When you incur high medical care costs
The copayment for medical care costs you can be required to pay is capped. If your copayment calculated based on a certain standards exceeds this maximum, the excess amount will be paid as “High-Cost Medical Care Benefits”.
Since the Health Insurance Society automatically calculates these benefits together with its additional benefits (Patient Cost-Sharing Reimbursements and Additional Benefits), no special application is required.
- When you want to reduce in advance the amount of medical care costs you pay at the medical care institution
- When you face high copayments for medical care or long-term care
- Loans for high-cost medical expenses
Please fill in the application form clearly and correctly. If it is not legible, we will return the application form.
When you want to reduce in advance the amount of medical care costs you pay at the medical care institution
| When applying using a paper application form: | |
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| When applying using an electronic application: | |
| Object person: | Insured persons or dependents who expect to pay more than their Cost-Sharing Maximum Amounts for medical care costs incurred at the medical care institution over one month |
| Submit documents to: | Microsoft Health Insurance Association |
| Notes: | The Maximum Copayment Certificate for Health Insurance can be used for both inpatient and outpatient expenses. It will be issued and sent on after the first day of the first month of the expected period of hospitalization or hospital visit indicated in the application form. |
When you face high copayments for medical care or long-term care
| Required documents: |
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[Documents to attach] |
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| Object person: | Insured persons paying copayments for both medical care and long-term care for all individuals in the same household, for whom the total copayment amount paid under both systems over a one-year period exceeds the maximum amount |
| Deadline: | As soon as possible |
| Submit documents to: | Microsoft Health Insurance Association |
| Notes: | For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year. |