Medical support for the disabled (Nurturing medical care)

Children under the age of 18 with a physical disability are eligible to receive medical benefits for the portion of their health insurance premiums that they are responsible for, if the progression of their disability can be prevented or the disability can be alleviated through surgery or other measures.

Eligible persons

Those who meet the following requirements are eligible.

• Children under the age of 18 whose guardians live in Fukuoka City

• Children who have the following disabilities or who are deemed to have disabilities in the future if left untreated, and for whom surgery or other treatment at a designated medical institution is expected to have a definite effect:

• The amount of municipal inhabitant tax per household is less than 235,000 yen

* New applications cannot be made after the date of reaching the age of 18.
*For details on designated medical institutions, please see below.
　　List of designated medical institutions for supporting independent living (nurturing medical care and rehabilitation medical care)
* The scope of a "household" varies depending on the medical insurance plan that the child is enrolled in. Please see the diagram below.

Medical insurance you are enrolled in	範 囲
National Health Insurance and National Health Insurance Association	For all members of the household who are enrolled in the same medical insurance plan
National Health Insurance Association, Health Insurance Association, etc.	Eligible children and insured persons

*Those whose municipal tax income portion is 235,000 yen or more are not eligible for medical assistance for persons with disabilities (medical assistance for persons with disabilities).
　　However, even if your municipal tax income tax is 235,000 yen or more, you may be eligible for medical assistance for persons with disabilities (developmental medical care).
　　For details, please see "Self-Payment Amount."

Types of disabilities covered

^{* XNUMX}　This only applies to those who are expected to regain the ability to live independently in the future through surgery, excluding those who are treated only with medical treatment.
^{* XNUMX}　The medical treatments associated with chronic dialysis therapy for kidney disorders and total parenteral nutrition therapy for small intestinal dysfunction are also covered.

Self-pay amount

In principle, you will be responsible for 10% of the total medical expenses. However, there will be a monthly upper limit based on the household's municipal tax (income tax rate), etc. Food costs (standard amount) during hospitalization will be borne entirely by the patient.

Maximum monthly self-payment amount
income classification			Maximum self-payment amount	Severe and persistent*
Welfare households			¥0	-
Municipal tax exempt household	Parental income	Under 809,000 yen	¥2,500
		Over 809,000 yen	¥5,000
Municipal tax Taxable households	Municipal resident tax amount (income tax)	Less than 33,000 yen	¥5,000	¥5,000
		33,000 yen or more but less than 235,000 yen	¥10,000	¥10,000
		Over 809,000 yen	Not applicable	¥20,000

* Even if your income is 235,000 yen or more, you will be eligible for medical assistance for persons with disabilities (nurturing) if you fall into the category of "severe and continuing.".

"Severe and continuing"If applicable

• Those who are eligible due to illness, symptoms, etc.
  　Kidney function (renal dialysis and anti-immunotherapy after kidney transplantation), small intestine function, immune function, cardiac function (after heart transplantation)　
  　Anti-immunotherapy only), liver function (anti-immunotherapy after liver transplant only)
• Those who are subject to continuing high expenses regardless of illness, etc.
  　Those who are covered by multiple medical insurance plans
  　("Households" that have received high-cost medical insurance benefits three or more times in the 12 months prior to the application date)

Procedure method

Please submit your application documents to the Health Division of the Health and Welfare Center in your ward (either in person or by mail).
*Applications must be made before the scheduled start date of treatment.

[Reference] Points to note when sending by mail (PDF676 KB）

Application Documents

1. Application Form for Certification of Eligibility for Medical Expenses for Independent Living Support (Child Development) (PDF117 KB）
2. Opinion form for medical support for independent living (medical care for developmental needs) (PDF121 KB）
3. Household Survey Form and Consent Form (PDF76 KB）
4. Documents that can verify the identity of the person coming to complete the procedure
5. Something that shows your personal number (My Number) ^{* XNUMX}
6. Documents that can verify your medical insurance eligibility (such as a public medical insurance eligibility confirmation letter)^{* XNUMX}
7. Municipal resident tax (exemption) certificate (welfare recipients must submit a welfare certificate)^{* XNUMX}
8. If you are a household exempt from municipal tax and receive disability pension, survivor pension, or various allowances,
   Documents showing the amount of income (transfer notification, pension certificate, copy of various allowance certificates, or copy of bankbook into which disability pension, various allowances, etc. have been deposited)

^{* XNUMX}
The scope of application documents 5 and 6 required will vary depending on the medical insurance plan your child is enrolled in.
For details, please check the "*Scope of 'households'" under "Target Persons."

^{* XNUMX}
This form is required for all members who share the same household, but if you fill out the consent section of (2) “Household Report and Consent Form,” you do not need to submit it.