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 National Health Insurance, please submit "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 also 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, in principle, the medical expenses will bear the entire amount unless the victim is negligible.
Therefore, in the case of insurance medical treatment, the medical expenses, which should be borne by the perpetrator, will be paid temporarily by the National Health Insurance and later charged to the perpetrator on behalf of the victim.

If there is a consultation between the victim and the perpetrator, 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.
If an appointment is completed, please contact us in advance and submit a copy of the appointment form to each ward office Insurance and Pension Division National Health Insurance Section.

※The required documents 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 Acts (PDF: 119KB)
・Notes (and Consent Form) (PDF: 211KB)
・Accident Occurrence Report (PDF: 124KB)
・Reason for Inability to obtain a certificate of personal injury (PDF: 151KB)
・Statement of Facts (PDF: 246KB)
□Various styles pertaining to the "Memorandum on Submission of Notification of Injuries and Diseases by Third-Party Acts Related to Traffic Accidents"
※This is the format for non-life insurance companies to assist in preparing and submitting documents.
・Notification of injury and illness caused by the act of a third party (Excel: 96KB)
・Letter of Consent (Excel: 19KB)
・Accident Occurrence Report (Excel: 115KB)
・Reason for Inability to obtain a certificate of personal injury (Excel: 40KB)

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