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About application by mail - independence support medical care (mind going to hospital medical care)―

Last update date July 1, 2020

You confirm thing necessary for application and put stamp in the envelope which you put, and please send to mind going to hospital medical care, notebook paperwork center.

※Application day of various application by mail becomes day when mind going to hospital medical care, notebook paperwork center received documents (not postal giving in day). Particularly, in the case of procedure for independence support medical care (mind going to hospital medical care), receipt of documents day, please apply with room in the days because it is (the start date) for application sunlight of application. The receipt day of documents which arrived for Saturdays, Sundays and holidays, holiday, New Year holidays becomes next business day.

※When there are lack item of application, lack documents, it becomes temporary reception desk and contacts from mind going to hospital medical care, notebook paperwork center. When there are not submissions such as lack documents, we return as the non-acceptance from temporary reception desk after one month.

※When substitution is filed for, you add to thing to show in the following, and please enclose copying of identification of substitute in addition.
 In addition, please enclose the original of entry certificate when legal representative is filed for.

[submission documents destination]
 〒231-0005 6-50-10, Honcho, Naka-ku, Yokohama-shi
 City of Yokohama, Health and Social Welfare Bureau mind going to hospital medical care, notebook paperwork center
 Phone number 045-671-3623 (we correct for 9-17:00 reception hours on Saturdays, Sundays and holidays on holiday except New Year holidays)

Application reason

1.New application

 When we want to use independence support medical care (mind going to hospital medical care) system newly in Yokohama-shi, we accept as new application.

 If application is accepted, we ship yellow "independence support medical care certificate" (mind going to hospital medical care). It is the last day of month within one year from day when we had you apply on expiration date of identification of recipient. Please show "independence support medical expenses (mind going to hospital medical care) supply authorization input confirmation vote" (the person reserve) to send after receipt of required documents to hospital, drugstore in substitution for identification of recipient till identification of recipient arrives.

 ※When application of system is not done till identification of recipient arrives even if we show "independence support medical expenses (mind going to hospital medical care) supply authorization input confirmation vote" (the person reserve), please offer that you want to receive refund to hospital, drugstore immediately as soon as identification of recipient reaches.

 ※When we want to continue the use of system, update application is necessary before expiration date expires by all means (we can apply for three months).

Thing necessary for application
NameRemarks
Application (PDF: 591KB)

In reference to entry example, please fill out.
・Mental patient health welfare notebook that new update application is filed for at the same time is necessary for submission of application of mental patient health welfare notebook. Please obtain from this page.

②Copying on the back of the personal number (my number) cardEven copy of notice of number card is possible
③Identification documentsCopying of the personal number card surface, copying of driver's license, copy of passport
Medical certificate ((mind going to hospital medical) that is for independence support medical care application) (PDF: 301KB)

・Please ask for making in hospital.
・Person that new update application of mental patient health welfare notebook is filed for using medical certificate (for mental patient health welfare notebook) at the same time may omit submission. For more details, please confirm this page.

⑤Copy of health insurance card (thing of testee)When we take out National Health Insurance, for all the same insurance members is necessary
⑥We know hospital, drugstore which we want to appoint (copying of patient's card Shinryo-ken , copying of medicine bag)In the hospital which they can appoint, one principle, drugstore are up to two places.
⑦The original of municipal tax taxation certificate

・Person of social insurance needs share of person insured. Person of National Health Insurance needs for all the same insurance members.
・It applies to any of the following condition, and person finishing tax report can omit submission.
 a)Where application (the receipt of required documents) was Yokohama citizen as of January 1 of the previous year in the case of from January to June
 b)Where application (the receipt of required documents) was Yokohama citizen as of January 1 of the year in the case of from July to December
・Copying of documents that person of tax exemption household knows the amount of income such as notices of pension is necessary.

2.Update application

 It is procedure when system wants to be already used sequentially in Yokohama-shi having identification of recipient after the expiration date. We accept for three months when expiration date expires.
 (as expiration date corresponds to re-application 4 as for the update application procedure of that has already burst, look at that application procedure)
 When expiration date expires, recipient qualification of system disappears, and please be careful as you cannot receive application that you sail up date.

