In the event of a traffic accident

Even if you are injured by a third party (perpetrator), such as a traffic accident or injury, you can still receive treatment with National Health Insurance. However, if you have already received treatment costs from the perpetrator, you cannot use National Health Insurance.

When you receive treatment using the National Health Insurance, please submit a "Notification of Injuries and Diseases Caused by Third-Party Act". You will also need a police traffic accident certificate, so please consult with each ward office Insurance and Pension Division National Health Insurance Section as soon as possible.
Styles such as notification of injury and illness can be downloaded from various styles pertaining to third party reimbursement work.

If the victim is injured by a third party due to a traffic accident or the like, the medical expenses shall be borne by the perpetrator in principle.
Therefore, in the case of medical treatment, the medical expenses, which should be borne by the perpetrator, will be paid by the National Health Insurance and will later charge the perpetrator on behalf of the victim.

If the victim and the assailant discuss each other, the contents of the consultation will take precedence, so it may not be possible to claim the medical expenses replaced by the National Health Insurance to the perpetrator. please.
Please contact us in advance when making an appointment, and if the settlement is concluded, please submit a copy of the settlement form to each ward office Insurance and Pension Division National Health Insurance Section immediately.

※The required documents will vary depending on the situation of the accident. For more information, please contact each ward office Insurance and Pension Division National Health Insurance Section.
・Notification of Injuries and Diseases Caused by Third-Party Action (PDF: 119KB)
・Memorandum (Consent Form) (PDF: 211KB)
・Accident Occurrence Report (PDF: 124KB)
・Reason for inability to obtain a certificate of personal injury (PDF: 151KB)
・Petition of fact (PDF: 246KB)
□Various forms pertaining to "Memorandum on Submission of Notification of Injuries and Diseases Caused by Third-Party Acts Related to Traffic Accidents"
※This is a form for non-life insurance companies to assist in preparing and submitting documents.
・Notification of Injuries and Diseases Caused by Third Party Act (Excel: 96KB)
・Consent Form (Excel: 19KB)
・Accident Occurrence Report (Excel: 115KB)
・Reason for inability to obtain a personal injury certificate (Excel: 40KB)

Please contact your ward office, Insurance and Pension Division National Health Insurance Section.