Please ask your local municipal / ward office for details.

Registration Place

your local municipal / ward office

Required Documents

• Insurance Card
• ID
• Individual Number Card