Non-insured Associated Medical Care Expenses

Combination of insured and non-insured medical care is permitted when certain conditions are met.

Generally speaking, under the health insurance system, if you receive medical care not covered by insurance, you must pay all medical care costs, even the portions normally covered by insurance. However, in response to technological progress in medical care and diversifying patient needs, even if you receive medical care not covered by insurance, benefits will be provided for the portions normally covered by insurance, as long as the non-insured medical care consists of treatment under evaluation, patient-requested care, and elective treatment meeting certain conditions.
Benefits in which such combination of insured and non-insured medical care is permitted on an exceptional basis are called Non-insured Associated Medical Care Expenses.

Treatment under evaluation

Treatment under evaluation for future insurance coverage, such as new treatment methods and new drugs whose medical value is as yet undetermined

Example of treatment under evaluation

“Advanced medical care”

You are permitted to undergo a combination of insured and non-insured medical care for advanced medical care technologies not covered by insurance if the technologies are recognized as advanced medical care meeting certain conditions in aspects such as safety and efficacy. In addition, you are permitted to undergo a combination of insured and non-insured medical care for advanced medical care considered “high-level medical care,” including unapproved drugs or medical devices.“high-level medical care,” including unapproved drugs and medical devices.