Finance of Yokohama City National Health Insurance

• Structure of financial resources

• How to determine the premium rate

• medical expenses

• Financial Results

medical expenses is paid by the National Health Insurance, excluding the co-payment paid at the counter when a member of the National Health Insurance goes to a medical institution. As a general rule, the remaining 50% of this benefit is covered by subsidies from the government and prefectures, and the remaining 50% is covered by the insurance premium of the subscriber. .
After 2018, Kanagawa Prefecture expects the benefit expenses and presents the “National Health Insurance Operating Expense Payment (= Payment)” to Yokohama City after deducting subsidies from the national and prefectural governments. Yokohama City is working to reduce the burden of insurance premiums through an insurer support system (* 2) to cover the amount necessary to pay this "payment" to the prefecture.

※1 The grant for the younger elderly is a grant allocated to medical expenses's burden on the younger elderly (65-74 years old).
※2 The insurer support system is a system in which the burden of insurance premiums by paying a certain amount by the government, prefectures, and cities pay and transferring a certain amount.
※3 20% for pre-elementary school children and 20% for insured persons aged 70 and over (30% for income equivalent to active duty).

Each medical insurer pays late-elderly support funds to the medical system for elder senior citizens.
The financial resources are covered by subsidies from the national and prefectural governments and premiums for National Health Insurance members.
In addition, Yokohama City is working to ease the burden of insurance premiums through an insurer support system and other means, similar to the medical expenses's financial resources structure.

※2 The insurer support system is a system in which the burden of insurance premiums by paying a certain amount by the government, prefectures, and cities pay and transferring a certain amount.

Each medical insurer pays long-term care payment to the long-term care insurance system, but its financial resources are subsidies from the national and prefectural governments and premiums for the second insured (over 40 and under 65) Is covered by

※2 The insurer support system is a system in which the burden of insurance premiums by paying a certain amount by the government, prefectures, and cities pay and transferring a certain amount.

The insurance premium rate is calculated from the number of insured persons and the amount of income based on the total premium.
※The premium rate (per capita rate, income rate) changes every year.

If the medical expenses rises, the premium will rise. That does not mean that it is necessary to suppress the need for medical institutions, but what is important is that each person should be aware of their health on a daily basis, and when treatment is needed, go to a "family doctor" and "ladder consultation" It is to refrain.
medical expenses, a member of Yokohama National Health Insurance (FY2021)
Total amount: Approx. 258.2 billion yen (approximately 385,000 yen per person)
※Total of general insured persons and Retirement.

・FY2021 (PDF: 101KB)