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Medical system for elder senior citizens

Last update date July 10, 2019

Topics (latest information, news)

Contents

1.With medical system for elder senior citizens

From medical insurance that we joined till then, we move to medical system for elder senior citizens when we reach 75-year-old birthday in medical insurance that person 75 years or older takes out.
The municipalities cooperate with elderly aged 75 or over medical care interjurisdictional affiliation (we say "interjurisdictional affiliation" as follows.) established for each metropolis and districts and perform administration. Interjurisdictional affiliation runs system mainly, and the municipalities perform window duties mainly.
The system is such that this system supports with Great Society. Among medical expenses , as for the remaining expense except copayment to pay at windows such as medical institutions, about 40%, insured people of medical-care system for the latter-stage elderly bear about 10% for premium about 50%, money of support from active play generation for tax (country, the prefectural municipalities bear public money).

2.Reports such as participation, withdrawal, health insurance card re-grants

(1) Participation

We take out medical system for elder senior citizens automatically when we become 75 years old. There is no procedure necessary to join. We send health insurance card (identification of elderly aged 75 or over medical care person insured) from interjurisdictional affiliation on the pre-end of the month of the 75-year-old birth moon.
In addition, people who are on welfare do not become with person insured.

A. When family comes to company changed from employee health insurance to medical system for elder senior citizens

When person insured moves to medical system for elder senior citizens when family becomes dependent of employee health insurance and health insurance union of company, family will withdraw from the medical insurance, too.
In this case family will take out other medical insurance such as National Health Insurance of Yokohama-shi. Participation to National Health Insurance needs procedure in ward office Insurance and Pension Division National Health Insurance Section.

i. Participation of impaired person who is constant at 65 years or older

When constant impaired person applies to interjurisdictional affiliation at 65 years or older, and we are authorized by state of obstacle when there is, we can join medical system for elder senior citizens from medical insurance joining now. "Authorization" means authorization of interjurisdictional affiliation and is different from authorization to receive grants such as certificates of the physically disabled.
Window burden with medical institution may become 10% when we take out medical system for elder senior citizens. In addition, premium is different from premium of medical insurance taking out now.
Please refer to ward office Insurance and Pension Division National Health Insurance Section for procedure.

Thing necessary for report
  • Documents (medical certificates of notebook (nursing notebook) of certificate of the physically disabled, love, mental patient health welfare notebook, rente, doctor) which can confirm constant obstacle
  • Health insurance card to have now
  • Documents about personal number (my number)
  • Seal kan ※In the case of signature, we omit seal.
Reference: About the Yokohama-shi severeness person with a disability medical expenses furtherance

There is the severeness person with a disability medical expenses furtherance business in one corresponding to one of (e) from next (a). Report to ward office Insurance and Pension Division National Health Insurance Section is necessary, and sum equivalent to co-payment is supported.
(a) Person who receives grant of certificate of the physically disabled of the first grade, the second grade
(i) One that is judged to be less than 35 in intelligence quotient
(u) The third grade certificate of the physically disabled which receives grant and is judged to be less than 50 in intelligence quotient
(e) Person (only going to hospital is targeted for the furtherance) who receives grant of the first grade mental patient notebook

(2) When report is necessary

Reports such as participation, withdrawal

List of reports
 When report is necessaryThing necessary for report
ParticipationWhen we moved into from outside the prefecture・Certificates (we issue in the municipalities before transference) such as elderly aged 75 or over medical care burden division
Documents about personal number (my number)
・(we feel mark) (note)
※Please finish procedure of resident certificate (transference) earlier.
When we were not on welfare・The protection abolition, stop notification
Documents about personal number (my number)
・(we feel mark) (note)
When there is defect in uniformity in 65 years old - 74 years old and hopes for participation・Documents (medical certificates of notebook (nursing notebook) of certificate of the physically disabled, love, mental patient health welfare notebook, rente, doctor) which can confirm constant obstacle
・Health insurance card to have now
Documents about personal number (my number)
・(we feel mark) (note)
WithdrawalWhen we are transferred to outside the prefecture・Health insurance card (identification of elderly aged 75 or over medical care person insured)
Documents about personal number (my number)
・(we feel mark) (note)
※Please finish procedure of resident certificate (transference) earlier.
When we were on welfare・Protection decision notification
・Health insurance card (identification of elderly aged 75 or over medical care person insured)
Documents about personal number (my number)
・(we feel mark) (note)
When he died

・Health insurance card (identification of elderly aged 75 or over medical care person insured) of person insured who died
Documents about personal number (my number)
・(we feel mark) (note)
※Please finish procedure of death registration/death notification form earlier.
※Notice about person insured may be shipped after the death. When destination of notice wants to be changed by Address of person insured, please consult with ward office Insurance and Pension Division National Health Insurance Section.
※When you receive payment of funeral costs, take as follows.
・Seal kan of the chief mourner
・We can confirm transfer previous engagement seat (bankbooks)
・We can identify funeral costs as the chief mourner (attendance at a funeral thank-you letter, funeral receipt)

