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Childbirth and Childcare Lump-sum Grant is provided to help cover childbirth expenses |
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|  When
they give birth, female insured persons are paid an allowance
of 500,000 yen* per child to help
cover childbirth expenses. This is called a "Childbirth
and Childcare Lump-sum Grant."
Health Insurance Societies will also provide dependent women
with a "Dependents' Childbirth and Childcare Lump-sum Grant" in
the
event they give birth.
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420,000 yen for childbirth through the end of March 2023 |
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For childbirth under medical management at medical institutions that have joined the Japan Obstetric Compensation System for Cerebral Palsy (only 22 weeks gestation and above, including stillbirth). For childbirth before 22 weeks gestation or for childbirth at medical institutions that have not joined this system, the amount of the Childbirth and Childcare Lump-sum Grant paid will be 488,000 yen. |
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For a Caesarean section or other high-cost insured medical treatment, you can reduce the amount you pay at the medical care institution by presenting a Certificate of Application of Maximum Copayment Amount. See here for information on how to apply for the issuance of the certificate. >> Procedures for the Certificate of Application of Maximum Copayment Amount |
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Using a system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions
In addition to the Childbirth and Childcare Lump-sum Grant, our society provides a benefit of our own (additional benefit). You must complete separate procedures to receive these additional benefit, even if you use this system.
If your childbirth expenses are less than the amount of the Childbirth and Childcare Lump-sum Grant paid, you may apply to receive the difference between your actual childbirth costs and the amount of the Childbirth and Childcare Lump-sum Grant paid.
Please contact the Health Insurance Society for details. |
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To use this system, conclude a contract with the medical institutions regarding application for the benefits under the Childbirth and Childcare Lump-sum Grant and receipts of it. Please contact the medical institutions where you plan to give birth for details. |
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When not using a system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions
Fill in the necessary details in the form below, get a doctor or midwife to certify that a birth took place, and submit it to the Health Insurance Society.
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Procedural
Documents:
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1. |
"Claim for
Childbirth and Childcare Lump-sum Grant/ Additional
Sum" |
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A copy of the receipt
(If giving birth under the medical administration of a medical care institution or other member facility of the maternity medical care compensation scheme, a receipt indicating this fact) |
3. |
A copy of details of childbirth expenses
(Showing a breakdown of childbirth expenses and other costs and a statement indicating the content matches that of the dedicated claim form) |
4. |
Copy of childbirth-cost receipt/details
(The content of the copy shall state that no proxy contract has been concluded with the medical institutions concerning the system of direct payment, And for childbirth under medical management at medical institutions that have joined the Japan Obstetric Compensation System for Cerebral Palsy, the receipt/details must be stamped to certify that the birth was eligible for that system.) |
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The following documents must be attached for a childbirth overseas: |
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Procedural
Documents: |
1. |
"Claim for Childbirth and Childcare Lump-sum Grant/Additional Sum" |
2. |
Documents issued by the overseas medical care institution or other facility where the birth took place (birth certificate, receipts, etc.) |
3. |
Japanese translations of the above |
4. |
A copy of document(s) attesting to the fact of travel overseas (passport, etc.) |
5. |
A letter of consent permitting inquiries with the overseas medical care institution or other facility where the birth took place regarding the fact of the birth, details, and so forth |
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A system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions
-It is now possible to reduce the amount of childbirth expenses paid directly to the medical institutions-
Under this system, after concluding a proxy contract between the insured person and the hospital, clinic, or maternity clinic (hereinafter referred to as "medical institutions") regarding application for the Childbirth and Childcare Lump-sum Grant (or Dependents' Childbirth and Childcare Lump-sum Grant) and receipts of it, the medical institutions may apply for and receive payment of the Childbirth and Childcare Lump-sum Grant on behalf of the insured person, up to the maximum payment amount.
As a result, using this system, the insured person needs to pay to the medical institutions only the amount of childbirth expenses remaining after deducting the amount of the Childbirth and Childcare Lump-sum Grant. When the amount of childbirth expenses is less than the amount of the Childbirth and Childcare Lump-sum Grant, the Health Insurance Society will pay the difference to the insured person directly.
Procedures
Please have the medical institutions where you plan to give birth explain the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions.
To use this system, please exchange two copies of a proxy contract to apply for and receive the Childbirth and Childcare Lump-sum Grant. One copy should be retained by the insured person; the other copy should be retained by the medical institutions.
Please show your health insurance card when you check in to the medical institutions, and when you check out, obtain a statement providing a breakdown of the childbirth expenses..
Please contact the medical institutions where you plan to give birth for details.
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Note that during this fiscal year the system of direct payment of Childbirth and Child-Care Lump-sum Grant to medical institutions may not be available at some medical institutions. |
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Our Health Insurance Society provides a benefit of our own (additional
benefit) on top of the Childbirth and Childcare Lump-sum Grant.
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Benefits for each baby delivered (even in cases of stillbirth or miscarriage)
Delivery by insured women
650,000 yen (Childbirth and Childcare
Lump-sum Grant 500,000 yen* + Additional Childbirth
and Childcare Expenses 150,000 yen)
Delivery by dependent women
650,000 yen （Dependents' Childbirth
and Childcare Lump-sum Grant 500,000 yen* + Dependents'
Additional Childbirth
and Childcare Expenses 150,000 yen)
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If you use the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions, the amount of the Childbirth and Childcare Lump-sum Grant paid (500,000 yen*) will be paid directly to the medical institutions, not to the insured person or dependent. If your childbirth expenses are less than the amount of the Childbirth and Childcare Lump-sum Grant paid, you may apply to receive the difference between your actual childbirth expenses and the amount of the Childbirth and Childcare Lump-sum Grant paid. |
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If twins are born, a benefit is paid for each child. |
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For childbirth under medical management at medical institutions
that have joined the Japan Obstetric Compensation System
for Cerebral Palsy (only 22 weeks gestation and above, including
stillbirth). For childbirth before 22 weeks gestation or
for childbirth at medical institutions that have not joined
this system, the amount of the Childbirth and Childcare Lump-sum
Grant paid will be 488,000 yen. |
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