Single-parent families support medical expenses

December 10, 2018

In Kitami-shi, we support a part of medical expenses to modify a medical service under health insurance when one of the family of mother and child family, father and child family and pro-families receive medical treatment at hospitals.
 

Person who is targeted for the furtherance

One that corresponds to one of the cormorants from next a and corresponds to all of (5) from (1) is object of the furtherance.
 Oh, it is support or father taking care of or mother in child until 18 years old of single-parent home and the children
 Child until 18 years old supported due to the death, disappearance of i parents by person except parents
 u father or domestic father who there is severe disability in mother, and loses ability for labor or mother and child until 18 years old

 ※When we support child by entrance into a school of higher grade sequentially, we become a target of the furtherance until the last day of the moon becoming 20 years old by application.

(1) In Kitami-shi one (except child doing resident registration by entrance into a school of higher grade in the suburbs) with resident registration
(2) Person who takes out either health insurance
(3) Person who is not on welfare
(4) Child does not enter child welfare institution or do not be supported by foster parent
(5) Income of recipient maintaining living being less than next income restrictions ceiling

(the income restrictions ceiling)

The number of support relatives

The income ceiling

(note)
 1. When the number of support relatives of the table on the left surpasses five people, it is sum that we added 380,000 yen to per one person to surpass.
 2. When there is old man support relative to prescribe in Income Tax Law to support relatives of the left tables, it is sum that added 60,000 yen to the sum for the old man support relative one concerned (when there are not support relatives other than the old man support relative concerned among the old man support relatives concerned per one old man support relative except one).
 3. Judgment income adds the amount of 80% equivalency of the expense of bringing up children, and social premiums (flat 80,000 yen) become sum that deducted applicable deduction from there. (including medical expenses subtraction, allowance for disabled persons)
※In the case of father of single single-parent family or mother, only as for the widow (husband) subtraction, application that there is no may be received person (father of child or except mother) maintaining living by application.

0 people 2,360,000 yen
One 2,740,000 yen
Two people 3,120,000 yen
Three people 3,500,000 yen
Four people 3,880,000 yen
Five people 4,260,000 yen

 

Range of the furtherance

Father or mother Hospitalization, temporary nursing at home (the outside where ※ going to hospital is targeted for the furtherance)
Child Hospitalization, going to hospital (medical department, dentistry, composition, judo therapy), temporary nursing at home

※We do not become a target of the furtherance about minutes such as meal charges at admission, residence costs out of the medical service under health insurance.
 

Contents of the furtherance

From self-burden of medical expenses to affect medical service under health insurance, we support sum except the next co-payment.

<co-payment varies according to the taxation situation of household including person of living maintenance, age of child and medical treatment division>

Taxation
Division
Indication of identification of recipient
(target period)
Co-payment
Medical department Dentistry Judo therapy Temporary nursing at home
Municipal tax
Taxation
Household
[first parent] (before elementary school attendance at school) First medical examination co-payment
580 yen
First medical examination co-payment
510 yen
First medical examination co-payment
270 yen
10% of medical treatment costs
Monthly basis ceiling 18,000 yen
10% of medical treatment costs
Monthly basis ceiling 18,000 yen
[pro-section]
(after elementary school attendance at school 20 years old)
10% of total medical expenses
Monthly basis ceiling [outpatient department] 18,000 yen           
Monthly basis ceiling [hospitalization] 57,600 yen (multi-several times pertinence 44,400 yen)
Municipal tax
Tax exemption
Household
[first parent] (from 0 years old 20 years old) First medical examination co-payment
580 yen
First medical examination co-payment
510 yen
First medical examination co-payment
270 yen
10% of medical treatment costs
Monthly basis ceiling 8,000 yen

※When there are pertinence of supply and month when it was more than three times more than the monthly basis ceiling within the past 12 months, multi-several times pertinence is applied after the fourth.
 

How to receive furtherance

Single-parent families receive grant of identification of medical expenses recipient by application beforehand and can receive the furtherance by showing to medical institution with health insurance card.
※When we consult medical institution of in fun, we cannot use identification of recipient. Supply application of the medical expenses furtherance is necessary. (following "request of the amount of medical expenses furtherance" reference)
※When large amount of medical expenses are anticipated in outpatient department or hospitalization, we receive grant of "ceiling application certificate" or "ceiling application, standard burden reduction certificate" from insurer and hope that we have you show in addition.

