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Cases in which medical treatment is provided at home
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Persons
who require continual medical treatment at home (persons with
the intractable diseases and others judged by doctors to require
such treatment based on criteria established by the Ministry
of Health, Labour and Welfare) 30%
of the actual cost in the event they receive Home-Visit Nursing
Care from designated home-visit nursing care service providers.
This is to allow such persons to receive nursing care at home
without the need to worry about the expenditures involved.
In principle, long-term care insurance takes precedence over health insurance
in the event a person entitled to long-term care insurance benefits requires
long-term care.
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At our Health Insurance Society, in cases where Home-visit Nursing
Care Expenses are paid fir treatment, we also provide a benefit
of our own (additional benefit), and so the ultimate cost-sharing
made by an insured person or dependent is 20,000 yen
(+ fractions).
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Health Insurance Society provides insured persons and their dependents,
at a later date, with amounts calculated by deducting 20,000 yen from
total monthly personal cost-sharing amount (excluding High-cost Medical
Care
Benefits). Amounts less than 100 yen are rounded down. This benefit
is not available in cases where calculated amounts total less than
500 yen. This is called "Additional Home-visit Nursing
Care Expenses (Dependents' Additional Home-visit Nursing Care Expenses).."
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How to use the service
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Patients or their family members make a request to their family
doctors.
The doctors then give instructions to the nearest visiting nurse stations
to provide the service. Patients or their family members also receive
the instructions from the doctor, and apply for the home-visit nursing
care service to the designated stations.
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Who are the "persons with intractable
diseases" entitled to Home-visit nursing care Service? |
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