If you paid the entire medical care cost up front
In some cases under the health insurance system, if you paid the entire medical care cost to the medical care institution or other facility up front, the Health Insurance Society will reimburse you 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(Payments on behalf of a third party, etc.) example |
|---|---|
| Application Form for Medical Care Expenses(Therapeutic orthosis) example |
|
| Application Form for Medical Care Expenses(Children's glasses) example |
|
|
[Documents to attach]
|
|
| Deadline: | As soon as possible |
| Applies to: | Insured persons and dependents eligible for payment for the reasons shown below |
| Submit to |
Tokyo Opera City Tower, Nishi-Shinjuku 3-20-2, Shinjuku-ku, Tokyo 163-1488 To: Sanofi Health Insurance Society kenpo@sanofi.com |
| 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 undergo treatment without your Myna health insurance card due to sudden sickness | Receipt |
| If you received a live blood transfusion | Receipt, blood transfusion certificate |
| 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, certificate from an insurance doctor A photo of the prosthetic equipment (showing that the patient actually wears the equipment) Orthosis Fabrication Confirmation Form example Report of Cause of Injury example
|
| If you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval: | 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, copy of lens prescription from an insurance doctor, patient's checkup results |
| 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
Treatment of lymphedema of the arms or legs occurring after surgery for malignant tumor involving lymph node dissection (extensive resection) in the groin, pelvic region, or axillary region; primary lymphedema of the arms or legs
| Documents to attach to application form |
|
|---|---|
| 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. |
Treatment for intractable ulcer due to chronic venous insufficiency
| Documents to attach to application form |
|
|---|---|
| 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 Overseas |
|---|---|
|
[Documents to attach]
|
|
| Deadline: | As soon as possible |
| Applies to: | Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas |
| Submit to |
Tokyo Opera City Tower, Nishi-Shinjuku 3-20-2, Shinjuku-ku, Tokyo 163-1488 To: Sanofi Health Insurance Society kenpo@sanofi.com |
| 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 |
|---|---|
[Documents to attach]
|
|
| 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 |
| Submit to |
〒163-1488 東京都新宿区西新宿三丁目20番2号 東京オペラシティタワー サノフィ健康保険組合 宛 kenpo@sanofi.com |
| 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:
|