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  5. National Health Insurance
  6. Documents related to the National Health Insurance application (for 5th window in charge of National Health Insurance Section benefits)

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Documents related to the National Health Insurance application (for 5th window in charge of National Health Insurance Section benefits)

This is an application document for National Health Insurance. For details on the application, please see the link below. Please note that not all applications are posted.

Last Updated October 17, 2024

<If you wish to apply by mail, please contact the Asahi Ward Office Insurance and Pension Division Payment Section in advance.>

1.Application for Limit Application / Standard Burden Reduction Certification

[Note] For those 70 years or older, only those with the same level of active income (taxable income of less than 6.9 million yen) and households exempt from residence tax are required to apply the limit application certificate. For those 70 years or older, presenting your insurance card to a medical institution will result in a window burden up to the copayment limit according to the burden ratio, so you do not need a limit application certificate.

Please check here for details such as the burden category. Please note that only the person or the family of the same household can answer the burden category by telephone.

2.Application for medical expenses payment

Other forms such as statements that show the details of medical treatment are available at the link.

3.Documents related to high medical costs

This is a document related to the application of high medical costs. The application form for high medical costs is mailed to the relevant person.

4.Large sum of nursing care expenses

5. Application for payment of standard burden difference

6. Funeral expenses payment application

7. Application for lump-sum payment for childbirth and childcare

8.Application for Certification of Specific Diseases

9.Petition for Heir (common to benefit expenses)

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Inquiries to this page

Asahi Ward Insurance and Pension Division National Health Insurance Section Benefits

Telephone: 045-954-6138

Telephone: 045-954-6138

Fax: 045-954-5784

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Page ID: 551-033-542

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