≪About identification of recipient≫
・It takes around one week from application to identification of recipient grant.
・We update identification of recipient every year on August 1 and become effective until July 31 of the next year.
 But we may complete receipt qualification by age requirements before July 31 of the next year.
 

Area that identification of recipient can use

We can use with insurance medical institutions in way. ("single-parent families, please show identification of medical expenses recipient" with "health insurance card" together in windows such as insurance medical institutions)
※When we receive medical treatment out of way and pay self-burden of medical service under health insurance, we can receive refund of sum that deducted co-payment by application. (following "request of the medical expenses furtherance" reference)
 

We do not become a target of the furtherance (please do not use identification of recipient!)

(1) When we receive attendance at school support and have a medical examination for illness to establish in these
(2) When we have a medical examination by nursery school, kindergarten, injury at school (during break time, class club activities)
(3) When we have a medical examination for injury and disease by act of third parties such as traffic accidents

※As we will have you return medical expenses that you supported when we use identification of recipient, I would like notification by all means.
 

Request of the amount of medical expenses furtherance

As you become a target of the furtherance in the case of next if it is consultation in period with receipt qualification, please apply within two years from the first day in the next month on day when you received medical care after having the following thing.
(1) When we had a medical examination to medical institution before identification of recipient arrived
(2) When we had a medical examination to medical institution without showing identification of recipient
(3) When we had a medical examination to medical institution of in fun
(4) When person who had identification of recipient of "pro-section" paid self-burden for medical service under health insurance more than the monthly basis ceilings to medical institution
 ※Personal unit of baby, the hospitalization ceiling is household unit and adds up the ambulatory ceiling and is applied.
 

In the case of next, report is necessary

(1) When person of main living maintenance changed
(2) When health insurance card changed (when sign, number was changed)
(3) When there were full name, address, main person of living maintenance, changes such as households and rebirth of income
(4) When we want to receive re-grant by loss, damage of identification of recipient
(5) When receipt qualification disappeared by the marriage, common-law marriage, transference, welfare receipt
  (when you lost receipt qualification by the marriage and common-law marriage, you sail up until fact outbreak day, and please return medical expenses.)

≪With common-law marriage≫
Fact recognized as cohabitation as couple is in an existing state.
When others when we live together, support relative in visit, cost of living support, the tax law periodical frequently have becoming, it is common-law marriage establishment even if we do not live together.

※When receipt qualification disappeared, please return identification of recipient immediately.
 

Thing necessary for various procedures

[common]
・Identity verification documents (share of one coming to window)
 Be over one point; of potato: My number card, driver's license, passport, disability certificate
 Thing which two points are necessary for: Health insurance card, care health insurance card, pension book, employee ID card with photograph of the face

 ※When one (grandparents) except protector comes to window, identity verification documents (one point of either) of protector (father or mother) is necessary, too.

・My number card or notice card
 (for person that identification of recipient grant application applies to reports such as request of medical expenses and change for all the households and scholar of report)

[identification of recipient grant application]
・Health insurance card (share of father or mother and child)
・Income tax certificate (person who moved into and person doing tax return out of Kitami-shi) of person of living maintenance
・Petition for certificate of student registration or support (person supported secondary to protector in 18 years old or more)
・Copy of a person's family register (in the case of Child Rearing Allowance application finished, unnecessary)
・Seal (thing using vermilion)

[request of medical expenses]
・Identification of recipient, health insurance card
・Receipt of medical expenses
・Of transfer in the name of protector (father or mother) know
・Allowance decision letter of advice (when there is supply such as large amount allowance for family medical expenses from health insurance)

[reports such as changes]
・Change of health insurance: New health insurance card, identification of recipient (even as for the qualification certificate, possible)
・Change of person of living maintenance :Identification of recipient, seal (thing using vermilion) 
・Changes such as address, full name: Identification of recipient
・When receipt qualification disappeared: Identification of recipient
 

Procedure, inquiry

Person in charge of Health and Welfare Department National Health Insurance medical care section medical care furtherance 0157-25-1130

Tanno general branch office health welfare section 0157-56-2117

Tokoro general branch office health welfare section 0152-54-2114

Rubeshibe general branch office health welfare section 0157-42-2425

Contact

National Health Insurance medical care section
Person in charge of medical furtherance
telephone: 0157-25-1130