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Grounds eligible for health care expenses 

How to apply 

If a person has received health care for a disease, injury, or childbirth (in case of stillbirth, it refers to 16 weeks or more of gestation) as no health care institution was available or there was no health care institution 

▪ A request for payment of health care expenses (attached Form No. 18 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of the health care expenses statement or tax invoice (for pharmacies, it refers to prescriptions and tax invoices) 

▪ A copy of the document demonstrating the reason for not being able to receive health care at a health care institution 

If a patient with chronic renal failure purchases or uses peritoneal perfusion or consumables used for automatic peritoneal dialysis at a drugstore other than a health care institution according to a doctor's prescription 

▪ A request for payment of health care expenses (attached Form No. 18 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of doctor's prescription 

▪ A copy of each document verifying the payment receipt paid by theinsured or dependent, such as a tax invoice or cash receipt

If a neurogenic bladder patient purchases and uses consumables used for self-catheterization from a medical device sales business other than a health care institution according to a doctor's prescription 

If a patient in need of oxygen treatment receives oxygen treatment in a manner determined and announced by the Minister of Health and Welfare according to a doctor’s prescription 

▪ A request for payment of health care expenses (attached Form No. 19 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of doctor's prescription 

▪ A copy of the document demonstrating that oxygen treatment has been performed 

▪ A copy of each document verifying thepayment receipt paid by the insured or dependent, such as a tax invoice or cashreceipt

If a diabetic patient purchases or uses consumables or diabetes management devices used for blood sugar testing or insulin injection from a medical device sales business other than a health care institution according to a doctor's prescription 

▪ A request for payment of health care expenses (attached Form No. 19-2 or Form No. 19-3 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of doctor's prescription 

▪ A copy of each document verifying the payment receipt paid by the insured or dependent, such as a tax invoice or cash receipt

If a patient with a disease determined and announced by the Minister of Health and Welfare and in need of a respirator or a cough assist device borrows and uses a respirator or cough assist device according to a doctor's prescription 

▪ A request for payment of health care expenses (attached Form No. 19-4 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of doctor's prescription 

▪ A copy of the document demonstrating that a respirator or cough assist device has been rented 

▪ A copy of each document verifying the payment receipt paid by the insured or dependent, such as a tax invoice or cash receipt

If a sleep apnea patient borrows and uses a positive airways pressure device (referring to a device that continuously injects air into the narrowed airway during sleep to secure the airway) according to a doctor's prescription 

▪ A request for payment of health care expenses (attached Form No. 19-5 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of doctor's prescription 

▪ A copy of the document demonstrating that a positive airways pressure device has been rented 

▪ A copy of each document verifying the payment receipt paid by the insured or dependent, such as a tax invoice or cash receipt 

If a person has given birth at a place other than a health care institution 

▪ A request for payment of health care expenses (attached Form No. 18 of the “Enforcement Rule of the National Health Insurance Act”) 

▪ A copy of the document demonstrating childbirth