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About medical care benefits(關於支付)

Last updated date:2020/6/2

Making payment at medical institutions

The National Health Insurance scheme provides partial coverage for medical expenses in the event that you become ill or injured and visit a medical institution for diagnosis and treatment.

How much do I have to pay when visiting a medical institution?

When visiting a medical institution for treatment, you must show your health insurance card at the reception desk, otherwise you will be liable for the full amount. The amount you will pay is as follows.

Amount of personal contribution for medical expenses under the copayment system
CategoryAmount of personal contribution (%)
Preschool children20%
People aged 70 years and above20% or 30%
Everybody else30%

About health insurance cards

Everyone who signs up for the National Health Insurance scheme is issued with a health insurance card.
Please show your health insurance card at the reception desk when visiting a medical institution for treatment.

About the medical expense subsidy system

If you have a medical certificate for a person with severe physical/intellectual disabilities, Welfare Medical Card, Medical Certificate, etc., you can receive subsidized medical treatment. Please show your certificate at the reception desk when visiting a medical institution for treatment.
For more details, please inquire at the Health Insurance and Pension Division in the ward where you live.

Health insurance cards for those who have recently turned 70

Those who are enrolled in the City of Yokohama's National Health Insurance scheme and who have recently turned 70 years of age will be sent a National Health Insurance Card and National Health Insurance Recipient Card for Seniors at the end of the month they were born (the previous month for those born on the 1st). This card states the amount of personal contribution you will make under the copayment system. You will be able to use this card from the month after you turn 70 (the same month for those born on the 1st). When visiting a medical institution for treatment, please show your National Health Insurance Card and National Health Insurance Recipient Card at the reception desk.

Types of medical care benefits

The National Health Insurance scheme provides a number of different medical care benefits. These include medical costs, high medical costs, high cost long-term care, costs for meals and daily life during hospitalization, transfer costs, a lump-sum allowance for childbirth, funeral costs, a childcare allowance for children with disabilities, etc. For more details, please inquire at the Health Insurance and Pension Division in the ward where you live.

If you were unable to show your health insurance card upon arrival at a medical institution due to a medical emergency, etc., you can receive a reimbursement of the medical costs incurred on this occasion. To receive this benefit, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this benefit if a period of 2 years has elapsed from the day after you paid the total amount for costs.

If you received medical care in Japan

  1. Receipts
  2. Statement specifying the name of the injury or illness and the content of medical care
  3. Seal
  4. Health insurance card
  5. Bank book or other document allowing confirmation of the payee's account details

If you received medical care overseas

  1. Statement specifying the name of the injury or illness and the content of medical care (please attach a Japanese translation*)
  2. Receipts (please attach a Japanese translation*)
  3. Original passport of the person who received treatment
  4. Letter of consent (form available at ward offices)
  5. Seal
  6. Health insurance card
  7. Bank book or other document allowing confirmation of the payee's account details

*Documents can be translated by anyone as long as the name and address of the translator can by confirmed. You can also translate them yourself.

If your medical costs for a particular month were high and you meet the criteria for high medical costs, you can receive a benefit to help cover the costs. To receive this benefit, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this benefit if a period of 2 years has elapsed from the first day of the month after you received your treatment.
For more details, please see the section on high medical costs.

If your medical costs and care costs for the year were high and you meet the criteria for high cost long-term care, you can receive a benefit to help cover the costs. To receive this benefit, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this benefit if a period of 2 years has elapsed from the day after you received a postcard recommending you to apply for assistance.

  1. Postcard recommending you to apply for high cost long-term care benefit or application form for high cost long-term care benefit (if you are deemed to be eligible for the high cost long-term care benefit, these will be sent to the head of your household)
  2. Seal
  3. Health insurance card
  4. Bank book or other document allowing confirmation of the payee's account details

Those who have been issued with an Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard Amount of Patient Liability Certificate can receive a reduction on the costs for meals and living while in hospital. To qualify for this, please show your Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard Amount of Patient Liability Certificate and health insurance card upon admission to hospital. Those who were unable to show their Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard Amount of Patient Liability Certificate and paid more than required can receive a reimbursement of the difference. To receive a reimbursement, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this benefit if a period of 2 years has elapsed from the day after you paid the full amount of costs.

