Procedures for National Health Insurance by Mail

When applying for National Health Insurance due to withdrawal from social insurance (employee health insurance) by mail, first check the notes and the documents to be mailed in the “Notes on Procedures (PDF: 498KB)”.
・National Health Insurance transfer registration form (joining) (PDF: 345KB) / [Example] (PDF: 405KB)
・Re-grant application (PDF: 118KB) [Example] (PDF: 207KB)
・Limit application, standard burden reduction authorization application (and consent form) (PDF: 146KB) [Example] (PDF: 275KB)
・Specific illness medical treatment medical treatment certificate (PDF: 112KB) [Example] (PDF: 197KB)
・Power of Attorney Model (PDF: 121KB) [Example] (PDF: 172KB)
※As for the limit application certificate, etc., the paper limit application certificate is not required because it can be confirmed by online qualification confirmation.
　Specifically, please confirm "about National Health Insurance limit application authorization".

（１） Various application forms, registration form
（２） A copy of the applicant's identity verification document
Driver's license, passport, residence card, my number card (only the face with photos), etc.
（３） (In the case of National Health Insurance enrollment procedure) employee health insurance certificate of disqualification

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

[Registration of use of minor insurance card]
When applying for cancellation of registration of the minor insurance card by mail, first check the following notes.
・After applying for the cancellation of the registration of the minor insurance card, it will take one to two months for the cancellation information to be reflected on the minor portal etc.
・Even after the use registration has been canceled, it is possible to perform the use registration procedure again. In addition to minor portals and Seven Bank ATMs, it can be done from card readers with face recognition installed at the reception of medical institutions and pharmacies.
・If you register again after applying for registration cancellation, you will not be able to register for use until the cancellation of use registration is reflected.
・If you have a valid health insurance card until July 31, 2025, please use it until the expiration date. In addition, we will send you a qualification confirmation around July 2025, when the insurance card expires.
・If you newly join another medical insurer before the cancellation is completed after the application for cancellation of use registration cancellation, the newly enrolled medical insurers, etc. Please offer that you have applied for cancellation of use registration with National Health Insurance.

[Application for those who have a minor insurance card but need a qualification confirmation]
・Those who have lost or updated their My Number Card and do not have a valid My Number Card
・Those who have returned their My Number Card
・Those who have difficulty in consulting with a My Number Card, such as a third party such as an assistant needs to accompany the insured person who is an elderly person or a disabled person to assist in confirming the qualification of the person.
・In addition, those who are unable to receive online qualification confirmation using My Number Card
You can apply for a certificate of qualification. (A qualification confirmation will not be issued even if you apply until the expiration date of the current insured person's card.)

If you wish to apply by mail, please send the following required documents to the ward office Insurance and Pension Division.
[Registration of use of minor insurance card]
（１） Application for cancellation of registration of use of health insurance card of my number card (PDF: 122KB) [Example] (PDF: 198KB)
（２） Copy of identity verification documents (If someone other than the person applies on behalf of the person, both the delegate and proxy/agent are required.)
Certificate with face photo such as driver's license, passport, residence card, my number card (only the face with photo)
（３） Power of Attorney (when a person other than the person who wishes to cancel the use registration applies) Power of Attorney Model (PDF: 121KB) [Example] (PDF: 229KB)

[Application for those who have a minor insurance card but need a qualification confirmation]
（１） Qualification confirmation grant application (PDF: 129KB) / [Entry example] (PDF: 260KB)
（２） Copy of identity verification documents (If someone other than the person applies on behalf of the person, both the delegate and proxy/agent are required.)
Certificate with face photo such as driver's license, passport, residence card, my number card (only the face with photo)
（３） Power of Attorney (when applying by someone other than the person) Power of Attorney Model (PDF: 121KB) [Example] (PDF: 183KB)

