Application for the Amount Limit and Reduction of Standard Copayment [High Medical Expenses] for Minato Ward, Application Form

The Application for the Amount Limit and Reduction of Standard Copayment [High Medical Expenses] (限度額適用認定証) in Minato ward allows individuals facing high medical expenses to cap their out-of-pocket costs to a predetermined maximum amount within a given month.

Image: Application for the Amount Limit and Reduction of Standard Copayment [High Medical Expenses] (Gendogaku Tekiyou Nintei Shinsei sho) for Minato Ward, Sample

This limit is determined by age and income category. Residents can present the "Limit Application Certificate" along with their insurance card to medical institutions, ensuring that they don’t pay more than this limit for treatments in a single month.

Eligibility

The maximum limit differs depending on age and income. Households that are exempt from residence tax can also apply for reduced inpatient meal costs by presenting a different certificate, known as the "Application of the Amount Limit and Standard Contribution Reduction Recognition Certificate" (限度額適用・標準負担額減額認定証).

Exceptions for Elderly 

Residents aged 70-74 who fall under specific income categories (“Gen’eki Nammi III” or “Ippan”) do not need to apply for the certificate because their income category is already indicated on their Elderly Recipient Certificate (高齢受給者証).

Submission and Processing 

Applications can be made at Minato City's local government offices, or the forms can be mailed. Required documents include your health insurance card, proof of identification (such as a My Number card or passport), and financial documents in some cases.

Other Considerations 

Those with outstanding insurance premium payments or incomplete tax filings may face delays or disqualification from receiving the certificate. Additionally, costs like meals during hospitalization are not included in the calculation of the maximum out-of-pocket limit, except for cases where special reductions apply.

Application Period and Office Hours: 

Applications can be submitted at any time, and the certificate will be effective from the start of the month in which you apply. Offices are open Monday to Friday, 8:30 AM to 5:00 PM, excluding weekends and public holidays.

👉 Download link for Application Form for Approval of Application of the Amount Limit (Gendogaku Tekiyou Nintei Shinsei sho) for Minato Ward, Application Form (PDF)

How to Reduce High Medical Expenses in Minato Ward

Step 1. Obtain the Form

Visit the Minato ward website or pick up the form at Minato City Hall or the local health insurance office.

Step 2. Prepare Documentation

Gather your health insurance card, identification, proof of residency, and financial documentation to demonstrate your income level.

Step 3. Fill Out the Form

Complete the application with your personal details, insurance information, and details on your medical expenses.

Step 4. Submit the Form

Submit the completed application form at the Minato City Hall or relevant health insurance office.

Step 5. Receive Confirmation

After submission, you will be notified if your application has been approved, typically by mail.

👉 To learn more about the Application for the Amount Limit and Reduction of Standard Copayment [High Medical Expenses], please go here.

Frequently Asked Questions

How do I ask for Application for the Amount Limit and Reduction of Standard Copayment [High Medical Expenses] (Gendogaku Tekiyou Nintei Shinsei sho) in Japanese? 

To ask for a Approval of Application of the Amount Limit, you can say “Gendogaku tekiyou nintei shinsei-sho no hakkō o onegai shitai no desu ga” (限度額適用認定申請書の発行をお願いしたいのですが。).

What medical expenses are covered by the Minato ward’s medical benefits?

Minato ward covers a range of medical expenses, including hospitalization, outpatient care, surgery, and prescription medications under certain conditions. For detailed criteria and coverage, it's important to check local healthcare guidelines.

Who is eligible for medical expense benefits in Minato ward?

Eligibility depends on your resident status, insurance type, and age group, such as children and elderly residents. Certain low-income individuals may qualify for additional assistance.

How can I apply for medical expense benefits in Minato ward?

Applications can be submitted at the Minato City Hall with required documentation, such as your health insurance card, proof of residency, and income certificates.

Are there income limitations for receiving medical benefits in Minato ward?

Yes, income thresholds exist, and households with lower income may qualify for more comprehensive coverage. Eligibility reviews are conducted based on annual income.

Can foreigners apply for medical expense benefits in Minato ward?

Yes, foreign residents enrolled in Japanese health insurance can apply, provided they meet the necessary residency and documentation requirements.