Independence support medical care (rehabilitation medical care)

June 3, 2022 医療・福祉静岡市静岡県

Independence support medical care (rehabilitation medical care)

last updated:: June 3, 2022

System overview

This is a system that subsidizes medical expenses for people aged 18 and over with physical disabilities to reduce or improve their physical impairments so that they can better adapt to their daily lives and work.
You have you make designated statement of opinion in medical institution receiving designation as independence support medical institution beforehand, and please apply.

1 Target disease

Disability type	Target medical care
visual impairment	Corneal transplant surgery, lensectomy, retinal detachment surgery, iridectomy, etc.
Hearing impairment	Plastic surgery, cochlear implant, etc.
speech impediment	Lipoplasty, palatoplasty, etc.
physical disability	Joint arthroplasty, artificial joint replacement, etc.
cardiac dysfunction	Pacemaker implantation, anti-immunotherapy after heart transplantation, etc.
renal dysfunction	Artificial dialysis therapy, renal transplantation, anti-immunotherapy after renal transplantation, etc.
small bowel dysfunction	Central parenteral nutrition, etc.
liver dysfunction	Liver transplantation, anti-immunotherapy after liver transplantation, etc.
immune dysfunction	Anti-HIV therapy, immunomodulatory therapy, etc.

2 What you need for the application procedure

Handicapped person's notebook
Independence support medical expenses (rehabilitation medical care) payment authorization application
Written opinion of a doctor at a designated medical institution
Copy of health insurance card (for all family members who have the same insurance as the target patient)
Municipal tax taxation certificate or ex-officio investigation consent form for municipal and prefectural tax (If you do not have an address in Shizuoka City as of January 1, please request a municipal tax taxation certificate from the municipality where you used to live.)
Documents that show public pensions, pensions, and various allowances (certificates, transfer notices, or transfer passbooks for pensions, etc.) *
Documents that show employment income (tax withholding slip, tax return, wage certificate, inheritance tax and gift tax return, etc.)*
Protection certificate (only for households on public assistance)
Specific illness medical treatment receipt (only for those who have it)
Something that shows your Individual Number (My Number)
Documents that can verify your identity

*For 6 and 7 income, please submit the income from the year before the previous year if you apply from January to June, and the previous year's income if you apply from July to December.

3 Notes

It takes about one month from application to payment. Medical expenses that have not yet been determined to be paid are not eligible, so please apply at least 1-2 months before the start date of use.
(If you cannot apply before the start date of medical care due to emergency surgery, etc., please contact us.)
Please note that if you are receiving a subsidy for medical expenses for severely mentally and physically disabled people, the burden including the refund will be the same even if you use this system.
Please note that depending on the tax situation of the household, the same amount may be determined as the high-cost medical care benefit, receipt for specified disease treatment, or certificate of application of maximum amount.

4 Self-pay

The "household" used to determine your income category is based on your medical insurance. Family members with different medical insurance policies are considered separate households.

household classification		Maximum amount of monthly charge
Welfare household		0 Yen
Municipal tax exempt household	low income 1 Municipal tax exempt households with annual household income of 800,000 yen or less	2,500 yen
Municipal tax exempt household	low income 2 Municipal tax exempt households other than low income 1 households	5,000 yen
Municipal tax taxable household	Above a certain income Municipal tax income percent less than 33,000 yen	Maximum co-payment for medical insurance (Note 1)
	middle income 2 Municipal tax income percent 33,000 yen or more and less than 235,000 yen	Maximum co-payment for medical insurance (Note 2)
	middle income 3 Municipal tax income percent 235,000 yen or more	Not eligible for benefits (30% of the usual cost) (Note 3)

(Note 1) In the case of severe and continuing, the maximum burden amount is 5,000 yen (Note 2) In the case of severe and continuing, the maximum burden amount is 10,000 yen (Note 3) In the case of severe and continuing is subject to benefits and pays 10%,
Maximum burden amount 20,000 yen

* Range of severity and continuation: (1) If you are eligible due to illness, symptoms, etc.; Patients with renal dysfunction, small intestinal dysfunction, immune dysfunction, cardiac dysfunction (limited to anti-immunotherapy after heart transplantation), liver dysfunction (limited to anti-immunotherapy after liver transplantation); (2) If you are eligible because you continue to bear high costs regardless of illness, etc.; Those who are eligible for multiple medical insurances (in the 12 months before the application, the medical insurance household to which the examinee belongs has received high-cost medical care benefits three or more times)

5 Inquiries and application counters regarding applications

Aoi Welfare Office Disability Support Division
5-1 Otemachi, Aoi-ku, Shizuoka-shi Aoi Ward Office 2F
Telephone 054-221-1099 / FAX 054-254-6322

Suruga Welfare Office Persons with Disabilities Support Division
10-40 Minamiyawata-cho, Suruga-ku, Shizuoka City Suruga Ward Office 1F
Telephone 054-202-5818 / FAX 054-287-8660

Shimizu Welfare Office Disability Support Division
6-8 Asahi-cho, Shimizu-ku, Shizuoka City Shimizu Ward Office 1F
Telephone 054-354-2106 / FAX 054-352-0323

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