When you incur high medical care costs

The copayment for medical care costs you can be required to pay is capped. If your copayment calculated based on a certain standards exceeds this maximum, the excess amount will be paid as “High-Cost Medical Care Benefits”.

When you want to reduce the amount of medical care costs you pay at the medical care institution

When you want to reduce the amount of medical care costs you pay at the medical care institution

We recommend using a Myna health insurance card. By doing so, your cost-sharing maximum amount information will be provided with no need to give your consent and you will no longer need a Certificate of Application of Maximum Copayment Amount.

Applies to:	Insured persons or dependents whose copayment amounts for one month are expected to exceed their individual cost-sharing maximum amounts in the following cases: Examinations and treatment received at a medical care institution or other facility that has not adopted the online eligibility verification system When not using a Myna health insurance card When not using a Myna health insurance card and you are 70 or older and in the same income category as active workers Ⅰ or Ⅱ If you are in the low income category (certificate of application of maximum copayment/reduced standard copayment)
How to apply	Please download the following document and send it to the designated recipient by post mail. ※There is no in-company mail box to Value HR, Health Insurance BPO Center, send it by post mail.
Required documents:	“Request for issuance of Maximum Co-payment Certificate for Health Insurance” Example of completed form
Deadline:	As soon as possible
Address inquiries to:	MSDKK and MSDGK Employee　： Value HR, Health Insurance BPO Center, in charge of MSD MSD AH KK　：Value HR, Health Insurance BPO Center, in charge of MSD ORGANON KK：Value HR, Health Insurance BPO Center, in charge of MSD A voluntarily and continuously insured person： Value HR, Health Insurance BPO Center, in charge of MSD
Notes:	You can use this system for both inpatient and outpatient costs. ※According to the Standard Monthly Remuneration ( insurance premiums calculated based on a standard value ), if the Cost-Sharing Maximum Amounts does not exceed the amount, it will not be applicable for High-Cost Medical Care. No need to apply for Maximum Co-payment Certificate. ( See the Description Page. ) Even if you did not apply, for those who become eligible for subsidies for high medical expenses, the subsidy amounts will be automatically paid together with their salary into their payroll accounts, about three months after the month of medical care. (If you are a voluntarily and continuously insured person, it will be reimbursed to registered account. )

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