When we are damaged from third party (assailant) including traffic accident and case of bodily injury, we can receive treatment in National Health Insurance. But National Health Insurance is not usable when we have already received treatment costs from assailant.
When you are treated using National Health Insurance, please submit "sickness and wound notice by act of third party". As traffic accident certificates of the police are necessary, please talk with each ward office Insurance and Pension Division National Health Insurance Section early.
We can download styles such as reports of sickness and wound from this.
Assailant bears medical expenses
When is damaged from third party in traffic accidents, to victim of fault, as for the medical expenses , it is principle that assailant bears in full as far as there is not.
Therefore, when we make medical service under health insurance, National Health Insurance pays medical expenses which assailant should bear at one time and pays and will request from assailant in place of victim later.
Before settling privately
Settlement out of court, please be cautious because we may not request medical expenses which we paid in National Health Insurance from assailant because contents of the settlement out of court are given priority to when there are talks of victim and assailant and settles privately.
When you settle privately, you hear from beforehand, and, in the case of settlement out of court establishment, please submit copying of settlement out of court book to each ward office Insurance and Pension Division National Health Insurance Section immediately.
※Necessary documents vary according to the situation of accident. For more details, please refer to each ward office Insurance and Pension Division National Health Insurance Section.
・Report of sickness and wound by act of third party (PDF: 129KB)
・Memorandum (written consent) (word: 16KB)
・Accident occurrence situation report (PDF: 78KB)
・Accident causing injury or death certificate unavailable reason book (PDF: 78KB)
・Request for fact proof (word: 23KB)
□Various styles to affect "memorandum about submissions such as reports of sickness and wound by third party act to affect traffic accident"
※Nonlife insurers are styles when they help making, submission of documents.
・Report of sickness and wound by act of third party (Excel: 18KB)
・Written consent (Excel: 15KB)
・Accident occurrence situation report (Excel: 34KB)
・Traffic accident certificate unavailable reason book (Excel: 12KB)
Adobe Acrobat Reader DC (old Adobe Reader) is necessary to open file of Portable Document Format.
Person who does not have can download free of charge from Adobe company.
To downloading of Adobe Acrobat Reader DC