About orthotics for treatment
A orthotics that a doctor recognizes as necessary for the treatment of an illness or injury is worn by a patient. The health insurance association is supposed to pay medical expenses within the limit of the cost of purchasing the orthotics paid by the patient.
Standards for payment of orthotics
- ◎It is impossible to deal with medical treatment within the scope of insurance medical treatment, the orthotics must be recognized as necessary as a means of treatment to cure the illness from a medical perspective.
- ◎It must be made to order by a orthotist in accordance with the "basic construction method" set by the Ministry of Health, Labor and Welfare. Products on the market and ready-made products that do not depend on the "basic construction method" are not applicable.
- ◎After the orthosis is made, it is necessary to confirm with the doctor about the wearing and to continuously verify the effect after that. This is considered to be essential for the performance of treatment.
- ◎Before the symptoms cannot be improved by treatment.
- ※The devices that are needed after the symptoms cannot be improved and for the daily life of persons with disabilities are not the orthotics but the "prostheses".
It is covered by the welfare system of the local government, not the health insurance. Please contact the local government in advance.
- ※The devices that are needed after the symptoms cannot be improved and for the daily life of persons with disabilities are not the orthotics but the "prostheses".
<Examples that are not covered the health insurance>
- ×Orthotics necessary for daily life and sports, on the job
- ×For rehabilitation
- ×Not for eliminating the disease, but for pain relief
- ×Products on the market and processed products except ready-made products that are recognized as eligible for payment , etc.
Required documents
| When making the foot orthosis： |
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| When making except the foot orthosis： |
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