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City of Kasama - Information for Foreigners (外国人向け情報)

Marufuku Medical Welfare Subsidy System (医療福祉費支給制度 マル福)

  1. Medical Welfare Subsidy System "Marufuku" (医療福祉費支給制度 (マル福), iryo fukushihi shikyu seido (marufuku)

"Marufuku" is a system designed to help lower-income families pay for their medical expenses, specifically families with pregnant mothers, single-parent families, families with children, and those with severe disabilities.

You need the following documents to apply for all Marufuku categories.

Please have them with you:

1. ID: Residence Card (在留カード, zairyu kādo) or Special Permanent Resident Card (特別永住者証明書, tokubetsu eijusha shomeisho)

2. Health Insurance Card (保険証, hokensho)

3. Personal seal (印鑑, inkan)

4. Bankbook (通帳, tsucho) or Cash Card (キャッシュカード, kyasshu kādo)

5. Income Tax Statement¹ (所得課税証明書, shotoku kazeishomeisho)


Additional documents depend on the Marufuku category.

Marufuku category

Eligibility

What else you need to apply

Out-of-pocket payment

Children

0-18 years old

x

Outpatient Service:

Up to ¥600 per day, per medical institution, up to 1 month and 2 days.

 

Hospitalization:

Up to ¥300 per day, per institution, up to 1 month and 10 days.

 

You will not have to pay for prescribed medicine at a pharmacy.

Pregnant or Nursing Mothers

If you have a Mother and Child Health Handbook

Mother and Child Health Handbook
(母子健康手帳, boshi kenko techo)

Single Parent Households

Single parents supporting a child under the age of 18 (under the age of 20 for families with children with certain disabilities and high school students)

Official Copy of a Family Register²
(戸籍謄本, koseki tohon)

² This document is for Japanese citizens only

Those with Severe Disabilities

・If you have a Physical Disability ID Booklet for stages 1 or 2, or a stage 3 internal disability

・If you have a Special Education Booklet "A" (profound disability)
・If you have both
a Physical Disability ID Booklet (stage 3)
and
Special Education Booklet "B" (severe disability)

・If you qualify for Disability Pension (stage 1)

・If you qualify for Special Child Rearing Allowance (stage 1)

・If you have a Mental Disability ID Booklet (stage 1)

Official booklet/certificate identifying your disability:

Physical Disability ID Booklet
(身体障害者手帳, shintai shogaisha techo)

Special Education Booklet
(療育手帳, ryoiku techo)

Disability Pension Certificate
(障害者年金証書, shogaisha nenkin shosho)

Special Child Rearing Allowance Certificate
(別児童扶養手当証書, tokubetsu jido fuyo teate shosho)

Mental Disability ID Booklet
(精神障害者保健福祉手帳, seishin shogaisha hokenfukushi techo)

None (¥0)

¹ The Marufuku system has an income limit, meaning in order to apply, you will also need either an Income Tax Statement (所得課税証明書, shotoku kazeishomeisho) or a previous Marufuku Medical and Welfare Issuance and Expense Statement (医療福祉費受給者証交付状況証明書, iryo fukushihi shikyushasho kofu jokyo shomeisho).

※All above payments apply only to medical care that would be covered under your Japanese Health Insurance.

  • Additional subsidies may also be available through Kasama City to help cover other out-of-pocket medical fees such as meals. For more information, please contact the corresponding division at the City Hall. 
    Corresponding division: Health Insurance & Pension Division (City Hall Main Office), Citizen Service Division (Kasama / Iwama Regional Branch)

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〒309-1792 笠間市中央三丁目2番1号

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