現金給付（都外受診、弱視用眼鏡、補装具、全額負担等の医療費助成）

This page is intended for the following people:

1. Those who have visited a medical institution outside of Tokyo and were unable to use their medical certificate
2. Those who have visited a medical institution before the issuance of a medical certificate due to birth, moving, or other procedures
3. Those who have visited a medical institution in Tokyo that does not offer medical expense subsidies
4. Those who have paid for medical devices (glasses for low vision, prosthetic devices, etc.)
5. Those who have paid the full amount of medical expenses (100% payment)
6. Those who have a National Health Insurance card outside of Tokyo
7. Those who have paid their own medical expenses under other medical expense assistance programs
8. Those who are unable to present their medical certificate to a medical institution for unavoidable reasons

Note: Items not covered by health insurance (medical examinations, vaccinations, treatments not covered by insurance, etc.) are not covered.
Note: If your child becomes ill or injured at school, kindergarten, nursery school, etc., you may be eligible for benefits based on the Japan Sports Promotion Center Act. Please check with the school in advance.
Note: If you are injured due to someone else's actions (traffic accident, etc.), separate procedures will be required.

The amount covered by the subsidy will be refunded for the out-of-pocket expenses paid for insurance treatment at medical institutions, etc. during the qualification period of the medical card.
Please fill out the application form and attach the required documents.

1Recommended for busy people who submit documents by mail or for those who have difficulty coming to the office.
However, we cannot be held responsible for mail accidents. Please use specified records, simple registered mail, etc. based on your own judgment. Please note that submitted documents cannot be returned.

2Recommended for those who have questions about completing procedures at the Childcare Support Division (Counter 5 on the 2nd floor of the main office) or those who are unsure about how to fill out the forms.
However, you may have to wait during busy times.

Recommended for those in the vicinity who submit their applications to the 3 branch offices (Hirao branch and Wakabadai branch).
However, the branch office will only hold documents. We are unable to answer any questions.

If you are injured at a school, kindergarten, or nursery school, benefits under the Japan Sport Council Act will take priority. If this benefit is applied, you will not be covered by the medical expenses subsidy system .

Please contact the school if any of the following apply to you:

1. In the case of a disaster occurring under school management, the treatment is covered by health insurance and the total medical expenses are 5,000 yen or more.
2. Food poisoning and other illnesses from school lunches and injuries from school events

If you have a medical examination outside of Tokyo, a medical examination before the issuance of your medical certificate, etc. (if you pay 20% or 30% of the medical expenses)

If you only used your health insurance card when making payments at a medical institution, etc., please submit this.
1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
Note: Please apply separately for inpatient and outpatient care.
2. Receipt (original)
3. Maru-Nyuu/Kid/Ao-Minami Medical Care Certificate (original if applying at the counter. Copy if submitting by mail)
4. Cash card or bankbook (original if applying at the counter. Copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook
5. Medical certificates, etc. from other systems (originals if applying at the counter. Copies if submitting by mail)
Note: Only for those who qualify (Limit Amount Applicable Certificate, Chronic Child Medical Care Certificate, etc.)

If you bear the cost of glasses for amblyopia, assistive devices, etc.

If you have purchased glasses or other assistive devices for low vision based on a doctor's diagnosis, please submit this form.
1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
2. Receipt (original in principle. If already submitted to the insurer, a copy is acceptable.)
3. Maru-Nyuu/Kid/Ao-Minami Medical Care Certificate (original if applying at the counter. Copy if submitting by mail)
4. Health insurance association payment decision notice (original)
Note: Subsidy procedures will be carried out at the city hall after the health insurance association's procedures.
5. Doctor's instructions or medical certificate (original in principle. If already submitted to the insurer, a copy is acceptable.)
6. Cash card or bankbook (original if applying at the counter; copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook

If medical expenses are paid in full (100%)

If you did not use either your health insurance card or medical card when making a payment at a medical institution, please submit this.
1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
Note: Please apply separately for inpatient and outpatient care.
2. Receipt (original in principle. If already submitted to the insurer, a copy is acceptable.)
3. Maru-Nyuu/Kid/Ao-Minami Medical Care Certificate (original if applying at the counter. Copy if submitting by mail)
4. Health insurance association payment decision notice (original)
Note: Subsidy procedures will be carried out at the city hall after the health insurance association's procedures.
5. Cash card or bankbook (original if applying at the counter. Copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook
6. Medical certificates, etc. from other systems (originals if applying at the counter. Copies if submitting by mail)
Note: Only for those who are eligible (Children's Chronic Medical Care Certificate, etc.)

If you fall under high-cost medical expenses

If you are eligible for high-cost medical expenses, please submit this form.

High-cost medical expenses are defined as 70% of the medical expenses incurred by the same insured person (dependent) for the same medical department within the same month (total amount for the same household). This is a system in which medical expenses will be subsidized at a later date by the health insurance association.
The child's medical expenses subsidy system subsidizes the difference after subtracting the amount covered by the health insurance association from the insured medical expenses. (Excluding 200 yen per hospital visit for Maruko and Maru Ao.) If you are eligible for high-cost medical treatment, please apply for high-cost medical treatment at the health insurance union. For procedures, please contact your health insurance association.
After completing the procedures, please submit the following documents to the city office and apply for the difference in medical expenses.

1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
Note: Please apply separately for inpatient and outpatient care.
2. Receipt (original in principle. If already submitted to the insurer, a copy is acceptable.)
3. Medical certificate (original if applying at the counter. Copy if submitting by mail)
4. Health insurance association payment decision notice (original)
Note: Subsidy procedures will be carried out at the city hall after the health insurance association's procedures.
5. Cash card or bankbook (original if applying at the counter. Copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook
6. Medical certificates, etc. from other systems (originals if applying at the counter. Copies if submitting by mail)
Note: Only for those who qualify (Limit Amount Applicable Certificate, Chronic Child Medical Care Certificate, etc.)

Points to note when returning receipts

If the full amount is subsidized, receipts cannot be returned. Please take a photocopy if necessary.
If you would like to use a receipt with a self-pay amount on your final tax return, please let us know.