Guide to Living in Hiroshima Chapter 1 Health, Medical Care and Welfare

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Medical Expense Subsidy Programs(1) Medical Expense Subsidy for Those with Severe Mental/Physical Disabilities
When a holder of a Physical Disability Certificate (Grade 1, 2 or 3) or an IntellectualDisability Certificate ( Ａ○, A，Ｂ○ ) receives medical treatment at a medical institution,
out-of-pocket medical expenses are partially subsidized. Please note that there are income
restrictions.
Please also note that a patient needs to pay 200 yen per day for each medical institution.
(For inpatient treatment, the patient has to pay 200 yen/day up to 14 days a month for each
medical facility; for outpatient treatment, the patient has to pay 200 yen/day up to four days amonth for each medical institution.)
Some cities/towns may implement expansion of eligibility.

More information

Municipal government office(2) Medical Expense Subsidy for Children
When a child receives medical services at a medical institution, out-of-pocket medical
expenses are partially subsidized.
The child medical subsidy program is operated mainly by each municipality.
The contents of the program, including age limits for eligible children, income limits andcopayment amounts, vary from municipality to municipality. For details, contact the municipal
government office of your residence.

Contact

Municipal government office(3) Medical Expense Subsidy for Single-Parent Households
When the parent or child (until March 31 immediately following the day when they reach18 years of age) in a single-parent household visits a medical institution, out-of-pocket
medical expenses are partially subsidized.
The single-parent household medical subsidy program is operated mainly by eachmunicipality.
The contents of the program including the income limits and copayment amounts to be paidvary by municipality. For details, contact the municipal government office of your residence.

Contact

Municipal government office14

暮らしの手引き広島 第１章 保健・医療・福祉(4) Medical Expense Subsidy for Prematurely Born Babies
There is a medical subsidy program for babies who were born premature and require
hospital treatment. All or part of medical expenses are subsidized for babies who meet certain
requirements. Please note that the subsidy amount is capped depending on the income level ofthe guardians. You can apply for both the Medical Subsidy for Premature Babies program andthe Medical Expense Subsidy for Children. Please note that there are income limits.
For details, contact the municipal government office of your residence.

Contact

Municipal government office(Maternal and Child Health Center)
https://live-in-hiroshima.jp/boshihokensoudan/(5) Subsidy for Self-Reliance Support Medical Care
Ninety percent of the costs of self-reliance support medical care that is necessary to
alleviate physical or mental disabilities is covered by the person’s health insurance and publicfunds. As for the remaining 10% of the costs, the amount of the monthly upper limit is set
depending on the income level of household. The amount exceeding the upper limit will becovered by public funds.
Medical services eligible for this subsidy program are as follows:
Medical care provided for those aged under 18 who have a① Medical care fordisabled children
disability or disease that can cause a physical disability if left
untreated, when treatment is expected to produce positive effects② Rehabilitation care

③ Outpatient
psychiatric careContact

Medical care aimed at removing or reducing physicalimpairments so that persons can perform daily activities asindependently as possible
Outpatient medical services provided for persons with mental
disabilities, aimed at promoting outpatient psychiatric care andspreading proper medical care
Municipal government office(6) Medical Expense Subsidy for Treatment of Tuberculosis/Infectious Diseases
To promote appropriate treatment of tuberculosis (TB) and other infectious diseases, there isa subsidy program to subsidize the medical expenses spent for the treatment of TB and some
infectious diseases (Ebola hemorrhagic fever, Middle East respiratory syndrome [MERS], etc.).
Health insurance and public funds will cover 95% to 100% of the eligible medical expenses.
Please note, however, that there are limits based on income.
Contact

Health Center (Branch), City Health Center

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Guide to Living in Hiroshima Chapter 1 Health, Medical Care and Welfare(7) Medical Expense Subsidy for Treatment of Specific Pediatric Chronic Diseases
When a person under 20 years of age (under 18 years of age in the case of new application)
receives treatment at a medical institution for a specific pediatric chronic disease, theirmedical expenses are partially subsidized. The subsidized amount is calculated by subtracting
the approved “maximum copayment amount” from the amount after health insurance benefits
are applied.
Contact

Health Center (Branch), City Health Center(8) Medical Expense Subsidy for Treatment of Specific Diseases (Specific Intractable Diseases)
When a patient with a specified disease (specified intractable disease) receives treatment at
a medical institution, their medical expenses are partially subsidized. The subsidized amount iscalculated by subtracting the approved “maximum copayment amount” from the amount after
health insurance benefits are applied.
Contact

Health Center (Branch), City Health Center(9) Medical Expense Subsidy for Infertility Testing and General Infertility Treatment
Financial assistance is available for those struggling with infertility. When a husband andwife together receive infertility tests, the costs for infertility tests and general infertility
treatment are subsidized.
The maximum subsidy limit is 50,000 yen (50% of the copayment amount). The subsidy isavailable only once for a married couple. To be eligible, the wife must be under 35 years ofage when the testing begins.
Contact

Health Center (Branch)(10) Medical Expense Subsidy for Specific Infertility Treatment
To reduce the financial burden of specific infertility treatments (in vitro fertilization,intracytoplasmic sperm injection), the treatment costs are partially subsidized for married
couples receiving specific infertility treatments. The woman must be 43 years old or younger
when the treatments begin.
For those living in Hiroshima City, Kure City, or Fukuyama City, please contact your city
hall for more information.
◇Treatments eligible for the subsidy
・In vitro fertilization and intracytoplasmic sperm injection (from here on out referred to as“specific infertility treatment”)
・Operations to extract sperm from the testicle or epididymis (from here on out referred to as“male infertility treatment”) which is performed in combination with specific infertility
treatment16

暮らしの手引き広島 第１章 保健・医療・福祉◇ Subsidy amount / number of times subsidies are provided
・ The subsidy is a maximum of 300,000 yen per couple, per treatment, and up to a total of
six treatments per child.
(up to a total of three treatments per child for a couple whose wife is 40 years or older
when they initiate their first subsidized treatment)
・ An additional subsidy of up to 150,000 yen may be provided for the first specificinfertility treatment.
・ Up to 300,000 yen when male infertility treatment is performed as part of specificinfertility treatment.

Contact

Health Center (Branch)
Hiroshima City, Kure City, Fukuyama City: City Hall
(Infertility Treatment Section)17