Subsidy system for severely mentally and physically disabled medical expenses

It is a system that subsidizes medical expenses of medical insurance and the cost of medicines, etc. for those who are eligible.

At hospitals and pharmacies, you will be asked to pay the full amount of medical expenses and other health insurance medical expenses that you have to pay yourself, and we will provide assistance at a later date.
* In general, the transfer will be made three months after the treatment month, but if payment is delayed or you fall under high-cost medical expenses,
Or, due to the circumstances of the medical institution, etc., it may not be paid after 3 months.

The subsidy is calculated by deducting the copayment amount of 500 yen per medical institution per month from the copayment amount.
・At the same general hospital, you will be charged 500 yen per month even if you visit multiple departments, but you will have to pay another 500 yen per month for dentistry.
・ If your copayment is less than 500 yen, you will not be subsidized.
・ There is no copayment for medicines. (Please pay the full amount of your co-payment at the window, and we will subsidize it at a later date.)

(Note) If you are eligible for medical expense subsidies with a specific disease medical care beneficiary certificate, self-reliance support medical care, etc., or medical expense subsidy with a specific disease medical care beneficiary certificate (dialysis, etc.), the maximum amount for each is covered. (Other laws and systems take precedence.)

For those who fall under any of the following, we will issue a "certificate of recipient of severely mentally and physically disabled medical expenses subsidy" upon application.
(After new issuance, it will be automatically renewed in principle.)

・Persons with Physical Disability Certificate Grade 1/2 or Internal Disability Grade 3

・ Rehabilitation notebook A person

・ Special Child Rearing Allowance Level 1 Recipient Qualified

・Severely mentally and physically handicapped child-rearing allowance recipients who have suspended payment of the special child-rearing allowance due to income restrictions

・ Those who are 6 years old or younger and have not yet entered elementary school, either with a rehabilitation certificate B or a physical disability certificate 3rd grade

・People with Mental Disability Health and Welfare Handbook Level 1

・People who are 6 years old or younger and who have not yet entered elementary school in the Mental Disability Health and Welfare Handbook Level 2

Medical expenses, etc. eligible for subsidies are as follows .

・Medical expenses for medical treatment covered by health insurance

・ Medicine fee covered by health insurance

・ Basic usage fee for home-visit nursing by medical insurance (transportation expenses are not covered by the subsidy)

(Note 1) If you are injured due to the actions of a third party, such as a traffic accident, and receive medical treatment,
Please contact the Disability Support Promotion Section (054-221-1587).

(Note 2) Long-term care insurance and disability welfare services are not eligible for subsidies.

(Note 3) For those with benefits limited, those with level 3 internal disabilities are eligible for subsidies only for those related to the relevant functional impairment.
If you are 65 years old or older, and if you are a household subject to municipal tax, in principle only hospital visits are eligible for furtherance.

The application window for the recipient's certificate is the Welfare Office for Persons with Disabilities Section of each ward.
* For details such as contact information, please refer to "13 Inquiries regarding applications (notifications) and application (notification) counters".

Documents required for application・Physical disability certificate, rehabilitation certificate, or mental disability health and welfare certificate ・Health insurance card ・Copy of financial institution passbook in the name of the applicant (recipient) ・Documents showing My Number (personal number) for everyone)

Below are ways to help.

1. Automatic reimbursement method When visiting a medical institution in the prefecture, present your recipient's certificate (excluding massage, acupuncture, and moxibustion) and pay the co-payment for medical treatment covered by insurance. We will automatically deposit the money into your registered account.

2 Reimbursement application method (Medical expense subsidy payment application)
In the following cases, please apply at each Ward Welfare Office Disabled Persons Support Section or each Health and Welfare Center (excluding Kanbara).
*For details such as contact information, please refer to "13 Inquiries regarding application, application desk".

(If reimbursement application is required)
・If you pay the co-payment for insurance medical treatment without presenting your recipient's certificate when visiting a medical institution in the prefecture.
・When you receive a medical examination at a medical institution outside the prefecture and pay the copayment for insurance medical treatment.
・When you receive a massage, acupuncture, moxibustion, etc. covered by health insurance and pay the copayment for insurance medical treatment.
・If you have made and paid for prosthetic devices covered by health insurance. (A written opinion (installation certificate) is required separately.)

(What to bring when applying)
・Receipt and copy of receipt ・Certificate of Recipient of Medical Expenses for Severely Disabled Persons ・Health Insurance Card (only if there has been a change from the time of registration) (copy acceptable)
・ Copy of payment decision notice if high-cost medical expenses or additional benefits are paid

Payment is made on the 20th of each month. If this day falls on a weekend or holiday, it will be the next financial institution business day.

The city will not send a transfer notice.
Please check your bank passbook as "Shizuoka Shijudo" or "Shizuoka City Heavy".

For inquiries about the details of the subsidy, please contact the Persons with Disabilities Support Promotion Section (054-221-1587).

* In general, the transfer will be made three months after the treatment month, but if payment is delayed or you fall under high-cost medical expenses,
Or, due to the circumstances of the medical institution, etc., it may not be paid after 3 months.

The application (notification) window is the Welfare Office for Persons with Disabilities Section of each ward.
* For details such as contact information, please refer to "13 Inquiries regarding applications (notifications) and application (notification) counters".

