List of insurance benefits | Health insurance system

If you become sick or are injured

When benefits are paid	Insurance benefits ** Benefits in parentheses are paid to dependents.
If you have received medical care for a nonoccupational sickness or injury using your health insurance card	Medical Care Benefits (Dependents' Medical Care Expenses) 70-80% of medical care costs are provided as benefits-in-kind. See here for details.
For meal and other expenses during hospitalization	Inpatient Meal Expenses, Impatient Living Expenses (Dependents' Medical Care Expenses) Patient pays a copayment of 360 yen/meal, with the remainder provided as benefits-in-kind. For patients with intractable diseases or specific chronic diseases of children, the patient cost-sharing amount is 260 yen/meal. For patients aged 65 or older hospitalized in a convalescent facility, the patient pays copayments of 460 yen/meal and 370 yen/day (200 yen for patients with high degrees of medical necessity, 0 yen for patients with designated intractable diseases）in accommodation expenses. The rest is provided as benefits. See here for details.
If you paid the entire medical care costs up front	Medical Care Expenses (Secondary Dependent Medical Costs) Reimbursement on a request basis for the portion covered by health insurance if you receive treatment without presenting your health insurance card, purchase prosthetic equipment or other equipment, or other such cases See here for details.
If you received nursing care on a visitation basis	Home-Visit Nursing Care Expenses (Dependents' Home-Visit Nursing Care Expenses) 70-80% of medical care costs are provided as benefits-in-kind. See here for details.
If you incurred high medical care costs	High-Cost Medical Care Benefits (High-Cost Medical Care Benefits) When your copayment on medical care costs for a single case in one month exceeds the Cost-Sharing Maximum Amount for your income category, the excess amount is paid (Measures to reduce cost burden, for example, by calculating on the basis of total medical expenses paid by one household, are available). See here for details.
If your combined copayments for health insurance and long-term care insurance are high	High Agregate Cost for Long-term Care Service (High Aggregate Cost for Long-term Care Service) When the aggregate total of copayments paid on medical and long-term care over a single year exceeds the maximum, the amount in excess of the maximum, corresponding to the ratios of medical and long-term care costs. See here for details.
If you received non-insured associated medical care	Non-insured Associated Medical Care Expenses (Dependents' Medical Care Expenses) Benefits-in-kind for 70-80% of regular medical care costs See here for details.

If you take time off from work due to sickness

When benefits are paid	Insurance benefits
If you take at least four unpaid days off from work due to nonoccupational sickness or injury	Injury and Sickness Allowance/Injury and Sickness Allowance Additional Sum See here for details.

When benefits are paid

Insurance benefits

If you take at least four unpaid days off from work due to nonoccupational sickness or injury

Injury and Sickness Allowance/Injury and Sickness Allowance Additional Sum

See here for details.

Childbirth

When benefits are paid	Insurance benefits
Childbirth after at least four months (85 days) of pregnancy	Childbirth and Childcare Lump-Sum Grant/Childbirth and Childcare Additional Sum (Dependents' Childbirth and Childcare Lump-Sum Grant/Dependents' Childbirth and Childcare Additional Sum) See here for details.
If you take unpaid time off from work for childbirth	Maternity Allowance/Maternity Allowance Additional Sum See here for details.

When benefits are paid

Insurance benefits

Childbirth after at least four months (85 days) of pregnancy

Childbirth and Childcare Lump-Sum Grant/Childbirth and Childcare Additional Sum
(Dependents' Childbirth and Childcare Lump-Sum Grant/Dependents' Childbirth and Childcare Additional Sum)

See here for details.

If you take unpaid time off from work for childbirth

Maternity Allowance/Maternity Allowance Additional Sum

See here for details.

Death

When benefits are paid	Insurance benefits
Death due to nonoccupational reasons	Funeral Expenses (Funeral Costs)/Funeral Expenses Additional Sum (Dependents' Funeral Expenses/Dependents' Funeral Expenses Additional Sum) See here for details.

When benefits are paid

Insurance benefits

Death due to nonoccupational reasons

Funeral Expenses (Funeral Costs)/Funeral Expenses Additional Sum
(Dependents' Funeral Expenses/Dependents' Funeral Expenses Additional Sum)

See here for details.

After you leave your employer

When benefits are paid	Insurance benefits
If you were receiving, or satisfied the requirements to receive, Injury and Sickness Allowance at the time you left your employer	Injury and Sickness Allowance See here for details.
If you were receiving, or satisfied the requirements to receive, Maternity Allowance at the time you left your employer	Maternity Allowance See here for details.
If childbirth occurred within six months after leaving the employer	Childbirth and Childcare Lump-Sum Grant See here for details.
In the event of death within three months after leaving the employer	Funeral Expenses/Funeral Costs See here for details.