The child medical expenses furtherance

December 10, 2018

In Kitami-shi, we support a part of medical expenses to affect medical service under health insurance when children from baby to junior high school graduation received medical treatment at hospitals.
 

Person who is targeted for the furtherance

One corresponding to all next is object of the furtherance.
(1) It is people from 0 years old with resident registration to junior high school graduation (until first March 31 after day to reach 15 years old) in Kitami-shi
(2) Person who takes out either health insurance
(3) Person who is not on welfare
(4) Income of child maintaining living being less than the 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 table on the left, 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 old man support relatives per one old man support relative except one).
 3. When judgment income deducts social premium (flat 80,000 yen), and there is more applicable deduction, it is sum that we deducted all. (medical expenses subtraction, allowance for disabled persons, deduction for widows)

※As for father of single single-parent family or mother, application that there is no only widow (husband) subtraction may be received by application.

0 people 6,220,000 yen
One 6,600,000 yen
Two people 6,980,000 yen
Three people 7,360,000 yen
Four people 7,740,000 yen
Five people 8,120,000 yen

 

Range of the furtherance

Before elementary school attendance at school (until first March 31 after day to reach 6 years old) : Hospitalization, going to hospital (medical department, dentistry, composition, judo therapy), temporary nursing at home
The small, junior high student : Hospitalization, temporary nursing at home (the outside where ※ going to hospital is targeted for the furtherance)

※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 Temporary nursing at home
Municipal tax
Taxation
Household
[first child] (before elementary school attendance at school) First medical examination co-payment
580 yen
First medical examination co-payment
510 yen
10% of medical treatment costs
Monthly basis ceiling 18,000 yen
10% of medical treatment costs
Monthly basis ceiling 18,000 yen
[child section] (the small, junior high student)

10% of total medical expenses           
Monthly basis ceiling [hospitalization] 57,600 yen (multi-several times pertinence 44,400 yen)

Municipal tax
Tax exemption
Household
[first child] (from 0 years old junior high student) First medical examination co-payment
580 yen
First medical examination co-payment
510 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

We receive grant of identification of child 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 health medical institutions in way. (please show "health insurance card" and "identification of child medical expenses recipient" 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)

※When we cannot use in some treatment places such as acupuncture needle moxibustion, massage, supply application of the medical expenses furtherance is necessary later.
 

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 "child section" paid self-burden for medical service under health insurance more than the monthly basis ceilings to medical institution
   ※When there are plural people having "child section", we add up and are 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 transference, welfare receipt
   (by divorce or bereavement, single-parent families may become a target of the medical expenses furtherance.)

※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
 (as for the identification of recipient grant application for all the households as for the reports such as request of medical expenses and change for child and protector)

[identification of recipient grant application]
・Health insurance card (share of child)
・Income tax certificate (person who moved into and person doing tax return out of Kitami-shi) of person of living maintenance
・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)
 ※Request associated with birth, please bring receipt and statement for mother.

[reports such as changes]
・Change of health insurance: New health insurance card (even as for the qualification certificate, possible), identification of recipient
・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