  1. Receipts from a medical institution
  2. Seal
  3. Health insurance card
  4. Bank book or other document allowing confirmation of the payee's account details

*Please see the section on high medical costs to find out more about how these are issued.

Patients who have trouble getting around and whose symptoms suggest that they cannot be provided with adequate treatment at a particular medical institution can receive a benefit to help cover the costs incurred in the event they are transferred to another hospital as a matter of emergency at the instructions of a doctor. To receive this benefit, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this benefit if a period of 2 years has elapsed from the day after you paid the costs required for transferal.

  1. Written opinion from a doctor stating the need for the patient to be transferred
  2. Receipts for costs incurred in the course of transferal
  3. Seal
  4. Health insurance card
  5. Bank book or other document allowing confirmation of the payee's account details

If you give birth in Japan and agree to use the direct payment system* at a medical institution, you will receive a 420,000 yen reduction on your final bill for childbirth expenses at the medical institution concerned. Please note that the direct payment system cannot be used if you give birth overseas.
If you did not make use of the direct payment system in Japan, if the costs of childbirth did not reach 420,000 yen, or if you gave birth overseas, you can receive a lump-sum allowance for childbirth. To receive this allowance, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this allowance if a period of 2 years has elapsed from the day after you gave birth.
*It is normally the role of the head of household to apply for the lump-sum allowance for childbirth. By using the direct payment system, you enter into a contract with the medical institution where you will give birth to apply for and receive the lump-sum allowance for childbirth in lieu of the head of household. When using this system, the lump-sum allowance for childbirth will be paid directly to the medical institution concerned. As such, 420,000 yen will be subtracted from your bill for childbirth expenses when you leave hospital.

If you gave birth in Japan

  1. A document certifying the amount of childbirth expenses you paid issued by the medical institution concerned
  2. A letter of agreement with the medical institution concerned
  3. Mother and Child Health Handbook
  4. Seal
  5. Health insurance card
  6. Bank book or other document allowing confirmation of the payee's account details

If you gave birth overseas

  1. A document certifying the fact that you have given birth (a certificate from a doctor, etc. Please attach a Japanese translation*)
  2. Original passport of the person who received treatment
  3. Letter of consent (form available at ward offices)
  4. Seal
  5. Health insurance card
  6. Bank book or other document allowing confirmation of the payee's account details

*Documents can be translated by anyone as long as the name and address of the translator can by confirmed. You can also translate them yourself.

In the event someone passes away, the person conducting a funeral for the deceased individual (chief mourner) can receive a benefit to help cover the costs. To receive this benefit, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this allowance if a period of 2 years has elapsed from the day after the funeral was held.

  1. Documents showing who held the funeral and the date of the funeral
  2. A form of identification for the person making the application
  3. Seal
  4. Health insurance card
  5. Bank book or other document allowing confirmation of the payee's account details

If you have a child who develops a congenital disorder or abnormalities within 2 years of birth, and you have been enrolled in the City of Yokohama's National Health Insurance scheme continuously from when this child was born until you apply, you can receive a childcare allowance for children with disabilities. To receive this allowance, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply. Please note that you will no longer be entitled to apply for this allowance if a period of 2 years has elapsed from when your child developed the disorder.

  1. Medical certificate
  2. Mother and Child Health Handbook
  3. Seal
  4. Health insurance card
  5. Bank book or other document allowing confirmation of the payee's account details

Under the high medical costs system, a person enrolled in the City of Yokohama's National Health Insurance scheme can receive a refund of part of the costs paid for medical care in a single month if his or her medical costs were exceptionally high for that month. Please note that you will no longer be entitled to apply for this benefit if a period of 2 years has elapsed from the first day of the month after you received your treatment.

Apply for assistance through the high medical costs system

There are two ways you can apply for assistance through the high medical costs system.

  1. Advance reduction of costs at the medical institution
  2. Application at your ward office's Health Insurance and Pension Division after you have paid the costs at the medical institution

1. Advance reduction of costs at the medical institution

You can have your medical costs reduced at the medical institution if you show your health insurance card together with an Eligibility Certificate for Ceiling-Amount Application at the reception desk. To be issued with an Eligibility Certificate for Ceiling-Amount Application, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply.