 ※With the outbreak situation of new coronavirus infectious disease, identification of recipient which expiration date becomes until from March, 2020 to February, 2021 at hand omits update application procedure and extends the expiration day for one year. Please confirm "important news". (as of May 7, 2020)

 ※When identification of new recipient does not arrive even if expiration date of identification of recipient of errand expires, you show "independence support medical expenses (mind going to hospital medical care) supply authorization input confirmation vote" (the person reserve) to hospital, drugstore in substitution for identification of recipient, and after that please show that place now if identification of new recipient arrives. Please offer that you want to receive refund to hospital, drugstore immediately when overpayment occurs in interval before identification of new recipient arriving as soon as identification of recipient arrives.

Thing necessary for application
NameRemarks
Application (PDF: 591KB)

In reference to entry example, please fill out.
・Mental patient health welfare notebook that new update application is filed for at the same time is necessary for submission of application of mental patient health welfare notebook. Please obtain from this page.

②Copying on the back of the personal number (my number) cardEven copy of notice of number card is possible
③Identification documentsCopying of the personal number card surface, copying of driver's license, copy of passport
Medical certificate ((mind going to hospital medical) that is for independence support medical care application) (PDF: 301KB)

・Person who is printed by the lower right of identification of recipient saying "the next time needs submission of medical certificate at the time of update" needs submission.
But we apply for mental patient health welfare notebook with medical certificate (for mental patient health welfare notebook) and may not be this limit about person owning now.
・For "independence support medical care application" do not appear, and that want to apply for with medical certificate of "is for mental patient health welfare notebook", please obtain style from this.
・As submission of medical certificate is necessary at the time of re-application when expiration date is sharp, please file even for identification of recipient which is printed by the lower right saying "the next time does not need submission of medical certificate at the time of update" before expiration date is sharp by all means.

⑤Copy of health insurance card (thing of testee)When we take out National Health Insurance, for all the same insurance members is necessary
⑥We know hospital, drugstore which we want to appoint (copying of patient's card Shinryo-ken , copying of medicine bag)When we do not change, submission is not necessary
⑦The original of municipal tax taxation certificate

・Person of social insurance needs share of person insured. Person of National Health Insurance needs for all the same insurance members.
・It applies to any of the following condition, and person finishing tax report can omit submission.
 a)Person who you had identification of recipient that expiration date expired during from January to June, and was Yokohama citizen as of January 1 of the previous year
 b)When have identification of recipient that expiration date expires in July, and update in May, and apply, the which was Yokohama citizen in the previous year as of January 1
 c)When have identification of recipient that expiration date expires in July, and update in June, and apply, which was Yokohama citizen at one a year one day a month
 d)Person who you had identification of recipient that expiration date expired during from August to December, and was Yokohama citizen as of January 1 of the year
・Copying of documents that person of tax exemption household knows the amount of income such as notices of pension is necessary.


3.Change application

 You already have identification of recipient of Yokohama-shi and are procedure when we want to change health insurance card and surname, case that Address was changed or hospital, drugstore appointing. Please apply immediately as soon as there is change. We cannot accept change that we sail up date.

Thing necessary for application
NameRemarks
Application (PDF: 591KB)In reference to entry example, please fill out.
②Copying on the back of the personal number (my number) cardEven copy of notice of number card is possible
③Identification documentsCopying of the personal number card surface, copying of driver's license, copy of passport
④We understand contents which we want to change

In the case of change of example) health insurance card, it is copy of health insurance card of testee
  ※When we take out National Health Insurance, for all the same insurance members is necessary.
In the case of changes such as example) hospital, drugstore copying of patient's card Shinryo-ken , copying of medicine bag

⑤Identification of recipient of the present errand (the original)The original is necessary by all means to trade with identification of new recipient. It is almost the next time consultation day, and please file immediately at ward office window when identification of recipient is necessary.

4.Re-application

 It is procedure of thing which you wish to apply for again that expiration date has expired before in Yokohama-shi that had identification of recipient.
 If application is accepted, we send out identification of yellow recipient. It is the last day of month within one year from day (the receipt day of required documents) when we had you apply on expiration date of identification of recipient. Please show "independence support medical expenses (mind going to hospital medical care) supply authorization input confirmation vote" (the person reserve) to send after receipt of required documents to hospital, drugstore in substitution for identification of recipient till identification of recipient arrives.
 ※When application of system is not done till identification of recipient arrives even if we show "independence support medical expenses (mind going to hospital medical care) supply authorization input confirmation vote" (the person reserve), please offer that you want to receive refund to hospital, drugstore immediately as soon as identification of recipient reaches.
 ※When we want to continue the use of system, update application is necessary before expiration date expires by all means.

