出産育児一時金（しゅっさんいくじいちじきん)

When a female insured (insurance person) gives birth, a "childbirth lump-sum payment" is provided as a cost of childbirth (hospitalization/delivery (bunben)).
You must have health insurance or national health insurance.
It is a system that pays up to 420,000 yen, so let's look at the receiving method, the procedure method, and the conditions.

This is a website from Ministry of Health, Labour and Welfare
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/iryouhoken/shussan/index.html

Contents
1. What is the lump-sum payment for childbirth and childcare?
2. Conditions for recipients
3. Amount to receive
4. Items required for procedures
5. Timing of application and receipt
6. Contact information
7. Direct payment system (Chokusetsu Haraisei)
8. Postpartum application system (Sanshin Shinsei University)
9. Receiving agent system

1. What is 出産育児一時金（しゅっさんいくじいちじきん)?

Since childbirth is different from common illnesses, even subscribers cannot use health insurance.
Childbirth and Childcare Lump-sum (Shusan Ikuji Ichijikin) is an economic benefit for the insured and dependents who have health insurance or national health insurance as an insurance benefit under the Health Insurance Act. This is a system in which a fixed amount is paid to reduce The subsidy is called the Childbirth and Childcare Lump-sum Grant.

Insured (hihokensha): Person who has insurance
Dependents (hifuyousha): In many cases, the spouse of a person who has insurance is insured together, and the husband is the insured and the wife is the dependent. The case.
National insurance is National Health Insurance. Health insurance is available at companies such as companies. This time, in either case, it will be true if you join and enter.
The following three methods will also be explained later.
-Direct payment system
-Postpartum application system (Sanshinsei Hosoki)
-Receiving agency system

2. Conditions for recipients

Those who have health insurance or are dependents and have given birth at least 4 months pregnant (85 days).
A stillbirth or miscarriage that is more than 4 months pregnant (85 days) is the same as a normal childbirth.

3. Amount to receive

The basic fee is 420,000 yen per baby. (As of 2019)

In the following cases, it is 404,000 yen.
・Birth at a medical institution that is not a member of the Obstetrics Medical Assistance System. (This requires an inquiry in advance to the hospital to be hospitalized.)
URL: http://www.sanka-hp.jcqhc.or.jp/
・Childbirth or birth after 22 weeks of pregnancy

If you become pregnant more than once, you can receive a childbirth lump-sum payment of "the above amount X number of babies".
(Example) In the case of twins, 420 million yen X 2 = 840,000 yen

*Depending on the health insurance association or local government, there is an "additional benefit" system, which may add some benefits.

*If you find that you need expensive medical care such as Caesarean section
Please apply for the "Certificate of Limit Application" to the health insurance association. If you show the “Certificate of Application of Limit” to medical institutions, the burden at the counter will be limited to the self-pay limit according to the income category.

※産科医療補償制度とは

At the birth site, doctors and midwives make great efforts to keep their baby healthy and healthy, but even then, unexpected events may occur.
The Obstetrics Medical Care Compensation System is a compensation system that considers babies and their families who have had severe cerebral palsy for some reason when they gave birth.

This is the link about this subsidy in Ministry of Health, Labour and Welfare
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/iryouhoken/shussan/index.html

4. Items required for procedures

The procedure for childbirth and childbirth lump sum and required documents are as follows.

※Documents required for everyone

・Applicant's bank account number (some financial institutions may not be able to use it)
・Applicant's health insurance card
・Inkan (not a simple stamp one)

 Person who uses direct payment system

・Direct payment system agreement (choice settlement)
If you use the direct payment system, please fill out and agree with the above documents provided by the hospital.
This will allow the health institution to pay the hospital directly.
If you are dependent, you will also need your partner's signature.
Other required documents may vary from hospital to hospital.

* The direct payment system is a system in which subsidies are paid directly from the health institution to the hospital.

Person who uses the postnatal application method

Childbirth and Childcare Lump-sum Payment Application Form
・Proof that you do not use direct payment system (if necessary)
・Receipts for hospitalization/delivery
・My number card
If you do not have a My Number card, a notification card and driver's license.
If you do not have a driver's license, your passport or Basic Resident Register card (with photo), or two of the following (health insurance office, seal registration certificate, pension notebook, etc.)

*The postpartum application method is a system in which you receive the subsidy yourself. This is the case when paying for the hospital first by yourself.

Person using the receiving agency system

・Application form for payment of childbirth and childcare lump-sum payment (for receiving agent)

For small-scale medical facilities, etc. where it is difficult to support and introduce the direct payment system, we use the receiving agency system.
In that case, if you use this system, the health agency will pay you directly to the hospital.

Application and receipt time

The application period will differ depending on the system method.
You must apply within 2 years from the day after you give birth.
Please note that you will not be able to receive the benefits if you pass one year in two years.

Direct payment system (direct payment method)

It is a system where the hospital requests and receives the subsidy on behalf of the person. About 90% of people use this system. It is used most often, so I will explain it with a diagram.