（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 (PDF: 136KB) [Example] (PDF: 153KB)
・medical expenses Receipt Statement (PDF: 93KB)
・Dispensing Fee Receipt Statement (PDF: 43KB)
・Dental medical expenses receipt statement (PDF: 107KB)
・Letter of consent related to the survey (overseas medical expenses) (English version) (PDF: 137KB) [Example] (PDF: 177KB)
・Letter of consent related to the survey (overseas medical expenses) (Chinese version) (PDF: 195KB) [Example] (PDF: 235KB)
・Letter of consent related to the survey (overseas medical expenses) (Korean version) (PDF: 220KB) [Example] (PDF: 260KB)
・Letter of consent related to the survey (overseas medical expenses) (Thai language 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
For information on the system of dietary allowances at the time of hospitalization, please refer to "Dietary treatment at the time of hospitalization and living treatment at the time of hospitalization."
・National Health Insurance standard burden (difference) payment application (PDF: 119KB) [Example] (PDF: 116KB)

（３） About high medical costs
Please refer to the “High Reimbursement Fee System” for details on the high medical costs system.
In general, we will send you an application form and application form at the end of the month following the month in which high medical costs was paid.
Please return it in the enclosed reply envelope.

（４） About lump-sum payment for childbirth and childcare
Please refer to "Payment of lump-sum childcare lump sum" for the lump-sum childcare lump sum system.
・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 system of funeral expenses.
・National Health Insurance funeral expenses payment application (PDF: 116KB) [Example] (PDF: 133KB)
・Funeral expenses payment application petition (PDF: 112KB) [Example] (PDF: 145KB)

（６） Child care allowance for children with disabilities
Please refer to "Payment of Child Care Allowance for Children with Disabilities" for the system of Child Care Allowance for Children with Disabilities.
・National Health Insurance child with a disability childcare allowance payment application (PDF: 126KB) [Example] (PDF: 155KB)
・Medical certificate (for child care allowance for children with disabilities) (PDF: 122KB)

（７） Transfer costs
Please refer to "Payment of transfer costs" for the transfer costs system.
・National Health Insurance transfer payment application (PDF: 114KB) [Example] (PDF: 116KB)
・Statement of opinion requiring transfer (PDF: 117KB)

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

（９） 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 the act of a third party (PDF: 119KB) [Example] (PDF: 135KB)
・Petition for Facts (PDF: 246KB) [Example] (PDF: 248KB)
・Accident Occurrence Status Report (PDF: 124KB) [Example] (PDF: 282KB)
・Notebook (PDF: 211KB) [Example] (PDF: 229KB)
・Reason for inability to obtain a certificate of personal injury (PDF: 151KB) [Example] (PDF: 149KB)

（１０） About notification about self-negligence and work injury and illness
・Notification of self-negligence and work injury and illness (PDF: 83KB) [Example] (PDF: 111KB)

（１１） Common style
・Petition about application and receipt about Yokohama-shi National Health Insurance payment costs (PDF: 83KB) [example] (PDF: 105KB)

（１） Various application forms, registration form
（２） required documents (depending on each system) Please check the page of each system.
（３） Copy of identity verification document of the head of household
Driver's license, passport, residence card, my number card (only the one with the photo), insurance card, etc.

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

・National Health Insurance premium collection postponement, reduction of taxes application (PDF: 225KB)
・National Health Insurance Premium Late Payment Exemption Application (PDF: 114KB)
Others
Please refer to "Measures to reduce the burden due to employment fluctuations (involuntary unemployment)" for mitigation measures for those who have left their jobs involuntary.
・Insured persons eligible for the National Health Insurance exception registration form (Excel: 27KB)
Please refer to the "National Health Insurance Premium Payment Certificate" for the National Health Insurance Premium Payment Certificate.
・National Health Insurance premium payment proof application (PDF: 168KB)

（１） Copy 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 the one with the photo), insurance card, etc.

Please send a copy of each required documents and your identity verification document to your ward office Insurance and Pension Division.