Thing necessary for application
NameRemarks
Application (PDF: 591KB)

In reference to entry example, please fill out.
・Mental patient health welfare notebook that new update application is filed for at the same time is necessary for submission of application of mental patient health welfare notebook. Please obtain from this page.

②Copying on the back of the personal number (my number) cardEven copy of notice of number card is possible
③Identification documentsCopying of the personal number card surface, copying of driver's license, copy of passport
Medical certificate ((mind going to hospital medical) that is for independence support medical care application) (PDF: 301KB)

・Please ask for making in hospital.
・Person that new update application of mental patient health welfare notebook is filed for using medical certificate (for mental patient health welfare notebook) on the same day may omit submission. For more details, please confirm this page.
・We can omit submission only when there is saying "the next time does not need submission of medical certificate at the time of update" and we are applied to identification of recipient at hand by the end of the next month of expiration date.

⑤Copy of health insurance card (thing of testee)When we take out National Health Insurance, for all the same insurance members is necessary
⑥We know hospital, drugstore which we want to appoint (copying of patient's card Shinryo-ken , copying of medicine bag)In the hospital which they can appoint, one principle, drugstore are up to two places.
⑦The original of municipal tax taxation certificate

・Person of social insurance needs share of person insured. Person of National Health Insurance needs for all the same insurance members.
・It applies to any of the following condition, and person finishing tax report can omit submission.
 a)Where application (the receipt of required documents) was Yokohama citizen as of January 1 of the previous year in the case of from January to June
 b)Where application (the receipt of required documents) was Yokohama citizen as of January 1 of the year in the case of from July to December
・Copying of documents that person of tax exemption household knows the amount of income such as notices of pension is necessary.


5.Application for re-issue (procedure for identification of recipient reissue who ruptured who lost proof)

 It is procedure to issue in cases that identification of case and recipient who lost identification of recipient in Yokohama-shi having identification of recipient has been torn again.

Thing necessary for application
NameRemarks
Application (PDF: 591KB)In reference to entry example, please fill out.
②Copying on the back of the personal number (my number) cardEven copy of notice of number card is possible
③Identification documentsCopying of the personal number card surface, copying of driver's license, copy of passport
④Identification of recipient of the present errand (the original)Except case of loss, the original is necessary by all means to trade with identification of new recipient. It is almost the next time consultation day, and please file immediately at ward office window when identification of recipient is necessary.

6.The suburbs transference application

 You have identification of recipient issued in other local governments and are procedure of moved in Yokohama-shi within validity. After the notice of the change of address submission of Address, please apply immediately.

Thing necessary for application
NameRemarks
Application (PDF: 591KB)In reference to entry example, please fill out.
②Copying on the back of the personal number (my number) cardEven copy of notice of number card is possible
③Identification documentsCopying of the personal number card surface, copying of driver's license, copy of passport
Request book about offer of independence support medical care medical certificate (copying) and written consent 
⑤Copying of independence support medical care certificate in previous Address 
⑥Copy of health insurance card (thing of testee)When we take out National Health Insurance, for all the same insurance members is necessary
⑦We know hospital, drugstore which we want to appoint (copying of patient's card Shinryo-ken , copying of medicine bag)In the hospital which they can appoint, one principle, drugstore are up to two places.
⑧The original of municipal tax taxation certificate

・Person of social insurance needs share of person insured. Person of National Health Insurance needs for all the same insurance members.
・It applies to any of the following condition, and person finishing tax report can omit submission.
 a)Where application (the receipt of required documents) was Yokohama citizen as of January 1 of the previous year in the case of from January to June
 b)Where application (the receipt of required documents) was Yokohama citizen as of January 1 of the year in the case of from July to December
・Copying of documents that person of tax exemption household knows the amount of income such as notices of pension is necessary.

 

Reference

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Inquiry to this page

Health consultation center of Health and Social Welfare Bureau obstacle welfare Health Department heart

Telephone: 045-671-2415

Telephone: 045-671-2415

Fax: 045-671-3566

E-Mail address [email protected]

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