・ When you change your address, name, or financial institution. (Notification is required in either case.)

・When there is a change in your health insurance. (This includes cases where the content of the insurance has changed.)

・ When moving out of the city.

・ When receiving payment of additional benefits or co-payment reimbursement.

・When the subject dies.

・ When public assistance is started or terminated.

・When receiving or losing the Shizuoka City Children's Medical Expense Subsidy Program.

・When receiving or losing the Shizuoka City Medical Expenses Subsidy Program for single-mother families.

(Note) If there is no notification, the payment of the subsidy may be temporarily suspended or the eligibility may be lost.
Please be careful.

If you receive high-cost medical expenses, additional benefits, etc. from your health insurance, we will deduct the relevant amount from the subsidy and pay the subsidy.

Please confirm your income category and co-payment limit with your health insurance, and if you are eligible for high-cost medical care, be sure to apply for payment and submit a notification of decision.
*If you are enrolled in Shizuoka City National Health Insurance or the medical system for the elderly aged 75 or over, you do not need to submit this form.
​ (Note) Please note that the payment of the subsidy may be temporarily suspended if there is no submission .

In order to receive high-cost medical care benefits, depending on the health insurance, there are cases such as "monthly application is required" and "automatic payment". For details, please check with your health insurance.

(high-cost medical expenses)
・ It is a common system for all health insurance. The insured person's income or standard monthly remuneration determines the income category and monthly co-payment limit, and if medical expenses exceed the co-payment limit, health insurance will pay.

(Additional benefits)
・Since each health insurance system has its own system, it differs depending on the health insurance. For details, please check with your health insurance.

If you are eligible for the public medical insurance system, please apply for issuance of a "specific illness medical care recipient certificate" to your health insurance.

If you are receiving artificial dialysis, etc., you will be issued a "Specified Disease Medical Care Recipient Certificate" from your health insurance upon application. When you receive the certificate, be sure to present it at the reception desk of the medical institution.

By presenting the “Specified Disease Medical Care Recipient Certificate” at the counter, the maximum amount of self-payment for the disease will be 10,000 yen or 20,000 yen per month for each medical institution.
If the sum of the amount paid to the medical institution and the amount paid at the pharmacy for out-of-hospital prescriptions exceeds the maximum copayment amount, the excess amount will be paid as high-cost medical expenses from the enrolled health insurance. Don't forget to apply for health insurance.

*If you can receive public subsidies for specific diseases (designated intractable diseases) or medical care for supporting independence, up to the maximum amount will be covered.
Please contact the participating health insurance for application and issuance of system receipt.

Toward the target, we issue "certificate of severely mentally and physically disabled medical expense subsidy recipient" by application.

As a general rule, the expiration date of the recipient certificate is from October 1 of the year to the end of September of the following year. (There are some exceptions.)
If you continue to be eligible, we will automatically send you a new recipient certificate. (No procedures are required.)

Please note that if you are 65 years of age or older, your eligibility for the hospitalization expenses subsidy may change at the time of renewal depending on the taxation status of your household.

If you do not receive a new recipient identification card by the end of September, please contact the Disabled Persons Support Promotion Division (054-221-1587).

From November 13, 2017, full-scale operation of information cooperation by My Number with other wards and municipalities began.

Due to the operation, when applying for issuance of a recipient certificate, please present a document that shows your My Number (individual number) at the counter (a copy is also acceptable).

Through information collaboration, those who have moved to Shizuoka City (those who have moved to Shizuoka City after January 2nd of the year in which the application date belongs) can now omit the submission of a "taxation certificate for their previous address" for those aged 65 or over. rice field.

For more information on My Number, please visit the Digital Agency website.

In principle, the medical expenses that the recipient can declare will not overlap with the payment of severe medical care.
Contents of the declaration…(example) Medical expenses not covered by insurance, meals for hospitalization, self-payment of 500 yen per month at medical institution, etc. *Detailed statements will not be issued. note that.

For details on how to fill out the form, please contact the tax office or the Municipal Tax Division or the Shimizu City Tax Office.

The contact point is the welfare office of each ward.

(1) Aoi Welfare Office Disabled Persons Support Section Support Section 5-1 Ote-machi, Aoi-ku, Shizuoka-shi, Aoi Ward Office 2nd floor Telephone 054-221-1099 / FAX 054-254-6322

(2) Suruga Welfare Office Disabled Persons Support Division Support Section 10-40 Minamiyawata-cho, Suruga-ku, Shizuoka City Suruga Ward Office 1st Floor Telephone 054-202-5818 / FAX 054-287-8660

(3) Shimizu Welfare Office Disabled Persons Support Division Support Section 6-8 Asahi-cho, Shimizu-ku, Shizuoka City Shimizu Ward Office 1st floor Phone 054-354-2106 / Fax 054-352-0323

(4) Shimizu Welfare Office Kambara Branch Office 1-21-1 Kambara Shinden, Shimizu Ward Shimizu Ward Office Kanbara Branch Phone 054-385-7790 / FAX 054-385-3110

* Applications for medical expense subsidies are also accepted at the Health and Welfare Center of each ward.
Click here for the location and contact information of the Health and Welfare Center.