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Application for specific disease

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 to apply

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

Possible date and time for procedures

Opening hours: 8:30am to 5:00pm

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 regarding this page

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

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Inagi City Hall

2111 Higashinagumanuma, Inagi City, Tokyo 206-8601
Office hours: 8:30 a.m. to 5:00 p.m. Main phone: 042-378-2111 Fax: 042-377-4781
Copyright (C) Inagi City. All rights reserved.
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