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National Health Insurance application dossier (for National Health Insurance Section payment responsible fifth window)

It is application documents about National Health Insurance. For more information about application, please see each linked page. In addition, we do not publish all applications.

Last update date April 1, 2020

<when you want mail application, please contact Asahi Ward government office Insurance and Pension Division payment responsible beforehand>

1.Limit application, standard burden reduction authorization application

[note] About people 70 years or older, limit application certificate becomes necessary only for income earner (less than taxable income 6.9 million yen) at the same level as active play and person of residence tax tax exemption household. As by showing health insurance card to medical institution, it is window burden to self-pay limit depending on burden ratio about other people 70 years or older, limit application certificate is unnecessary.

Please confirm this about the details such as burden division. In addition, please note that it limits to the person or family of the household to be able to answer on the telephone about burden division.

2.Medical expenses supply application

Other styles include statements which contents of medical treatment understand in link.

3.High medical costs dossier

It is documents in conjunction with application of high medical costs. We mail supply application of high medical costs toward the pertinence.

4.Large amount of care adding up medical expenses

5. Standard burden balance supply application

6. Funeral costs

7. Childbirth childcare lump sum supply application

8.Petition for heir (payment costs are common)

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Inquiry to this page

Asahi Ward Insurance and Pension Division National Health Insurance Section payment responsible

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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