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High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Fri Aug 11, 2023 1:32 pm
by TokyoBoglehead

Re: High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Sat Aug 12, 2023 5:15 am
by RetireJapan
Yes, I am having an operation next week and the hospital told me they can now apply for this online when you check in (it is not automatic, you still need to request/have them do it).

Big improvement -if it works.

I will report back if I survive the operation :?

Re: High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Sun Nov 26, 2023 5:12 am
by KCLenny
RetireJapan wrote: Sat Aug 12, 2023 5:15 am Yes, I am having an operation next week and the hospital told me they can now apply for this online when you check in (it is not automatic, you still need to request/have them do it).

Big improvement -if it works.

I will report back if I survive the operation :?
What was this? I had an op last month that was 60,000. Was I supposed to have requested something? What did it do exactly?

Re: High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Sun Nov 26, 2023 6:14 am
by Tkydon
TokyoBoglehead wrote: Fri Aug 11, 2023 1:32 pm https://www.mhlw.go.jp/content/12400000/000843688.pdf

Can anyone else confirm this?
This is if you are using National Health Insurance - Kokumin Kenko Hoken - AND MyNumberCard as your Health Insurance Card.

It does not apply to other Health Insurance Providers.

Re: High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Sun Nov 26, 2023 8:02 am
by RetireJapan
KCLenny wrote: Sun Nov 26, 2023 5:12 am
RetireJapan wrote: Sat Aug 12, 2023 5:15 am Yes, I am having an operation next week and the hospital told me they can now apply for this online when you check in (it is not automatic, you still need to request/have them do it).

Big improvement -if it works.

I will report back if I survive the operation :?
What was this? I had an op last month that was 60,000. Was I supposed to have requested something? What did it do exactly?
https://youtu.be/sUc-t0cTp6k?si=KmW8Q5LVdV6lwnld

Re: High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Mon Nov 27, 2023 8:52 am
by KCLenny
RetireJapan wrote: Sun Nov 26, 2023 8:02 am
KCLenny wrote: Sun Nov 26, 2023 5:12 am
RetireJapan wrote: Sat Aug 12, 2023 5:15 am Yes, I am having an operation next week and the hospital told me they can now apply for this online when you check in (it is not automatic, you still need to request/have them do it).

Big improvement -if it works.

I will report back if I survive the operation :?
What was this? I had an op last month that was 60,000. Was I supposed to have requested something? What did it do exactly?
https://youtu.be/sUc-t0cTp6k?si=KmW8Q5LVdV6lwnld
Thanks. Good information as always. Doesn’t seem worth the hassle in my case. I think my limit would be 57,000 and my surgery cost was I think 59,000.

Good to know for the future though.

Re: High cost Medical Certificate-> Now Automatic? (医療費が高額になりそうなとき)

Posted: Tue Nov 28, 2023 1:34 am
by Tkydon
KCLenny wrote: Mon Nov 27, 2023 8:52 am
RetireJapan wrote: Sun Nov 26, 2023 8:02 am
KCLenny wrote: Sun Nov 26, 2023 5:12 am

What was this? I had an op last month that was 60,000. Was I supposed to have requested something? What did it do exactly?
https://youtu.be/sUc-t0cTp6k?si=KmW8Q5LVdV6lwnld
Thanks. Good information as always. Doesn’t seem worth the hassle in my case. I think my limit would be 57,000 and my surgery cost was I think 59,000.

Good to know for the future though.
Make sure you keep all receipts for your out-of-pocket expenses for all doctor's visits, treatments, prescription meds, chiropractor visits, rehabilitation, etc., and even over-the-counter meds for self-prescription...

If the total value of your out-of-pocket expenses (not the costs covered by insurance) goes over Y100,000, then you can claim the excess over Y100,000 as a Deduction on your Tax Return - Kakutei Shinkoku - in March next year.
Your Total Taxable Income will be reduced by the excess amount over Y100,000, thereby reducing your tax at the Marginal Tax Rate and Residents' Taxes at 10% on that amount.