{"id":21,"date":"2025-09-12T13:00:04","date_gmt":"2025-09-12T04:00:04","guid":{"rendered":"https:\/\/www.mdrex.co.jp\/service\/sample-service4\/"},"modified":"2025-10-10T02:39:45","modified_gmt":"2025-10-09T17:39:45","slug":"reimbursement","status":"publish","type":"service","link":"https:\/\/www.mdrex.co.jp\/en\/service\/reimbursement\/","title":{"rendered":"Insurance Listing"},"content":{"rendered":"

The structure of Japan\u2019s health insurance system is as follows:<\/p>\n

\"Reimbursement\"<\/figure>\n

Picture 1: Structure of Japan\u2019s Health Insurance System (Created by JOMDD)<\/p>\n

Under Japan\u2019s health insurance system, the amount that medical institutions can charge for insured medical services is fixed. This amount is known as the \u201cmedical fee.\u201d
\nThe medical fee is set by the Minister of Health, Labour and Welfare, based on the recommendations of the Central Social Insurance Medical Council (Chuikyo), which serves as an advisory body to the Minister. In general, these fees are reviewed and revised every two years.
\nThe term \u201cmedical fee\u201d mainly refers to the \u201ctechnical fee\u201d\u2014the payment for the professional act of providing medical services. In addition, the prices of the materials and devices used in medical procedures are determined separately. These are categorized as \u201cspecific health insurance medical materials,\u201d which include certain medical devices and disposable supplies.<\/p>\n

The classification of insurance in Japan is as follows:<\/p>\n

\n
A1 (Comprehensive)<\/h5>\n

\u3000Evaluated comprehensively under existing medical fee items (e.g., sutures, venipuncture needles)<\/p>\n

A2 (Specific Comprehensive)<\/h5>\n

\u3000Evaluated comprehensively under specific existing medical fee items (e.g., ultrasound equipment and ultrasound examinations)<\/p>\n

A3 (Existing Technology with Modifications)<\/h5>\n

\u3000Evaluated under existing medical fee items for the technology using the product<\/p>\n<\/div>\n

\n
B1 (Existing Functional Part)<\/h5>\n

\u3000Evaluated according to existing functional categories, separately from technical fees (e.g., coronary stents, pacemakers)<\/p>\n

B2 (Existing Functional Part with Modifications)<\/h5>\n

\u3000Evaluated according to existing functional categories, separately from technical fees (including changes to the definitions of functional categories)<\/p>\n

B3 (Time-Limited Improvement Addition)<\/h5>\n

\u3000Evaluated by adding a time-limited improvement fee to existing functional categories<\/p>\n<\/div>\n

\n
C1 (New Function)<\/h5>\n

\u3000A new functional category is required,<\/u>but the technology using\u00a0it has already been evaluated <\/u>(e.g., artificially processed joint implants)<\/p>\n

C2 (New Function \/ New Technology)<\/h5>\n

\u3000The technology using the product has not been previously evaluated<\/u>(e.g., leadless pacemaker)<\/p>\n<\/div>\n

Note: B3, C1, and C2 are evaluation categories that require approval by the Central Social Insurance Medical Council (Chuikyo).<\/strong><\/p>\n

Source: Central Social Insurance Medical Council, Subcommittee on Health Insurance Medical Materials, \u201cReview of the Health Insurance Medical Materials System (Part 1)\u201d (September 20, 2023)<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"\u65e5\u672c\u306e\u533b\u7642\u4fdd\u967a\u5236\u5ea6\u306e\u4ed5\u7d44\u307f\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002 \u56f31 \u65e5\u672c\u306e\u533b\u7642\u4fdd\u967a\u5236\u5ea6\u306e\u4ed5\u7d44\u307f\uff08JOMDD\u4f5c\u6210\uff09 \u65e5\u672c\u306e\u4fdd\u967a\u5236\u5ea6\u3067\u306f\u3001\u4fdd\u967a\u8a3a\u7642\u3092\u884c\u3063\u305f\u5834\u5408\u306b\u533b\u7642\u6a5f\u95a2\u304c\u305d\u306e\u5831\u916c\u3068\u3057\u3066\u8acb\u6c42\u3067\u304d\u308b\u91d1\u984d\u304c\u5b9a\u3081\u3089\u308c\u3066\u304a\u308a\u3001\u3053\u306e\u5831\u916c\u3092\u300c\u8a3a\u7642\u5831\u916c\u300d\u3068\u3044\u3044\u307e\u3059\u3002 \u8a3a\u7642\u5831\u916c\u306f\u3001\u539a\u751f\u52b4\u50cd\u5927\u81e3\u306e\u8aee\u554f\u6a5f\u95a2\u3067\u3042\u308b\u4e2d\u592e\u793e\u4f1a\u4fdd\u967a\u533b\u7642\u5354\u8b70\u4f1a\uff08\u4e2d\u533b\u5354\uff09\u306e\u610f\u898b\u3092\u53d7\u3051\u3001\u539a\u751f\u52b4\u50cd\u5927\u81e3\u304c\u6c7a\u5b9a\u3057\u307e\u3059\u3002\u539f\u5247\u3068\u3057\u30662\u5e74\u3054\u3068\u306b\u8a3a\u7642\u5831\u916c\u306f\u6539\u5b9a\u3055\u308c\u307e\u3059\u3002 \u3053\u306e\u8a3a\u7642\u5831\u916c\u306f\u3001\u4e3b\u306b\u8a3a\u7642\u884c\u70ba\uff08\u30b5\u30fc\u30d3\u30b9\uff09\u3092\u884c\u3063\u305f\u5bfe\u4fa1\u3067\u3042\u308b\u300c\u6280\u8853\u6599\u300d\u3092\u6307\u3057\u307e\u3059\u3002\u8a3a\u7642\u5831\u916c\u304c\u672c\u4f53\u4ee5\u5916\u306e\u90e8\u5206\u3068\u3057\u3066\u306f\u3001\u7269\u54c1\u306e\u4fa1\u683c\u304c\u5225\u9014\u8a2d\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u8a3a\u7642\u884c\u70ba\u306b\u4f34\u3063\u3066\u4f7f\u7528\u3057\u305f\u533b\u7642\u6750\u6599\uff08\u533b\u7642\u6a5f\u5668\uff09\u306e\u4fa1\u683c\u3068\u3057\u3066\u300c\u7279\u5b9a\u4fdd…","protected":false},"author":1,"featured_media":91,"template":"","class_list":["post-21","service","type-service","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mdrex.co.jp\/en\/wp-json\/wp\/v2\/service\/21","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mdrex.co.jp\/en\/wp-json\/wp\/v2\/service"}],"about":[{"href":"https:\/\/www.mdrex.co.jp\/en\/wp-json\/wp\/v2\/types\/service"}],"author":[{"embeddable":true,"href":"https:\/\/www.mdrex.co.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mdrex.co.jp\/en\/wp-json\/wp\/v2\/media\/91"}],"wp:attachment":[{"href":"https:\/\/www.mdrex.co.jp\/en\/wp-json\/wp\/v2\/media?parent=21"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}