If you receive medical care at home
“Home-Visit Nursing Care Expenses” will be paid when a person requiring continuous care at home receives medical care and necessary assistance, such as nursing on a visitation basis from a visiting nurse station, on the instruction of his or her regular physician.
Home-Visit Nursing Care Expenses (for dependents, ”Dependents' Home-Visit Nursing Care Expenses”)
When a person whose condition requires continuous care at home (i.e., a person diagnosed by a doctor as having an intractable disease or similar condition under Ministry of Health, Labour and Welfare standards) receives nursing care on a visitation basis or long-term care services from a designated provider of nursing services on a visitation basis for the sake of treatment in comfortable surroundings at home, he or she will be required to pay only a copayment for the cost of such care. The remaining portion is paid as Home-Visit Nursing Care Expenses (benefits in kind).
The Society also pays its own (additional) benefits (Home-Visit Nursing Care Additional Sum)
If the copayment*1 you paid when receiving nursing on a visitation basis exceeded a certain amount,*2 the Sony Health Insurance Society will refund the amount beyond that amount*3 as “ Home-Visit Nursing Care Additional Sum” in the case of an insured person or “Dependents’ Additional Home-Visit Nursing Care Expenses” in the case of a dependent. (These are typically paid automatically; no application procedures are required.)
These benefits will be paid approximately three months after the month of the examination or treatment.
These benefits are provided by the Sony Health Insurance Society independently.
- *1 Calculated in units (by patient, month, and medical care institution) of invoices (rezepts) sent by medical care institutions to the Society
- *2 Up to 20,000 yen
- * Excess amounts will be rounded down to the nearest 100 yen.
- * Those eligible for public subsidies for medical care costs from their local governments are not eligible for automatic payment. See here for details.
- ** The calculated amount will be rounded down to the nearest 100 yen.
Eligible persons
Eligible persons include patients deemed by their physicians to meet the standards specified in ministerial ordinances regarding such treatment (e.g., those with intractable diseases or severe handicaps, those bedridden due to cerebral apoplexy in the prime of life, or those with cancer wishing to spend their final days at home).
Caution
- If you are also eligible for long-term care insurance benefits, long-term care insurance will in principle take priority.
- You will need to cover costs (e.g., actual cost of transportation or adult diapers) and special fees if you wish to receive special services, such as care outside regular business hours.