High-Cost Medical Expense Benefit

When your out-of-pocket medical cost in one month exceeds the income-based 'self-pay cap,' the excess is refunded by public health insurance. Almost anyone in public insurance may qualify, but many miss the refund without knowing.

判定の前に、以下をご確認・ご用意ください

Which public insurance you have (card: workplace insurance / National Health Insurance / late-elderly medical care)
Income category ★most important★ — workplace insurance = standard monthly remuneration (payslip/insurer); NHI/late-elderly = taxable income (tax certificate/premium notice). For treatment in Jan–Jul use income from 2 years prior; Aug–Dec, the previous year
Your out-of-pocket cost that month (receipts; insured portion only — meals, room upgrades, non-insured excluded)
How many times you received this benefit in the past 12 months (for the 'multiple-time' rule)
Whether you used the My Number insurance card