About pediatric medical glasses
From April 1, 2006, for child under 9 years old, glasses and contact lenses only when the doctor recognizes that it is necessary for treatment of "squint", "amblyopia", and "postoperative congenital cataract" is eligible for medical expenses.
When you made pediatric medical glasses based on doctor's instructions, you can claim 70% or 80% of the cost to the Microsoft Health Insurance Association as "medical expenses" after paying the full cost in advance.
Eligible for payment
Glasses and contact lenses needed to treat "squint", "amblyopia", and "postoperative congenital cataract" for child under 9 years old.
Even medical glasses made based on the doctor's instructions, when Microsoft Health Insurance Association judge that the payment is not appropriate, it may not be paid.
- ×Glasses for vision correction
- ×Eye patch
- ×Fresnel film prism
Payment amount
| Payment amount | "Glasses [36,700 yen]" "contact lenses [15,400 yen / sheet]" x 1.06(after October 2019 ) is the upper limit, 70% of the amount paid will be covered by health insurance. [80% benefit before compulsory education] |
|---|
| When you buy glasses for 30,000 yen | 30,000yen×0.7＝21,000yen |
|---|---|
| When you buy glasses for 50,000 yen | 38,902yen(36,700yen [Maximum amount of payment] ×1.06)×0.7＝27,231yen |
Update of pediatric medical glasses
- Under 5 years old：More than one year has passed since the last made
- 5 years old or more：More than two years has passed since the last made
Required documents
- Application Form for Medical Care Expenses (orthotics for treatment/pediatric medical glasses)
- Detailed receipt (original)
- Orthotics product instructions (original) *Not a prescription
<Receipt>
- Name of the child of dependent
- Actual buy amount including tax
- The fact that the original receipt is for the cost of the medical glasses
[The name and type of eyeglasses, etc., and the cost amount by breakdown such as lens fee and frame fee are filled in the description.]
<Orthotics product instructions>
- Not a prescription
- All items such as medical institution name, doctor name, doctor certification date, seal, etc. must be filled in
Depending on the local government where you live, You may be able to receive a subsidy for your own expenses for making medical glasses, such as "Children's Medical Expenses Subsidy". When applying to the Microsoft Health Insurance Association, The original receipt cannot be returned, so please have a copy of the receipt in advance.
However, if the local government instructs you to submit the original receipt, we will issue a "Certificate of original receipt" instead of the original. If needed, please let us know when you submit the documents.