B: Lump-sum Grant

National Health Insurance Childbirth and Childcare Lump-sum Grant

If a member of the National Health Insurance gives birth (including stillbirth and miscarriage of 12 weeks or more of pregnancy), a “lump-sum birth allowance” will be paid to the head of the household.

National Health Insurance Childbirth and Childcare Lump-sum Grant

As a general rule, the payment method is to pay directly from the National Health Insurance to a medical institution or midwifery home (hereinafter referred to as “medical institution, etc.”). [Direct payment system]

What is the direct payment system?

The head of the household concludes an agency contract with the medical institution regarding the application and receipt of the lump-sum childbirth and childcare allowance, so that the medical institution, etc. gives birth directly to Chiba City on behalf of the head of the household. This is a system for applying for and receiving a lump-sum childcare allowance.
With the direct payment system, you do not have to go through the procedure at the ward office, but you will have to go through the procedure at the medical institution where you plan to give birth, which will reduce the burden of procedures.

For those who are planning to give birth after April 2011, there is also a mechanism to entrust the receipt of the lump-sum birth allowance to a medical institution. [Receiving agency system]

What is the receiving agency system?

The head of the household prepares a nationally designated application form at a medical institution, etc., and submits a notification to the Citizen’s General Counter Division / Citizen Center of the ward office before giving birth, and entrusts the receipt of the lump-sum birth allowance to the medical institution. It is a system to do.
As a result of this mandate, the National Health Insurance will provide the lump-sum childbirth and childcare allowance to medical institutions, etc., so it is not necessary to pay the amount equivalent to the lump-sum childbirth and childcare allowance at the time of discharge.

Payment amount, procedure method, etc.

Payment amountObstetrics medical compensation system for delivery 420,000 yen
Delivery other than the above 404,000 yen (390,000 yen for delivery before December 31, 2014)
Payment methodPay directly to medical institutions.
(If the cost of childbirth is less than the lump-sum payment for childbirth and childbirth, the procedure for claiming the difference is required)
Payment to the head of household after childbirth
Those who do not wish to have a direct payment system or a receiving agency system
Those who gave birth overseas
Those who have a difference in direct payment users
Entrust medical institutions to receive the lump-sum payment for childbirth and childcare. [Receiving agency system]
(If the childbirth cost is less than the amount equivalent to the lump-sum childbirth and childcare allowance, the difference will be transferred to the account of the head of household designated in advance.)
Procedure destinationDirect payment → Medical institutions scheduled to give birth, etc.
Payment to the head of household after childbirth → Citizen’s General Counter Section / Citizen Center of the Ward Office
Receiving agent → Medical institution scheduled to give birth and Citizen’s General Counter Section / Citizen Center of the ward office
Procedure methodDirect paymentA. Presentation of insurance card to medical institutions, etc.B. Conclude an agency contract for application and receipt with medical institutions, etc. 2. Payment to the head of household after childbirth(1) Domestic childbirthA. Health insurance cardB. Birth confirmation (birth certificate, maternal and child health handbook, etc.)C. Receipt (stated that you are not using the direct payment system)D. Knowing the bank account in the name of the head of household(2) Overseas childbirthA. Health insurance cardB. Birth confirmation (birth certificate issued by a public institution or medical institution)C. Passport of the person who gave birth and passport of the babyD. Knowing the bank account in the name of the head of household           3. 3. Receiving agentA. Presentation of insurance card to medical institutions, etc. B. Conclude a proxy contract for receipt with a medical institution, etc. C. Send the contract to the Citizens’ General Counter Division / Citizens Center of the Ward Office

* Translations are also required for attached documents written in foreign languages.

* In the case of overseas delivery, as a general rule, applications will be accepted after the baby has entered Japan.

National Health Insurance Ministry of Health, Labor and Welfare website regarding lump-sum payment for childbirth and childcare(Link to external site)

About obstetrics medical compensation system

If a baby born on or after January 1, 2009 develops severe cerebral palsy related to childbirth, a compensation will be paid to medical institutions that handle childbirth. You can receive compensation by taking out insurance operated by the Japan Council for Quality Health Care.
For details, please contact your medical institution or the Japan Council for Quality Health Care.

Japan Council for Quality Health Care [Obstetrics Medical Compensation System] page regarding “Obstetrics Medical Compensation System”(Link to external site)

Source of information on this page

Health Insurance Division, Medical Hygiene Department, Health and Welfare Bureau

2-1 Chiba Port, Chuo-ku, Chiba City Chiba Central Community Center B1F

Phone: 043-245-5143

Fax: 043-245-5544

hoken.HWH@city.chiba.lg.jp

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