If you paid the entire medical care cost up front

In some cases under the health insurance system, if you paid the entire medical care cost to the medical care institution or other facility up front, the Health Insurance Organization will reimburse you later.


 

If you paid the entire medical care cost up front

Required documents: See the table below concerning reasons for eligibility for payment and required documents to attach.
Submit to: FR Health Insurance Organization
  • * Please check “Contact us, Access” at the bottom of the page for the address of the Organization.
Deadline: As soon as possible
Applies to: Insured persons and dependents eligible for payment for the reasons shown below
Inquiries to: FR Health Insurance Organization

Reason for eligibility for payment of medical care expenses Required documents:
If you underwent treatment without your health insurance card due to sudden sickness
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Charges forward)
    • * An application form is necessary for each "examinee", "month", "medical care institution", or "dispensing pharmacy".
  2. Original medical cost details (Rezept) or the separate sheet “Receipt (Medical) Statement” upon receiving proof of the medical treatment details from the medical institution
    * Something that indicates the illness name, medicine name, treatment name, surgery name, etc.
  3. Receipt (Medical) Statement (Hospitalization)
  4. Receipt (Medical) Statement (Outpatient)
  5. Receipt (original)
If you accidentally used the insurance card from before becoming a member of the FR Health Insurance Organization
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Charges forward)
    • * An application form is necessary for each "examinee", "month", "medical care institution", or "dispensing pharmacy".
  2. Original receipt issued by your former health insurance
  3. Copy of the medical cost details (Rezept) issued by your former health insurance
    • * Do not open this yourself. Submit it while it is still sealed.
If you received a live blood transfusion
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Charges forward)
  2. Receipt (original)
  3. Blood transfusion certificate
If you have transportation expenses of bone marrow or organ transplants
  1. Application Form for Medical Care Expenses – Related to transplant
    Example
  2. Receipt (original)
If you purchased and used prosthetic equipment such as an artificial arm or leg, an artificial eye, or a corset, as instructed by a physician:
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Therapeutic equipment)
  2. Statement of doctor approving the requirement of prosthetic equipment and proof of wearing or using the equipment
  3. Original receipt and bill (breakdown)
  4. Photo of prosthetic equipment (required only for prosthetic lower limb)
    * Please use "Therapeutic Equipment: Photo Pasting Mount"
    Therapeutic Equipment: Photo Pasting Mount
    Example
Reference link
If you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval:
  1. Application Form for Medical Care Expenses (for Acupuncture or Moxibustion)
    Example
    Application Form for Medical Care Expenses (for Massage, or Shiatsu)
    Example
  2. Written approval for treatment from an insurance doctor
  3. Receipt showing the name of the person who received treatment (original)
  4. Treatment report (if one is provided by the practitioner)
Reference link
If you had eyeglasses or contact lenses prepared and purchased to treat juvenile amblyopia or other condition in a child of less than nine years of age:
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Therapeutic equipment)
  2. Copy of lens prescription from an insurance doctor showing patient's checkup results and the illness name
  3. Receipt (original)
If you purchased limbal-supported rigid contact lenses for disfigured corneas due to ocular sequelae after experiencing Stevens-Johnson syndrome or toxic epidermal necrolysis:
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Therapeutic equipment)
  2. Copy of written instructions or other document from an insurance doctor (A copy of a prescription or other document noting the name of the illness that can be used to confirm that the contact lenses were prescribed for an illness eligible for benefits)
  3. Receipt (original)

If you purchased a compression garment or similar item

Treatment of lymphedema of the arms or legs occurring after surgery for malignant tumor involving lymph node dissection (extensive resection) in the groin, pelvic region, or axillary region; primary lymphedema of the arms or legs

Required documents:
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Therapeutic equipment)
  2. Written instructions to wear compression garment or similar item (after surgery for malignant tumor/primary lymphedema)
  3. Receipt (original)
Type of compression garment Compression stocking, compression sleeve, compression glove (compression bandage only if the doctor recognizes that these should not be used)
Notes No more than two compression garments or similar items per body part may be purchased at a time.
Repurchase made at least six months after the previous purchase is eligible for payment of medical care expenses.

Treatment for intractable ulcer due to chronic venous insufficiency

Required documents:
  1. Application Form for Medical Care Expenses (Charges forward/Therapeutic equipment)
    Example (Therapeutic equipment)
  2. Written instructions to wear compression garment or similar item (treatment for intractable ulcer due to chronic venous insufficiency)
  3. Receipt (original)
Type of compression garment Compression stocking (compression bandage only if the doctor recognizes that this should not be used)
Notes No more than two compression garments or similar items per body part may be purchased at a time.
Eligible for payment of medical care expenses only once (cases involving recurrence after healing are eligible for payment again)

If you become sick or are injured overseas

Required documents: [Medical]
Application Form Form for Overseas Medical Care Expenses, Attending physician's statement, Itemized receipt
[Dental]
Application Form for Overseas Medical Care Expenses, Attending Dentist's statement, Itemized receipt
[Medical]
Application Form for Overseas Medical Care Expenses, Attending physician's statement, Itemized receipt
*Attachments Only English documents needed.
[Dental]
Application Form for Overseas Medical Care Expenses, Attending Dentist's statement, Itemized receipt
*Attachments Only English documents needed.

[Documents to attach]

  • “Attending physician's statement” issued by the overseas hospital
  • “Itemized receipt” issued by the overseas hospital
  • Japanese translations of the above
  • A copy of a document verifying your overseas travel (such as a passport)
  • A letter stating that you agree to the Health Insurance Organization making detailed inquiries to the overseas medical care institution or other organization about your treatment
    Agreement of Authorization
Submit to: FR Health Insurance Organization
  • * Please check “Contact us, Access” at the bottom of the page for the address of the Organization.
Deadline: As soon as possible
Applies to: Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
Inquiries to: FR Health Insurance Organization
Notes:
  • The amount of the benefits will be based on the treatment costs as established under domestic health insurance.
  • If you underwent treatment while posted abroad (while on a business trip or accompanying a family member), please contact the company (in charge of social insurance) prior to submission.

If you cannot walk to or between hospitals

Required documents: [For approval by the Health Insurance Organization]
Application for Approval of Transportation Expenses / Notification of Transportation
Example
** Submit this form, with a doctor's certification, to the Health Insurance Organization in advance for approval.
[To claim transportation expenses]
Application Form for Transportation Expenses
Example

[Documents to attach]

  • Receipt (original)
Submit to: FR Health Insurance Organization
  • * Please check “Contact us, Access” at the bottom of the page for the address of the Organization.
Deadline: As soon as possible
Applies to: Insured persons or dependents transported to or between hospitals as instructed by a doctor because the sickness or injury makes movement difficult
Inquiries to: FR Health Insurance Organization
Notes:

This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Organization determines that all of the following conditions apply:

  • The medical care for which transportation is required is appropriate as insurance treatment.
  • The sickness or injury for which the medical care is required makes it difficult for the patient to move.
  • In an emergency or other unavoidable case.