When it was for obstacle state non-pertinence in one receiving obstacle authorization or when we withdraw application of obstacle authorization・Health insurance card (identification of elderly aged 75 or over medical care person insured)
・(we feel mark) (note)
OthersWhen Address changed in the city・Health insurance card (identification of elderly aged 75 or over medical care person insured)
Documents about personal number (my number)
・(we feel mark) (note)
※Please finish procedure of resident certificate earlier.
When we moved into from the prefectureDocuments about personal number (my number)
・(we feel mark) (note)
※Please finish procedure of resident certificate (transference) earlier.
※In the case of procedure of transference, return health insurance card (identification of elderly aged 75 or over medical care person insured) in front to the municipalities in front.
When we are transferred to the prefecture・Health insurance card (identification of elderly aged 75 or over medical care person insured)
Documents about personal number (my number)
・(we feel mark) (note)
When full name changed・Health insurance card (identification of elderly aged 75 or over medical care person insured)
Documents about personal number (my number)
・(we feel mark) (note)
When we want to receive re-grant of health insurance card (loss or damage)・Cases such as damage health insurance card (identification of elderly aged 75 or over medical care person insured)
・(we feel mark) (note)

(note), in the case of signature, can omit seal.

Documents about personal number (my number)

Take next a, documents of both i.
A. Documents <among next one point> which can identify personal number
Notice card, my number card, copying (thing which personal number was listed in) of resident certificate
i. Documents to confirm the person
<be over one point potato> Documents which the date of birth and Address can identify as full name with documents with photograph of the face issued by public office
(example) my number card, driver's license, driving career certificate, passport, certificate of the physically disabled, mental patient health welfare notebook, nursing notebook, residence card
<thing which two points are necessary for> Documents which the date of birth or Address can identify as full name with documents without photograph of the face issued by public office
(example) health insurance card, care health insurance card, National Pension Plan (Kokumin Nenkin) notebook

3.When medical institution costs, it is reported application of payment, third party act, own fault

(1) When medical institution costs

When you consult medical institution, please show identification of elderly aged 75 or over medical care person insured. At window, we bear 10% of medical expenses or 30%.
Self-pay ratio ("ratio listed in health insurance card of co-payment") when it hangs over medical institution varies according to income division. Income division is judged by taxable income (income after various subtraction) of municipal tax of our year (as for from April to July last year).

A. Income earner at the same level as active play

Person insured with more than 1.45 million yen of taxable income of municipal tax and other people insured of same household.
Division is divided into three phases by income more.

  • Taxable income of citizen of 3... income earner tax at the same level as active play 6.9 million yen or more
  • Taxable income of citizen of 2... income earner tax at the same level as active play is less than 6.9 million yen 3.8 million yen or more
  • Taxable income of citizen of 1... income earner tax at the same level as active play is less than 3.8 million yen 1.45 million yen or more

But it is sorted "the public" by application when total incomes such as people insured meet condition of lower [table].

[table]
The number of people insuredTotal income of the left one
One person insuredLess than 3.83 million yen
Two people insured or moreLess than 5.2 million yen
It is people from 70 years old to 74 years old in one person insured and same householdLess than 5.2 million yen

i. The public

Person insured except income earner at the same level as active play, low-income person 2 and low-income person 1.

Cormorant. Low-income person 2

All the same household person insured (one except low-income person 1) of municipal tax tax exemption.

Oh. Low-income person 1

Person insured that all the same household is municipal tax tax exemption, and each income of member of household is 0 yen (we calculate pension income for deduction 800,000 yen).

(2) Application of payment

A. High medical costs

When self-pay of medical expenses of one month (the same during the month) became large, thing beyond the self-pay ceiling returns as high medical costs (it applies to chisel for medical service under health insurance, and hospital room not covered by a health insurance plan charges or meal charges at admission do not come to apply). After applying personal unit, the self-pay ceiling applies household unit. In addition, payment with medical institution is to the self-pay ceiling for each window.
When we become a target of supply, we send application from interjurisdictional affiliation 3-4 months after medical treatment month. Please apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live. It is transferred to designated account 2-3 months later after applying. In the case of transfer, we will tell by postcard.
It is transferred to designated account automatically once 3-4 months after the medical treatment moon which became targeted for supply from the next time when we apply. When we change transfer previous engagement seat (we will tell by postcard each transfer.), application is necessary for ward office Insurance and Pension Division National Health Insurance Section of ward to live again.

