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Application for specified diseases

Updated: May 18, 2023

If you suffer from any of the following diseases, we will issue a certificate of specified disease with a monthly copayment limit of 10,000 yen per medical institution.

  1. Chronic renal failure requiring dialysis
  2. Some congenital blood clotting factor disorders (hemophilia)
  3. HIV infection resulting from administration of blood clotting factor products (due to blood products)

What you need for your application

(1) Insured person's card (2) Doctor's written opinion

Available date and time

From 8:30 a.m. to 5:00 p.m. of open agency day

File Download Opens in a new window.Written statement of opinion (PDF: 94KB) of doctor (dentist) for latter-stage elderly medical care specific disease authorization

Please download it from here and use it.

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Inquiries about this page

Inagi City Citizens Department Insurance and Pension Division
2111 Higashi Naganuma, Inagi City, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781

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Inagi City Hall

2111 Higashi Naganuma, Inagi City, Tokyo 206-8601
Open agency hours: 8:30 a.m. to 5:00 p.m. Main phone number: 042-378-2111 Fax: 042-377-4781
Copyright (C) Inagi City. All rights reserved.
Copyright （C）K.Okawara・Jet Inoue. All rights reserved.
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