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Reduction of taxes of co-payment and the collection postponement

When it is difficult to pay co-payment due to time and disease or unemployment that we suffered from at windows such as medical institutions, system of reduction, exemption of co-payment or the collection postponement may be available depending on the situation. We attach documents and required documents such as certificate of damage / disaster books proving income, and application is necessary to use. Please consult with ward office National Health Insurance Section of ward to live beforehand

Last update date April 2, 2020

Target household

The Disaster Relief Act household

When we suffered in area applied the Disaster Relief Act to (when dwelling house suffered damage for complete or partial destruction, total or partial destruction by fire, flood above floor level, person of main living maintenance passed away)
* Target co-payment
Co-payment (medical department, Dentistry, composition, temporary nursing at home) which modifies hospitalization, outpatient department that occurred within four months from month when day when we reckon from day when we received disaster and received disaster belongs
* Division of reduction, exemption and the collection postponement
Exemption

Damaged household

When, by disaster to be similar to earthquake, storm and flood damage, fire, these other, dwelling house suffered damage for complete or partial destruction, total or partial destruction by fire, flood above floor level
* Target co-payment
Co-payment (medical department, Dentistry) which is concerned with hospitalization that occurred within three months from the belonging moon of day when we received disaster
* Division of reduction, exemption and the collection postponement
Exemption

Income decrease household

When, by reason to be similar to illness, accident, unemployment, bad harvest and these, income of household decreased
* Target co-payment
Co-payment (medical department, Dentistry) which is concerned with hospitalization that we produced within three months from the belonging moon of the start date of approval period
* Division of reduction, exemption and the collection postponement
Exemption, reduction (20%, 40%, 60%, 80% reduction) or the collection postponement

Existence disease household

When life was poor by receiving payment of medical treatment because of illness or injury
* Target co-payment
Co-payment (medical department, Dentistry) which is concerned with hospitalization that we produced within three months from the belonging moon of the start date of approval period
* Division of reduction, exemption or the collection postponement
Exemption, reduction (20%, 40%, 60%, 80% reduction) or the collection postponement

Judging method of income decrease household and existence disease household

We calculate by the next calculating formula and judge exemption, reduction according to calculated "co-payment reduction ratio".

The amount of net income monthly basis - standard cost of living (※)= medical expenses appropriation
Amount of amount of co-payment indispensability - medical expenses appropriation = co-payment reduction measures sum
Amount of co-payment reduction measures sum ÷ co-payment indispensability X 100 = co-payment reduction ratio

※Standard cost of living
Sum that multiplied 115% by standard cost of living prescribed in standard of protection by National Assistance Act

0% or less: The outside that is targeted for reduction of taxes
Ahead of 0%; 20% or less: 20% reduction
Ahead of 20%; 40% or less: 40% reduction
Ahead of 40%; 60% or less: 60% reduction
Ahead of 60%; 80% or less: 80% reduction
Time more than 80%: Exemption

(note 1) Assets such as deposits and savings are out of reduction of taxes minute or more for three months of standard cost of living once.
(note 2) Even if calculation result becomes exemption or reduction, it may become the collection postponement of (from one month to six months) for a certain period of time when it will have a possibility of certain income in a few days. In this case please pay the amount of co-payment when the collection period of grace was finished.

Inquiry about procedure

Please refer to ward office Insurance and Pension Division National Health Insurance Section of ward to live.

List of references of each ward office Insurance and Pension Division National Health Insurance Section
Inquiry by emailPhone number
Tsurumi Ward Insurance and Pension Division National Health Insurance Section045-510-1810
Kanagawa Ward Insurance and Pension Division National Health Insurance Section045-411-7126
Nishi Ward Insurance and Pension Division National Health Insurance Section045-320-8427, 045-320-8428
Naka Ward Insurance and Pension Division National Health Insurance Section045-224-8317, 045-224-8318
Minami Ward Insurance and Pension Division National Health Insurance Section045-341-1128
Konan Ward Insurance and Pension Division National Health Insurance Section045-847-8423
Hodogaya Ward Insurance and Pension Division National Health Insurance Section045-334-6338
Asahi Ward Insurance and Pension Division National Health Insurance Section045-954-6138
Isogo Ward Insurance and Pension Division National Health Insurance Section045-750-2428
Kanazawa Ward Insurance and Pension Division National Health Insurance Section045-788-7838, 045-788-7839
Kohoku Ward Insurance and Pension Division National Health Insurance Section045-540-2351
Midori Ward Insurance and Pension Division National Health Insurance Section045-930-2344
Aoba Ward Insurance and Pension Division National Health Insurance Section045-978-2337
Tsuzuki Ward   Insurance and Pension Division National Health Insurance Section045-948-2336, 045-948-2337
Totsuka Ward Insurance and Pension Division National Health Insurance Section045-866-8450
Sakae Ward Insurance and Pension Division National Health Insurance Section045-894-8426
Izumi Ward Insurance and Pension Division National Health Insurance Section045-800-2425, 045-800-2426, 045-800-2427
Seya Ward Insurance and Pension Division National Health Insurance Section045-367-5727, 045-367-5728

Inquiry to this page

Health and Social Welfare Bureau life Welfare Division Insurance and Pension Division

Telephone: 045-671-2424

Telephone: 045-671-2424

Fax: 045-664-0403

E-Mail address [email protected]

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