Thing necessary for application
  • Health insurance card (identification of elderly aged 75 or over medical care person insured)
  • We feel mark (thing to use vermilion for)
  • We can confirm transfer previous engagement seat (bankbooks)
  • Documents about personal number (my number)
  • When adult guardians are elected, copy of entry certificates

Ward office Insurance and Pension Division National Health Insurance Section has application.

About "the ceiling application, standard burden reduction certificate" (reduction certificate) and "the ceiling application certificate"

When we apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live beforehand and receive grant and show with health insurance card in windows such as medical institutions, payment with medical institutions becomes to the ceiling of table 1 below for each window.

  • When low-income person 1 and low-income person 2 (person targeted for grant of "ceiling application, standard burden reduction certificate (reduction certificate)") shows, we are reduced about the food expenses, residence costs at admission (table 2 -1 of the next clause, table 2 -1). When do not show, the upper limit of payment with medical institutions of the income division "public" handle. Application is sent, or one where it has been already registered account with is automatically provided with high medical costs later. Application is necessary for the balance payment of food expenses at admission (not automatically paid).
  • When active play regular income earner 1 and active play regular income earner 2 (person targeted for grant of "the ceiling application certificate") does not show, the upper limit of payment with medical institutions of income division "active play regular income earner 3" handle. Application is sent, or one where it has been already registered account with is automatically provided with high medical costs later.
Thing necessary for application of reduction certificate and the ceiling application certificate
  • Health insurance card (identification of elderly aged 75 or over medical care person insured)
  • Documents about personal number (my number)
  • We feel mark (thing using vermilion)
  • Documents (receipts) that one corresponding to long-term hospitalization in low-income person 2 proves hospitalization more than 90 days

Ward office Insurance and Pension Division National Health Insurance Section has application.

The table 1 self-pay ceiling (monthly basis: in August, 2018 from medical treatment)
Income division Self-pay ratio The foreign ceiling (personal unit) The ceiling (household unit) that we matched outpatient department, hospitalization with
Active play regular income earner 3 30% 252,600 yen + (total medical expenses -842,000 yen) *1%
[140,100 yen] (note 1)
Active play regular income earner 2 30% 167,400 yen + (total medical expenses -558,000 yen) *1%
[93,000 yen] (note 1)
Active play regular income earner 1 30% 80,100 yen + (total medical expenses -267,000 yen) *1%
[44,400 yen] (note 1)
The public 10% 18,000 yen
<amount of annual upper limit 144,000 yen> (note 2)
57,600 yen
[44,400 yen] (note 1)
Low-income person 2 10% 8,000 yen 24,600 yen
Low-income person 1 10% 8,000 yen 15,000 yen

(note 1) It is from the fourth when we corresponded to high medical costs more than four times for the past 12 months to the ceiling (multi-several times pertinence).
(note 2) We calculate in one year until July in the next year from August.

◆About exception of 75 years old birth month

Medical insurance system (National Health Insurance, the employed insurance) and the self-pay ceiling in medical-care system for the latter-stage elderly after birthday that we joined before birthday originally reduce person (excluded toward the daily birthplace) reaching 75-year-old birthday in the middle of month to a half of sum about birth month.

About high medical costs (foreign annual adding up)

When foreign self burdens of the moon which was general division or residence tax tax exemption division exceed 144,000 yen that is the amount of upper limit a year in calculation periods (from every year August 1 next year July 31), thing that exceeded comes back (it applies to chisel for medical service under health insurance, and hospital room not covered by a health insurance plan charges or meal charges at admission do not come to apply).
Target person is person of general division or residence tax tax exemption division as of the last day (next year July 31) of calculation date.
In one that we can grasp if targeted for supply,
(a) When we have already received payment of moon unit of "high medical costs", about for 2017, we transfer to account receiving supply sequentially in after the beginning of April, 2019 (procedure is unnecessary).
(i) Otherwise, we send application to person insured sequentially after the end of March, 2019 about minute in 2017. If application arrives, please submit required items to ward office Insurance and Pension Division National Health Insurance Section after entry, seal.

i. Hospitalization meal allowance for family medical expenses, life allowance for family medical expenses

When we were hospitalized, there are burdens such as meal charges (the food expenses bear one meal of unit, three times a day). Burden becomes expense of table 2 -1 below and table 2-2 for each kind of hospital and bed. In addition, calculation of high medical costs does not contain meal medical treatment standard burden and life medical treatment standard burden.

About "the ceiling application, standard burden reduction certificate" (reduction certificate)

When low-income person 1 and low-income person 2 applies to ward office Insurance and Pension Division National Health Insurance Section of ward to live beforehand and receives grant and shows with health insurance card in windows such as medical institutions, payment with medical institutions becomes sum of lower table 2 -1 and table 2-2 for each window.

