全額立て替え払いしたときの給付
 In some cases, you will need to pay medical costs in their entirety in advance and then request payment of cash benefits from your health insurance society. However, note that you will not be reimbursed for the entire amount paid in advance.

System for payment of benefits after paying medical costs in advance

For the medical care covered under "Benefit Requirements and Request Procedures for Medical Costs and Secondary Dependent Medical Costs," in principle, you must pay the entire amount of medical costs for you and your dependents in advance.

At a later date, you may apply to Sony Health Insurance for repayment of the related medical costs. However, note that you will not be reimbursed for the entire amount you paid in advance. You will be reimbursed 70% of the amount calculated as the cost of covered medical care or the standard amount pursuant to the Health Insurance Law. (This applies to both the insured and his or her dependents.)
These benefits are referred to as Medical Costs for the insured and as Secondary Dependent Medical Costs for dependents. (See the illustration below.)

In addition, Medical Costs and Secondary Dependent Medical Costs are not provided unconditionally. They must meet certain conditions such as being cases for which Sony Health Insurance has determined that such costs were unavoidable.

Additional benefits from Sony Health Insurance also apply to the medical cost amounts calculated using standard amounts, etc. for Medical Costs and Secondary Dependent Medical Costs.


Medical cost

Illustration Example of receiving Medical Costs

Illustration-Example of receiving Medical Costs

PDF: "Medical Cost Payment Request"
 
* The prescription period during which you can apply for reimbursement of costs is two years. (The right to reimbursement is lost thereafter.)

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PDF: Benefit Requirements and Request Procedures for Medical Costs and Secondary Dependent Medical Costs



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