If you paid the entire medical care cost up front
In some cases covered by health insurance, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Society later.
- If you paid the entire medical care cost up front
- If you become sick or are injured overseas
- If you cannot walk to or between hospitals
If you paid the entire medical care cost up front
| Required documents: | Application Form for Medical Care Expenses Example |
|---|---|
| Application Form for Medical Care Expenses (Acupuncture, Moxibustion) | |
| Application Form for Medical Care Expenses (Massage, Shiatsu) | |
[Documents to attach]
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| Deadline: | As soon as possible |
| Applies to: | Insured persons and dependents eligible for payment for the reasons shown below |
| Address inquiries to: | Health Insurance Society |
| Notes: | See the table below concerning reasons for eligibility for payment and required documents to attach. |
| Reason for eligibility for payment of medical care expenses | Documents to attach to application form |
|---|---|
| If you underwent treatment without your health insurance card due to sudden sickness | Receipt (original), medical cost details (Rezept) (original) |
| If you received a live blood transfusion | Receipt (original), blood transfusion certificate (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: | Receipt (original), certificate from an insurance doctor (original) If applying for orthopedic footwear, a photo of the footwear (Click here for details) |
| If you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval: | The insurance doctor's letter of consent or entry of the application-form consent record field Receipt, written consent from an insurance doctor |
| 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: | Receipt (original), copy of lens prescription from an insurance doctor, patient's checkup results (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: | Receipt 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) |
If you purchased a compression garment or similar item
| Documents to attach to application form |
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|---|---|
| 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. |
| Documents to attach to application form |
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|---|---|
| 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: | Application Form for Medical Care Expenses Example |
|---|---|
Attending physician's statement (Overseas)
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| Attending physician's statement (Dental) | |
[Documents to attach]
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| Deadline: | As soon as possible |
| Applies to: | Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas |
| Address inquiries to: | Health Insurance Society |
| Notes: | The amount of the benefits will be based on the treatment costs as established under domestic health insurance. |
If you cannot walk to or between hospitals
| Required documents: | Application Form for Transportation Expenses Example |
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[Documents to attach]
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| 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 |
| Address inquiries to: | Health Insurance Society |
| Notes: | This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Society determines that all of the following conditions apply:
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