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Child Rearing Assistance

Subsidization of Infant Medical Expenses

In Japan, the cost of a medical treatment covered by a health insurance policy is usually shared between the National Health Insurance (NHI) or the Employee's Health Insurance (see the "Hospitals and Health" page of this web site) and the policy holder. However, Onomichi City subsidizes a part of the medical costs shouldered by the parents or guardian of a pre-school child.

As of October 1^st, 2007, hospitalization fees are subsidized for pre-school and elementary school children.

Subsidized expenses

Except for a part of the co-payment, the cost of an infant's medical treatment covered by an insurance policy is subsidized by the city.

Food expenses while hospitalized, infant medical checkups, vaccinations and expenses incurred for treatments not covered by the health insurance policy are not subsidized. A partial co-payment is required for the following:

Partial co-payment required from the parents or the guardian of a preschool child for medical expenses

Classification	Partial co-payment (Monthly limit)	Others
Medical service providers under the NHI Multiple medical treatments in a general hospital, on the same day	One day is 500 yen. (Inpatients: up to 14 days a month/ Outpatients: up to 4 days a month)	When medical expenses are less than 500 yen, you only pay the medical expenses.
	Medical care is 500 yen per day (Inpatients: up to 14 days a month Outpatients: up to 4 days a month) Dental care is 500 yen per day (Inpatients: up to 14 days a month/ Outpatients: up to 4 days a month)
Domiciliary care	500 yen per nurse, per day (up to 4 days a month)
Judo orthopedics, acupuncture, moxa cautery, Japanese traditional massage, Massage	500 yen per treatment clinic, per day (up to 4 days a month)

Please note: Should the pharmaceuticals prescribed at a hospital be available only at a separate, independent drugstore, such pharmaceuticals can be acquired without co-payment.

※ The application for subsidization of infant medical expenses must be renewed each year in the month of the infant's birthday.

Eligibility

The requirements to qualify for subsidization are:

1. The infant is registered in Onomichi City
2. The infant has a health insurance card
3. The guardian's income is less than the maximum allowed (see below)

A pre-school child is eligible for subsidization of his or her medical until the first occurrence of March 31^st after the child turns 6 years old.

Income limits to eligibility, as established by the previous year's income report

Number of insured persons on the guardian's pension policy1	If the guardian is a policy holder of the National Pension scheme, or not	If the guardian is a policy holder of the Employee's Pension Insurance
0	4,600,000 yen	5,320,000 yen
1 person	4,980,000 yen	5,700,000 yen
2 persons	5,360,000 yen	6,080,000 yen
3 persons	5,740,000 yen	6,460,000 yen

¹ May include the guardian's spouse, should he or she be covered by the guardian's policy. This is the same as the number of "dependents"on the guardian's income tax return.
※ As of April 1^st 2006.
※ Deductions are available; please contact the Child-Care Support Division for more information.

Necessary Documents

1. The pre-school child's health insurance card
2. Your seal

※ Should you have moved in Onomichi after January 1^st, you will also need your income certificate for the previous year.

For more information, please contact the Child-Care Support Division at Onomichi City Hall (Tel.: 0848-25-7113)