MSD Health Insurance Society

MSD Health Insurance Society

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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

Applies to: Insured persons and dependents eligible for payment for the reasons shown below
How to apply Please download the document below and send it to the designated recipient.
Required documents:

<Documents to attach>

  • See the table below
Deadline: As soon as possible
Address inquiries to:

MSDKK and MSDGK Employee :Payroll Inc
MSD AH KK :TG Japan Inc. in charge of AH

ORGANON KK :TG Japan Inc. in charge of ORGANON
A voluntarily and continuously insured person: Value HR, Health Insurance BPO Center, in charge of MSD
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 underwent treatment without your health insurance card due to sudden sickness Receipt(original)
Statement of the Medical Treatment(original)
Statement of the Medical Treatment : It describes details of the diagnosis and medical treatment, serving as a substitute for receipt data will not be accepted. Please be issued at the medical institution.
"Application form for Medical Care Expenses" shall be submit each month, each medical institution in a separate form.
If you received a live blood transfusion Receipt(original), 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(original), certificate from an insurance doctor. If applying for orthopedic footwear, a photo of the footwear (showing that the patient actually wears the footwear)
If you underwent acupuncture, moxibustion, massage, shiatsu, or similar treatment with an insurance doctor's approval: Receipt(original), written consent from an insurance doctor(original)
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: Receipt(original), 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(original)
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

Applies to: Insured persons or dependents who have undergone examination or treatment at a medical care institution overseas
How to apply Please ask for the required documents below to the address inquiries and send it to the designated recipient.
Required documents: “Application Form for Overseas Medical Care Expenses”

<Documents to attach>

  • “Attending physician's statement” issued by the overseas hospital
  • “Itemized receipt” issued by the overseas hospital
    (original)
  • Japanese translations of the above
  • A copy of a document verifying your overseas travel (such as a passport)
  • A letter stating that you agree to the health insurance society making detailed inquiries to the overseas medical care institution or other organization about your treatment
Deadline: As soon as possible
Address inquiries to:

MSDKK and MSDGK Employee :Payroll Inc
MSD AH KK :TG Japan Inc. in charge of AH

ORGANON KK :TG Japan Inc. in charge of ORGANON
A voluntarily and continuously insured person: Value HR, Health Insurance BPO Center, in charge of MSD
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

Applies to: Insured persons/dependents who are unable to walk in order to be hospitalized or change hospitals
How to apply Please ask for the required documents below to the address inquiries and send it to the designated recipient.
Required documents:
  • “Application Form for Transportation Expenses”
Deadline: As soon as possible
Address inquiries to:

MSDKK and MSDGK Employee :Payroll Inc
MSD AH KK :TG Japan Inc. in charge of AH

ORGANON KK :TG Japan Inc. in charge of ORGANON
A voluntarily and continuously insured person: Value HR, Health Insurance BPO Center, in charge of MSD
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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