If you paid the entire medical care cost up front

In some cases covered by health insurance, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Society 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 (advance payment/prosthetic equipment) (A4) Example
	Application Form for Medical Care Expenses (acupuncture) (A4) Example
	Application Form for Medical Care Expenses (moxibustion/massage) (A4) Example
	[Documents to attach] See the table below
Deadline:	As soon as possible
Submit documents to:	Rakuten KENPO
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 underwent treatment without your health insurance card due to sudden sickness	Receipt, medical cost details
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. If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear)
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, lens prescription, patient's checkup results

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	Written instructions to wear compression garment or similar item (after surgery for malignant tumor/primary lymphedema) Receipt
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	Written instructions to wear compression garment or similar item (treatment for intractable ulcer due to chronic venous insufficiency) Receipt
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:	Complete set of Application Form for Overseas Medical Care Expenses (A4) Example
Required documents:	[Documents to attach] “Attending physician's statement” issued by the overseas hospital A Japanese translation of the attending physician’s statement (1) “Itemized receipt” issued by the overseas hospital A Japanese translation of the itemized receipt (1) A copy of a document verifying the patient’s overseas travel (such as a passport) (*2) A letter stating that you agree to the health insurance society making detailed inquiries to the overseas medical care institution or other organization about your treatment Agreement of Authorization
Deadline:	As soon as possible
Submit documents to:	Rakuten KENPO
Notes:	The amount of the benefits will be based on the treatment costs as established under domestic health insurance.

(*1) Prepare the Japanese translation on a separate sheet. Ask another person (for example, a family member or friend) to prepare the translation for you.
(*2) Copy the pages of the passport showing the exit and entry stamps and the photo page.

If you cannot walk to or between hospitals

Required documents:	[For approval by the Health Insurance Society] “Application Form for Approval of Transportation/Notification of Transportation” ** Submit this form, with a doctor's certification, to the Health Insurance Society in advance for approval.
	[To claim transportation expenses] Application Form for Transportation Expenses (A4) Example
	Receipt
Applies to:	Insured persons or dependents transported to or between hospitals as instructed by a doctor because the sickness or injury makes movement difficult
Deadline:	As soon as possible
Submit documents to:	Rakuten KENPO
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: The medical care for which transportation is required is appropriate as insurance treatment. The sickness or injury for which the medical care is required makes it difficult for the patient to move. In an emergency or other unavoidable case.