Understanding Your Options: Reimbursement for Self-Paid Medical Expenses in Sagamihara City
Sagamihara City would like to inform its residents enrolled in the National Health Insurance (Kokuhokyoku) about the process for seeking reimbursement when they have incurred medical expenses without utilizing their health insurance. This situation can arise due to unavoidable circumstances, leading to a 100% out-of-pocket payment at the medical institution.
The recent announcement, published on July 31, 2025, at 15:05, by Sagamihara City, highlights that if you have found yourself in a position where you paid the full medical fee without presenting your National Health Insurance card, you may be eligible for a refund of the portion that would have been covered by your insurance.
Key Information for Residents:
- Eligibility for Reimbursement: This provision is for individuals covered by Sagamihara City’s National Health Insurance who have paid the entire medical cost directly to a healthcare provider due to compelling reasons, and subsequently wish to claim the eligible portion of the expense back through their insurance.
- Reason for Self-Payment: The circumstances leading to the self-payment must be deemed unavoidable. This typically means situations where it was not possible to use the health insurance card at the time of receiving medical treatment.
- How to Apply: To initiate the reimbursement process, residents will need to submit an application to the relevant department within Sagamihara City Hall. The exact procedure and required documentation will be detailed in the city’s official announcements and may include:
- Original Receipts: The original bills or receipts from the medical institution clearly showing the full amount paid.
- Proof of National Health Insurance: Your National Health Insurance card.
- Bank Account Information: Details of a bank account where the reimbursement can be deposited.
- Explanation of Circumstances: A written explanation detailing the unavoidable reasons why your health insurance could not be used at the time of treatment.
- What to Expect: Upon successful application and verification of the provided information, Sagamihara City will process the reimbursement for the portion of the medical expenses that would have been covered by the National Health Insurance. The reimbursement amount will be calculated based on the standard insurance coverage rates.
Sagamihara City is committed to supporting its residents and ensuring access to healthcare. If you have experienced a situation where you paid the full medical cost without using your insurance, please do not hesitate to consult the official Sagamihara City website or contact the relevant department for further guidance on the application process.
This measure aims to alleviate the financial burden on residents and ensure that they receive the appropriate benefits of their National Health Insurance coverage, even in unforeseen circumstances. Residents are encouraged to keep all medical receipts and documentation in a safe place to facilitate any future claims.
【国保・給付】やむをえない理由で健康保険を使わずに医療機関にかかり、窓口で医療費を10割負担したのですが。
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相模原市 published ‘【国保・給付】やむをえない理由で健康保険を使わずに医療機関にかかり、窓口で医療費を10割負担したのですが。’ at 2025-07-31 15:05. Please write a detailed article about this news in a polite tone with relevant information. Please reply in English with the article only.