◆The “Q&A on the Payment of Injury and Sickness Allowance for New Coronavirus Infections” has been revised.
For example,
Q: If an insured person is unable to work due to the aftereffects of a new type of coronavirus infection contracted for reasons other than work-related injury, will he/she be entitled to receive sickness benefits?
A: May be eligible for injury and illness benefits.
Q: Is it necessary to attach a “certificate of accommodation and home treatment” issued by a public health center, etc. when applying for an injury and illness allowance?
A: With regard to “accommodation and home treatment certificates,” it is not appropriate to uniformly request such a certificate from insurers (the entities operating the health insurance business), as they are taking measures such as simplifying the administrative burden on medical professionals and public health centers.
If the insured did not visit a medical institution for unavoidable reasons and cannot attach a doctor’s opinion, the insurer will pay the injury and illness allowance if the insured is deemed unable to work due to medical treatment by stating so in the application form and attaching a document from the employer certifying that the insured was not engaged in labor for medical treatment during the relevant period.
Q: If a “certificate of accommodation and home treatment” is submitted as a document related to an application for the provision of injury and illness benefits, can this be treated as a doctor’s opinion?
A: A “certificate of accommodation and home treatment” certified by a physician, etc. who conducted the medical treatment, not by a person in charge at a local government or health center, etc., may be handled as a physician’s opinion letter.
Q: If I contracted a new type of coronavirus infection overseas and cannot attach a physician’s opinion, what should I use to determine the period of inability to work?
A: In cases where the insured person did not visit a medical institution for unavoidable reasons and cannot attach a doctor’s opinion, the insurer will pay the injury or illness allowance if the insured person is recognized as being unable to work by stating so in the application form and attaching a document from the employer certifying that the insured person did not work for medical treatment during the relevant period.
