Therapeutic orthoses (corsets, casts, etc.)
Required documents: |
- (Insured Person/Family) Medical Expenses Reimbursement/Additional Medical Benefits Application Form
Example (Prosthetic/Orthotic device created - for the insured person)
Example (Prosthetic/Orthotic device created - for a family member)
- Receipt (receipt showing the name of the wearer, the name/type of the prosthetic/orthotic device, and the itemized price; the date must be on or after the date of the doctor's certificate)
- Attach a doctor's certificate or “Certificate of Use”
- For shoe-type orthoses only: Photos of the orthotic device (showing that the patient is actually wearing it)
Submitted documents will not be returned. Please attach the originals and make copies as needed. |
Submit to: |
- For Astellas G members (those with insurance card codes 101, 120, or 121)
…To conduct a preliminary check of application documents, please convert all documents to PDF and submit them through Pre-submission Forms in the upper-right corner of the Health Insurance/National Pension section under Employee Procedures on the HR-related Site on the intranet.
Please keep the original documents until you receive notification of the results of the check from the HR department.
For questions or details about processing methods, please contact myHR.
- For Amgen Inc. members (those with insurance card code 125)
…Amgen Inc. Payroll and Social Insurance Outsourcing Partner (please check the company intranet)
- For Eurofins Analytical Science Laboratories, Inc. members (those with insurance card code 201)
…Eurofins Human Resources
- For voluntarily and continuously insured members (insurance card code 180)
…Astellas Health Insurance Society
|
Statute of Limitations for Claims
Two years (starting date for calculating the statute of limitations: the day after payment for therapeutic orthoses)
Therapeutic eyeglasses/contact lenses
Required documents: |
- (Insured Person/Family) Medical Expenses Reimbursement/Additional Medical Benefits Application Form
Example (Therapeutic eyeglasses created - for a family member)
- Receipt (receipt with the name of the wearer) If the receipt does not show an itemized breakdown, attach documents (originals) showing a breakdown that includes the frame, lenses, options, processing fees, etc.
- Doctor's prescription for therapeutic eyeglasses, etc., or doctor's certificate (original)
* Must include one of the following diagnoses: amblyopia, strabismus, or refractive correction after congenital cataract surgery.
Submitted documents will not be returned, so please make copies as needed.
|
Submit to: |
- For Astellas G members (those with insurance card codes 101, 120, or 121)
…To conduct a preliminary check of application documents, please convert all documents to PDF and submit them through Pre-submission Forms in the upper-right corner of the Health Insurance/National Pension section under Employee Procedures on the HR-related Site on the intranet.
Please keep the original documents until you receive notification of the results of the check from the HR department.
For questions or details about processing methods, please contact myHR.
- For Amgen Inc. members (those with insurance card code 125)
…Amgen Inc. Payroll and Social Insurance Outsourcing Partner (please check the company intranet)
- For Eurofins Analytical Science Laboratories, Inc. members (those with insurance card code 201)
…Eurofins Human Resources
- For voluntarily and continuously insured members (insurance card code 180)
…Astellas Health Insurance Society
|
Statute of Limitations for Claims
Two years (starting date for calculating the statute of limitations: the day after payment for therapeutic eyeglasses/contact lenses)