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Reduction of partial contribution and deferral of collection

[People under 74 years old and have subscribed to Yokohama National Health Insurance] In the event of a disaster or when it is difficult to pay a partial contribution at the counter of a medical institution due to illness or unemployment, etc., depending on the situation, a system of reduction, exemption or postponement of collection depending on the situation May be available. In order to use the service, you need to apply along with required documents such as proof of income and certificate of damage / disaster. Please consult with your ward office National Health Insurance Section in advance.

Last update date October 12, 2021

Eligible households

Disaster Relief Act Household

When a disaster occurs in an area to which the Disaster Relief Act has been applied (e.g., when the house was completely destroyed, completely destroyed, or damaged by flood above floor level, the main livelihood maintainer died).
Oh Partial co-payments
Partial co-payment (medical, Dentistry, dispensing, home-visit nursing) pertaining to hospitalization and outpatients that occurred within four months from the month to which the disaster occurred
Oh Classification of reduction, exemption and collection postponement
Exemptions

Affected households

When a house is completely destroyed, completely burned, or damaged by flood above floor level due to an earthquake, storm or flood, fire, or other similar disaster
Oh Partial co-payments
Partial co-payment (medical, Dentistry) for hospitalization that occurred within three months from the month to which the disaster occurred
Oh Classification of reduction, exemption and collection postponement
Exemptions

Households with reduced income

When household income decreases due to illness, accident, unemployment, poor harvest or similar reasons
Oh Partial co-payments
Partial co-payment (medical and Dentistry) for hospitalization that occurred within three months from the month to which the approval period begins
Oh Classification of reduction, exemption and collection postponement
Exemption, reduction (20%, 40%, 60%, 80% reduction) or deferral of collection

Sick households with sick

When living is in need of medical treatment due to illness or injury
Oh Partial co-payments
Partial co-payment (medical and Dentistry) for hospitalization that occurred within three months from the month to which the approval period begins
Oh Classification of reduction, exemption or postponement of collection
Exemption, reduction (20%, 40%, 60%, 80% reduction) or deferral of collection

Judgment method for households with reduced income and sick households

Calculate using the following formula, and the exemption / reduction will be determined according to the calculated "partial contribution reduction ratio".

Actual living expenses (*) = Amount allocated to medical expenses
Required amount of partial contribution - medical expenses appropriation = Amount of partial contribution reduction
Partial contribution reduction measures / partial contribution required x 100 = Partial contribution reduction ratio

※Standard living expenses
The amount obtained by multiplying the standard living expenses prescribed in the standards for protection under the Social Security Act by 115.5%

0% or less: Not eligible for exemption
0% to 20% or less: 20% reduction
20% to 40% or less: 40% reduction
40% to 60% or less: 60% reduction
60% to 80% or less: 80% reduction
When it exceeds 80%: Exemptions

(Note 1) If assets such as savings and savings are more than three months of the standard living expenses, they will not be eligible for reduction.
(Note 2) Even if the calculation result is exempted or reduced, if there is a prospect of a certain amount of income in the near future, collection may be deferred for a certain period (1 month to 6 months). In this case, you will be required to pay a portion of the contribution at the end of the collection grace period.

Inquiries regarding procedures

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

List of contact information at each ward office, Insurance and Pension Division National Health Insurance Section
Inquiries by e-mailPhone 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

For inquiries to this page

Health and Social Welfare Bureau Living and Welfare Department Insurance and Pension Division

Phone: 045-671-2424

Phone: 045-671-2424

Fax: 045-664-0403

Email address: kf-hokennenkin@city.yokohama.jp

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Page ID: 270-822-649

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