Astellas Health Insurance Society

Astellas Health Insurance Society

Japanese
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If you paid the entire medical care cost up front

In some cases covered by health insurance, you will pay the full medical care costs to the medical care institution or other facility up front, after which you will be reimbursed by the Health Insurance Society later.

If you paid the entire medical care cost up front

Required documents: (Insured Person/Family) Medical Expenses Reimbursement/Additional Medical Benefits Application Form
Example (Treatment without Insurance Card - Insured Person)
Example (Treatment without Insurance Card - Family Member)
  • *For application forms when therapeutic orthoses or therapeutic eyeglasses are made, visit this page.

[Documents to attach]

  • See the table below
Deadline: As soon as possible
Applies to: Insured persons and dependents eligible for payment for the reasons shown below
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. The Pre-submission Forms can be found    here.
    * If you cannot access the intranet due to taking a leave of absence or for other reasons, please send application documents directly to the Human Resource Operations.
    2-5-1 Nihonbashi-Honcho, Chuo-ku, Tokyo 103-8411
    Astellas Pharma Inc. Human Resource Operations

  • 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
Notes: See the table below concerning reasons for eligibility for payment and required documents to attach.
Reason for eligibility for payment of medical care expenses Documents to attach to application form
If you undergo treatment without your Myna health insurance card due to sudden sickness Receipt
If you received a live blood transfusion Receipt, blood transfusion certificate
If you purchased and used prosthetic equipment such as an artificial arm or leg, an artificial eye, or a corset, as instructed by a physician: Receipt, certificate from an insurance doctor

If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear)
For details, visit this page.

If you had eyeglasses or contact lenses prepared and purchased to treat juvenile amblyopia or other condition in a child of less than nine years of age:
For details, visit this page.
Receipt, copy of lens prescription from an insurance doctor, patient's checkup results
If you purchased limbal-supported rigid contact lenses for disfigured corneas due to ocular sequelae after experiencing Stevens-Johnson syndrome or toxic epidermal necrolysis: Receipt
Copy of written instructions or other document from an insurance doctor (A copy of a prescription or other document noting the name of the illness that can be used to confirm that the contact lenses were prescribed for an illness eligible for benefits)

If you purchased a compression garment or similar item

Treatment of lymphedema of the arms or legs occurring after surgery for malignant tumor involving lymph node dissection (extensive resection) in the groin, pelvic region, or axillary region; primary lymphedema of the arms or legs
Documents to attach to application form
  • Written instructions to wear compression garment or similar item (after surgery for malignant tumor/primary lymphedema)
  • Receipt
Type of compression garment Compression stocking, compression sleeve, compression glove (compression bandage only if the doctor recognizes that these should not be used)
Notes No more than two compression garments or similar items per body part may be purchased at a time.
Repurchase made at least six months after the previous purchase is eligible for payment of medical care expenses.
Treatment for intractable ulcer due to chronic venous insufficiency
Documents to attach to application form
  • Written instructions to wear compression garment or similar item (treatment for intractable ulcer due to chronic venous insufficiency)
  • Receipt
Type of compression garment Compression stocking (compression bandage only if the doctor recognizes that this should not be used)
Notes No more than two compression garments or similar items per body part may be purchased at a time.
Eligible for payment of medical care expenses only once (cases involving recurrence after healing are eligible for payment again)

If you become sick or are injured overseas

Required documents: Overseas Medical Expenses Reimbursement Application Form [A][B]
(Insured Person/Family) Medical Expenses Reimbursement/Additional Medical Benefits Application Form
Example (Overseas - Insured Person)
Example (Overseas - Family Member)
Consent Form for Overseas Medical Expenses Investigation

[Documents to attach]

  • “Attending physician's statement” issued by the overseas hospital
  • “Itemized receipt” issued by the overseas hospital
  • Japanese translations of these documents (indicating the date of translation and the name of the translator)
  • Copy of documents confirming the fact of traveling overseas (passport, etc.), or a copy of visa (with name and expiration date)
Deadline: As soon as possible
Applies to: Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
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. The Pre-submission Forms can be found    here.
    * If you cannot access the intranet due to taking a leave of absence or for other reasons, please send application documents directly to the Human Resource Operations.
    2-5-1 Nihonbashi-Honcho, Chuo-ku, Tokyo 103-8411
    Astellas Pharma Inc. Human Resource Operations

  • 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
Notes: The amount of the benefits will be based on the treatment costs as established under domestic health insurance.

If you cannot walk to or between hospitals

As such cases are rare, please consult with the Health Insurance Society in advance.

Required documents:

[For approval by the Health Insurance Society]

Transfer Approval Application/Transfer Notification/Health Insurance (Insured Person/Family) Transfer Approval Application Form
  • ** Submit this form, with a doctor's certification, to the Health Insurance Society in advance for approval.

[Documents to attach]

  • Receipt
Deadline: As soon as possible
Applies to: Insured persons or dependents transported to or between hospitals as instructed by a doctor because the sickness or injury makes movement difficult
Submit to:
  • For Astellas G members (those with insurance card codes 101, 120, or 121)

    …Astellas Pharma Inc. Human Resource Operations
    By post:
    2-5-1 Nihonbashi-Honcho, Chuo-ku, Tokyo 103-8411
    Astellas Pharma Inc. Human Resource Operations

  • 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
Notes:

This benefit is paid if a doctor determines there is a need for temporary, emergency transportation and the Health Insurance Society determines that all of the following conditions apply:

  • The medical care for which transportation is required is appropriate as insurance treatment.
  • The sickness or injury for which the medical care is required makes it difficult for the patient to move.
  • In an emergency or other unavoidable case.

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