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About procedure for National Health Insurance by mail

From point of view preventing new coronavirus infection spread, report, application by mail is available for the next procedure for National Health Insurance. In addition, when there are defects, notification please note that may send back.

Last update date May 14, 2020

Qualification relations

Registration form, application

When National Health Insurance participation accompanied with social insurance (employee health insurance) withdrawal is applied for by mail, at first, please confirm instructions and documents having you mail at "instructions on going through the procedure" (PDF: 199KB).
National Health Insurance transfer registration form (participation) (PDF: 183KB) [mention example] (PDF: 254KB) ※Please confirm page of the instructions mentioned above by all means.
Application for re-issue book (PDF: 107KB) [mention example] (PDF: 222KB)
Limit application, standard burden reduction authorization application (written consent) (PDF: 67KB) [mention example] (PDF: 203KB) ※People 70 years or older, please confirm lower instructions by all means.
<attention> About application of limit application, standard burden reduction authorization
About people 70 years or older, only applicable person issues limit application certificate next.
 [person who can perform grant of limit application certificate in people 70 years or older]
  ・Burden ratio is 30% burden → Household (※) where person is not with 6.9 million yen or more taxable income
    (it is determined in taxable income of people insured taking out ※ National Health Insurance 70 years or older.)
  ・Burden ratio is 20% burden → Person who belongs to residence tax tax exemption household
As it is window burden to self-pay limit that by showing identification of health insurance card and old recipient to medical institution about people who do not correspond to mention 70 years or older, accepted burden ratio on top, limit application certificate is unnecessary. When you are confirmed, please inquire whether application is necessary to ward office Insurance and Pension Division of ward to live. In addition, please note that it limits to the person or family of the household to be able to answer on the telephone about applicable burden division.

We send

(1) Various applications, registration form
(2) Copying of identity verification documents of applicant
Driver's license, passport, residence card, health insurance card
(3) It is certificate of losing a qualification for health insurance (in the case of National Health Insurance participation procedure)

Payment relations

Registration form, application

(1) About medical expenses
Please confirm "payment of medical expenses" about system of medical expenses.
National Health Insurance medical expenses, special medical expenses supply application (PDF: 89KB) [mention example] (PDF: 108KB)
Medical expenses receipt statement (PDF: 99KB)
Composition costs receipt statement (PDF: 39KB)
Dental fee receipt statement (PDF: 97KB)
Written consent (overseas medical expenses) about investigation (English version) (PDF: 361KB) [mention example] (PDF: 357KB)
Written consent (overseas medical expenses) about investigation (Chinese edition) (PDF: 468KB) [mention example] (PDF: 393KB)
Written consent (overseas medical expenses) about investigation (Korean version) (PDF: 622KB) [mention example] (PDF: 517KB)
Written consent (overseas medical expenses) about investigation (Thai version) (PDF: 321KB) [mention example] (PDF: 380KB)
Medical treatment packing list (style A) (overseas medical expenses) international nosology, receipt statement (style B) (overseas medical expenses) (PDF: 387KB)
Medical treatment packing list (style A), receipt statement (style B) (Dentistry) (PDF: 73KB)


(2) About hospitalization meal medical expenses
Please confirm "hospitalization meal medical treatment, hospitalization life medical treatment" about system of meal medical expenses at hospitalization.
National Health Insurance standard burden (the balance) supply application (PDF: 76KB) [mention example] (PDF: 109KB)


(3) About childbirth childcare lump sum
Please confirm "payment of childbirth childcare lump sum" about system of childbirth childcare lump sum.
National Health Insurance childbirth childcare lump sum supply application (PDF: 72KB) [mention example] (PDF: 102KB)


(4) About funeral costs
Please confirm "payment of funeral costs" about system of funeral costs.
National Health Insurance funeral costs supply application (PDF: 73KB) [mention example] (PDF: 106KB)
Petition for funeral costs supply application (PDF: 76KB) [mention example] (PDF: 108KB)


(5) About child with a disability childcare allowance
Please confirm "payment of child with a disability childcare allowance" about system of child with a disability childcare allowance.
National Health Insurance child with a disability childcare allowance supply application (PDF: 77KB) [mention example] (PDF: 171KB)
Medical certificate (for child with a disability childcare allowance) (PDF: 124KB)


(6) About transportation costs
Please confirm "payment of transportation costs" about system of transportation costs.
National Health Insurance transportation costs supply application (PDF: 126KB) [mention example] (PDF: 146KB)


(7) About report of act of third party
When "you encountered traffic accident" about act of third party, please confirm ogo.
Report of sickness and wound by act of third party (PDF: 129KB) [mention example] (PDF: 171KB)
Request for fact proof (PDF: 67KB) [mention example] (PDF: 130KB)
Accident occurrence situation report (PDF: 115KB) [mention example] (PDF: 139KB)
Memorandum (PDF: 177KB) [mention example] (PDF: 215KB)
Accident causing injury or death certificate unavailable reason book (PDF: 84KB) [mention example] (PDF: 105KB)


(8) About report about own fault and on-the-job sickness and wound
・Notice (PDF: 136KB) about own fault and on-the-job sickness and wound [mention example] (PDF: 158KB)


(9) Common style
Petition (PDF: 79KB) about application about Yokohama-shi National Health Insurance payment costs and the receipt [mention example] (PDF: 132KB)

We send

(1) Various applications, registration form
(2) Required documents (it varies according to each system. Please confirm page of each system.)
(3) Copying of identity verification documents of family nurturer
Driver's license, passport, residence card, health insurance card

Reduction of taxes, postponement relations of premium

Registration form, application

When application of reduction of taxes, postponement relations is applied for by mail, at first, please refer to Insurance and Pension Division of ward to live before you are mailed.

National Health Insurance charges collection postponement, reduction of taxes application (PDF: 225KB)
National Health Insurance charges arrearages exemption application (PDF: 114KB)
Others
Please see "certificates such as the amount of National Health Insurance charges payment" about the amount of National Health Insurance charges payment certificate.
The amount of National Health Insurance charges payment proof application (PDF: 168KB)

We send

(1) Copy of various applications, grounds materials
(2) Copying of identity verification documents of applicant
Driver's license, passport, residence card, health insurance card

Application method

Please send reproduction of each required documents and identity verification documents to ward office Insurance and Pension Division of ward to live after enclosure.

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

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Inquiry to this page

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

Telephone: 045-671-2421

Telephone: 045-671-2421

Fax: 045-664-0403

E-Mail address [email protected]

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Page ID: 199-419-275

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