List of insurance benefits
Introduced below are the insurance benefits provided by the Society.
If you become sick or are injured
| When benefits are paid | Insurance benefits ** Benefits in parentheses are paid to dependents. |
|---|---|
| If you received medical care covered by health insurance for treatment of a nonoccupational sickness or injury |
Medical Care Benefits (Dependents' Medical Care Expenses) 70-80% of medical care costs are provided as benefits-in-kind. |
| For meal and other expenses during hospitalization |
Inpatient Meal Expenses, Impatient Living Expenses (Dependents' Medical Care Expenses) Patient pays a copayment of 510 yen/meal, with the remainder provided as benefits-in-kind.
|
| If you paid the entire medical care costs up front |
Medical Care Expenses (Secondary Dependent Medical Costs) Amount calculated based on standards will be paid on a request basis if you received medical care without using a Myna health insurance card etc. due to unavoidable circumstances or purchased prosthetic equipment for treatment purposes |
| If you used medical transportation services |
Transportation Expenses (Dependents' Transportation Expenses) Amount calculated based on standards will be paid upon request when transported as instructed by a doctor |
| 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. |
| If you incurred high medical care costs |
High-Cost Medical Care Benefits (Dependents' 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). |
| If your combined copayments for health insurance and long-term care insurance are high |
High Aggregate 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. |
| 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 |
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 Amount equal to two-thirds of the average standard monthly remuneration over the most recent 12-month period ÷ 30 paid per day off for a total of 18 months, counting from the fourth day off during the payment period |
Childbirth
| When benefits are paid | Insurance benefits |
|---|---|
| Childbirth after at least four months (85 days) of pregnancy |
Childbirth and Childcare Lump-Sum Grant (Dependents' Childbirth and Childcare Lump-Sum Grant) Pays 500,000 yen/child |
| If you take unpaid time off from work for childbirth |
Maternity Allowance Amount equal to two-thirds of the average standard monthly remuneration over the most recent 12-month period ÷ 30 paid per day off over the period starting from the 42nd day prior to the anticipated due date (98th day prior to anticipated due date for multiple births; also paid for days after anticipated due date if the birth is late) through the 56th day after delivery |
Death
| When benefits are paid | Insurance benefits |
|---|---|
| Death due to nonoccupational reasons |
Funeral Expenses/Funeral Costs(Dependents' Funeral Expenses) Pays 50,000 yen |
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 |
| If you were receiving, or satisfied the requirements to receive, Maternity Allowance at the time you left your employer |
Maternity Allowance |
| If childbirth occurred within six months after leaving the employer |
Childbirth and Childcare Lump-Sum Grant |
| In the event of death within three months after leaving the employer |
Funeral Expenses/Funeral Costs |