About procedure of National Health Insurance by mail

When applying for National Health Insurance due to withdrawal from social insurance (employee health insurance), first check the notes and documents to be mailed in the "Precautions for Procedures (PDF: 515KB)".
・National Health Insurance Transfer registration form (Join) (PDF: 203KB) [Example] (PDF: 250KB) ※Please be sure to check the following page.
・Re-grant application (PDF: 141KB) [Description example] (PDF: 212KB)
・Application for limit application, standard burden reduction authorization application (consent consent form) (PDF: 67KB) [Example] (PDF: 202KB) ※If you are 70 years old or older, please be sure to check the following notes.
・Power of Attorney template (PDF: 121KB) [Example] (PDF: 172KB)

<Caution> About application of limit application, standard burden reduction authorization
For those 70 years or older, only those who fall under the following will be issued a limit application certificate.
　[Those who are 70 years old or older and can issue a limit application certificate]
　　・Those who pay 30% burden ratio → Households who do not have a standard amount of residence tax of 6.9 million yen or more (*)
　 　 (* Judgment is made based on the standard amount of residence tax for insured persons 70 years or older who have taken out National Health Insurance.)
　　・Those who have a 20% burden → Those who belong to residence tax exempt households
For those 70 years or older who do not fall under the above description, presenting your health insurance card and senior citizen's card to a medical institution, it will be borne by the window up to the copayment limit according to the burden ratio, so the limit application No certificate is required. If you need to apply, please contact your ward office Insurance and Pension Division. Please note that only the person or the family of the same household can answer the applicable burden category by telephone.

（１） Application forms, registration form
（２） A copy of the applicant's identity verification document
Driver's license, passport, residence card, my number card (only on the side with the photo), insurance card, etc.
（３） (In the case of National Health Insurance enrollment procedure) Certificate of Disqualification of employee health insurance

Please refer to "Notification of Loss of National Health Insurance Qualification by Mail".

（１） About medical expenses
Please refer to "Payment of medical expenses" for the medical expenses system.
・National Health Insurance medical expenses / special medical expenses payment application form (PDF: 136KB) [Description example] (PDF: 153KB)
・medical expenses Receipt Statement (PDF: 93KB)
・Dispensing expenses receipt statement (PDF: 43KB)
・Dental medical expenses receipt statement (PDF: 107KB)
・Letter of consent for the survey (overseas medical expenses) (English version) (PDF: 137KB) [Example] (PDF: 177KB)
・Letter of consent for the survey (overseas medical expenses) (Chinese version) (PDF: 195KB) [Example] (PDF: 235KB)
・Letter of consent for the survey (overseas medical expenses) (Korean version) (PDF: 220KB) [Example] (PDF: 260KB)
・Letter of consent for the survey (overseas medical treatment expenses) ( Thai version) (PDF: 256KB) [Example] (PDF: 330KB)
・Medical treatment statement (Form A) (Overseas medical expenses), International Disease Classification Table, Receipt Statement (Form B) (Overseas medical expenses) (PDF: 448KB)
・Medical treatment statement (Form A), Receipt statement (Form B) (Dentistry) (PDF: 1,427KB)

（２） About dietary allowance at the time of hospitalization
Please refer to "Meal medical treatment at the time of hospitalization and living treatment at hospitalization" for the system of dietary allowances at the time of hospitalization.
・National Health Insurance standard burden (difference) supply application form (PDF: 119KB) [Description example] (PDF: 116KB)

（３） About high medical costs
Please refer to the "High Reimbursement Payment System" for information on the high medical costs system.
Usually, we will send you an application form and a petition at the end of the month following the month in which high medical costs is eligible for payment.
Please return it in the enclosed reply envelope.

（４） About lump-sum childcare lump sum
For information on the lump-sum childcare lump-sum payment system, please refer to "Payment of lump-sum childcare lump sum".
・National Health Insurance Childbirth and Childcare Lump-sum Payment Application Form (PDF: 116KB) [Example] (PDF: 149KB)

（５） About funeral expenses
Please refer to "Payment of funeral expenses" for the funeral expenses system.
・National Health Insurance funeral expenses payment application form (PDF: 116KB) [Description example] (PDF: 133KB)
・Funeral expenses payment application form (PDF: 112KB) [Example] (PDF: 145KB)

（６） About child care allowance for children with disabilities
Please refer to "Payment of Child Care Allowance for Children with Disabilities" for the system of childcare allowance for children with disabilities.
・National Health Insurance Child with Disabilities Childcare Allowance Payment Application Form (PDF: 126KB) [Description example] (PDF: 155KB)
・Medical certificate (for child care allowance for children with disabilities) (PDF: 122KB)

（７） Transfer costs
Please refer to "Payment of transfer expenses" for the transfer fee system.
・National Health Insurance Transfer Expenses Payment Application Form (PDF: 114KB) [Description example] (PDF: 116KB)
・Statement of opinion requiring transfer (PDF: 117KB)

（８） About sickness and sickness allowance (related to COVID-19 infection)
Please refer to "Payment of sickness and sickness allowance (related to COVID-19 infection)" for the system of injury and sickness allowance (related to COVID-19 infection).
The application form is available at the ward office Insurance and Pension Division National Health Insurance Section. Please contact your ward office Insurance and Pension Division for details of the procedure.

（９） About notification of third party acts
Please refer to "When you have a traffic accident" for the actions of third parties.
・Notification of injury and illness caused by third party actions (PDF: 119KB) [Example] (PDF: 135KB)
・Statement of facts (PDF: 246KB) [Example] (PDF: 248KB)
・Accident Occurrence Status Report (PDF: 124KB) [Example] (PDF: 282KB)
・Memorandum (PDF: 211KB) [Example] (PDF: 229KB)
・Reason for inability to obtain a personal injury certificate (PDF: 151KB) [Description example] (PDF: 149KB)

（１０） About notification about self-fatness and occupational injuries and illnesses
・Notification (PDF: 83KB) on self-ligibility and occupational injuries and illnesses [Description example] (PDF: 111KB)

（１１） Common style
・Petition for Yokohama City National Health Insurance Benefit Expenses and Receipt (PDF: 83KB) [Description Example] (PDF: 105KB)

（１） Application forms, registration form
（２） required documents (depending on each system.) Please refer to the page of each system.
（３） A copy of the identity verification document of the head of household
Driver's license, passport, residence card, my number card (only on the side with the photo), insurance card, etc.

If you wish to apply for a reduction or exemption by mail, please contact your ward Insurance and Pension Division first before mailing.

・National Health Insurance premium collection postponement / reduction / exemption application form (PDF: 225KB)
・National Health Insurance premium arrearages Exemption Application Form (PDF: 114KB)
Others
Please refer to "Measures to reduce the burden due to employment fluctuations (involuntary unemployment)" for information on mitigation measures for those who have left involuntary leave.
・Insured persons covered by the National Health Insurance Special registration form (PDF: 114KB)
Please refer to the “National Health Insurance Premium Payment Certificate” for the National Health Insurance Premium Payment Certificate.
・National Health Insurance Premium Payment Certificate Application Form (PDF: 168KB)

（１） Copies of various application forms and supporting materials
（２） A copy of the applicant's identity verification document
Driver's license, passport, residence card, my number card (only on the side with the photo), insurance card, etc.

Please send a copy of each required documents and identification documents to your ward office, Insurance and Pension Division.

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