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”.
- When you want to reduce 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
When you want to reduce the amount of medical care costs you pay at the medical care institution
| Required documents: | ||
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| Applies to: | 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 to: | YG Health Insurance Society or the department in charge at your company | |
| Send by: | Post | |
| Address inquiries to: | YG Health Insurance Society | |
| Notes: | You can use this system for both inpatient and outpatient costs. A separate application form is required for members of households exempt from residents’ tax (i.e., members of households in which the insured person is not subject to tax). Check with the Health Insurance Society. |
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When you face high copayments for medical care or long-term care
| Required documents: |
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| Deadline: | As soon as possible | |
| Applies to: | 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 | |
| Submit to: | The department in charge at your company | |
| Address inquiries to: | YG Health Insurance Society | |
| Notes: | For calculation purposes, the one-year period above refers to the period August 1 to July 31 the following year. | |