[Example] If the self coverage amount was 3,000 yen, all of which was within the scope of medical insurance
[Example] If the self coverage amount was 5,000 yen, 1,000 yen of which was outside of the scope of medical insurance
[Example] If the applicant has already received medical fee reimbursement of 57,000 yen during the fiscal year up to the last application and is applying for medical fee reimbursement again for 5,000 yen (within the same fiscal year)
Note that 1,000 yen shall be deducted from each payment if you filed multiple applications for visits to the same medical institute within the same month.
[Example] If the applicant visited AAA Hospital three times on June 1, June 10, and June 20 during the month of June and the total self coverage amount was 10,000 yen, including 5,000 yen, 3,000 yen, and 2,000 yen respectively, all of which was for treatment within the scope of medical insurance
In case of any inconsistency between the Japanese version and the English version, the Japanese version shall prevail.