  • Seal
  • Health insurance card

2. Application at your ward office's Health Insurance and Pension Division after you have paid the costs at the medical institution

Under the City of Yokohama's National Health Insurance scheme, if it is deemed that an individual qualifies for a reimbursement under the high medical costs system, the head of household will be sent an Application for Reimbursement of High Medical Costs towards the end of 2 - 3 months from the month when the individual received treatment entailing high medical costs. Once you receive this application form, please bring along the following items to the Health Insurance and Pension Division in the ward where you live and apply.

  • Application for Reimbursement of High Medical Costs
  • Seal
  • Health insurance card
  • Bank book or other document allowing confirmation of the payee's account details

For more details, please inquire at the Health Insurance and Pension Division in the ward where you live.

Where to inquire (*Inquiries in Japanese only)

Where to inquire (*Inquiries in Japanese only)
ContentContact details

About these procedures
(If you live in Tsurumi-ku)

Tsurumi Ward Health Insurance and Pension Division
Tel: 045-510-1810 Fax: 045-510-1898

About these procedures
(If you live in Kanagawa-ku)

Kanagawa Ward Health Insurance and Pension Division
Tel: 045-411-7126 Fax: 045-322-1979

About these procedures
(If you live in Nishi-ku)

Nishi Ward Health Insurance and Pension Division
Tel: 045-320-8427, 045-320-8428
Fax: 045-322-2183

About these procedures
(If you live in Naka-ku)

Naka Ward Health Insurance and Pension Division
Tel: 045-224-8317, 045-224-8318
Fax: 045-224-8309

About these procedures
(If you live in Minami-ku)

Minami Ward Health Insurance and Pension Division
Tel: 045-341-1128 Fax: 045-341-1131

About these procedures
(If you live in Konan-ku)

Konan Ward Health Insurance and Pension Division
Tel: 045-847-8423 Fax: 045-845-8413

About these procedures
(If you live in Hodogaya-ku)

Hodogaya Ward Health Insurance and Pension Division
Tel: 045-334-6338 Fax: 045-334-6334

About these procedures
(If you live in Asahi-ku)

Asahi Ward Health Insurance and Pension Division
Tel: 045-954-6138 Fax: 045-954-5784

About these procedures
(If you live in Isogo-ku)

Isogo Ward Health Insurance and Pension Division
Tel: 045-750-2428 Fax: 045-750-2545

About these procedures
(If you live in Kanazawa-ku)

Kanazawa Ward Health Insurance and Pension Division
Tel: 045-788-7838, 045-788-7839
Fax: 045-788-0328

About these procedures
(If you live in Kohoku-ku)

Kohoku Ward Health Insurance and Pension Division
Tel: 045-540-2351 Fax: 045-540-2355

About these procedures
(If you live in Midori-ku)

Midori Ward Health Insurance and Pension Division
Tel: 045-930-2344 Fax: 045-930-2347

About these procedures
(If you live in Aoba-ku)

Aoba Ward Health Insurance and Pension Division
Tel: 045-978-2337 Fax: 045-978-2417

About these procedures
(If you live in Tsuzuki-ku)

Tsuzuki Ward Health Insurance and Pension Division
Tel: 045-948-2336, 045-948-2337
Fax: 045-948-2339

About these procedures
(If you live in Totsuka-ku)

Totsuka Ward Health Insurance and Pension Division
Tel: 045-866-8450 Fax: 045-871-5809

About these procedures
(If you live in Sakae-ku)

Sakae Ward Health Insurance and Pension Division
Tel: 045-894-8426 Fax: 045-895-0115

About these procedures
(If you live in Izumi-ku)

Izumi Ward Health Insurance and Pension Division
Tel: 045-800-2425, 045-800-2426, 045-800-2427
Fax: 045-800-2512

About these procedures
(If you live in Seya-ku)

Seya Ward Health Insurance and Pension Division
Tel: 045-367-5727, 045-367-5728
Fax: 045-362-2420

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