Thing necessary for application of reduction certificate
  • Health insurance card (identification of elderly aged 75 or over medical care person insured)
  • Documents about personal number (my number)
  • We feel mark (thing using vermilion)
  • Documents (receipts) that one corresponding to long-term hospitalization in low-income person 2 proves hospitalization more than 90 days

Ward office Insurance and Pension Division National Health Insurance Section has application.
※It becomes high medical costs to the ceiling of income division.
※When do not show, of the income division "public" handle. Application is necessary for payment of balance about the food expenses at admission. Application is sent by interjurisdictional affiliation or one where it has been already registered account with is automatic and is provided with high medical costs later.

Thing necessary for application of the balances such as the food expenses
  • Health insurance card (identification of elderly aged 75 or over medical care person insured)
  • Documents about personal number (my number)
  • We feel mark (thing using vermilion)
  • We can confirm transfer previous engagement seat (bankbooks)
  • Receipt at admission

Ward office Insurance and Pension Division National Health Insurance Section has application (copying type). It is transferred to designated account 2-3 months later after applying.

Table 2 -1 meal medical treatment standard burden :Person insured bears the food expenses (meal medical treatment standard burden) when admitted to general hospital.
Income division The food expenses per one meal
Income earner 1-3 at the same level as active play and the public 460 yen
Designated incurable disease patient who does not correspond to low-income person 1.2 260 yen
Low-income person 2 (hospitalization until 90 days) 210 yen
Low-income person 2 (hospitalized more than 91 days during the past 12 months) 160 yen
Low-income person 1 100 yen

Table 2-2 life medical treatment standard burden :Person insured bears the food expenses and the residence costs (life medical treatment standard burden) when admitted to medical treatment bed. Please confirm to medical institution whether you correspond to medical treatment bed.
Income division The food expenses per one meal The residence costs per day
Income earner 1-3 at the same level as active play 460 yen [420 yen (note 1)] 370 yen
The public 460 yen [420 yen (note 1)] 370 yen
Low-income person 2 210 yen 370 yen
Low-income person 1 130 yen 370 yen
Old-age welfare pension recipient of low-income person 1 100 yen 0 yen

We bear the food expenses of sum same as general hospital about the need that high state continues and hospitalization medical care hospitalized in rehabilitation ward for convalescence. Designated incurable disease patient does not have burden of the residence costs.
(note 1) When we are admitted to hospital calculating life allowance for family medical expenses (2) at hospitalization. (please confirm whether you are calculated to medical institution)

Cormorant. Large amount care adding up allowance for family medical expenses

When both burden and burden on The Long-term Care Insurance of medical insurance occur by household unit in medical insurance, and the one-year totals (as for the calculation period every year August 1 - next year end of July) exceed the amount of standard, we can receive refund of thing that exceeded.
As I send application to one that I can grasp if targeted for supply, please apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live. We are going to send out sequentially between the end of April and August about minute in 2017. Large amount care adding up allowance for family medical expenses needs application every applicable year.
In addition, at first please refer to medical insurance counter in charge of the municipalities before transference and The Long-term Care Insurance counter in charge for issuance of "self-pay certificate" when it is thought that self burdens exceeded the amount of standard as we moved into from outside the prefecture in the middle of calculation period and may not grasp if targeted for supply.

Thing necessary for application
  • Medical health insurance card (identification of elderly aged 75 or over medical care person insured)
  • Health insurance card of care
  • We feel mark (thing to use vermilion for)
  • We can confirm transfer previous engagement seat (bankbooks)
  • Documents about personal number (my number)
  • When there is change of insurance during calculation period, self-burden certificate
  • When adult guardians are elected, copy of entry certificates

Ward office Insurance and Pension Division National Health Insurance Section has application (copying type). As for the medical insurance minute, for The Long-term Care Insurance is transferred to designated account for medical insurance 2-3 months after one of supply 3-4 months later after applying.

Oh. Funeral costs

When person insured passed away, we pay 50,000 yen to person (the chief mourner) who performed the funeral as funeral costs by application. (it is statute of limitations in progress for two years from the next day of day when we performed funeral and cannot provide.)

Thing necessary for application
  • Health insurance card (identification of elderly aged 75 or over medical care person insured) of person insured who passed away ※When it has been returned, it is unnecessary.
  • We feel mark of applicant (the chief mourner) (thing using vermilion)
  • We can confirm transfer previous engagement seat (bankbooks)
  • We can identify funeral day as the chief mourner (attendance at a funeral thank-you letter, funeral receipt)

Ward office Insurance and Pension Division National Health Insurance Section has application (copying type). It is transferred to designated account 2-3 months later after applying.

o. Allowance for family medical expenses

When you were treated for medical institution by sudden diseases abroad when you manufactured harness for treatment including corset, you pay the total amount of medical expenses to insurance medical institutions once, and please apply in ward office Insurance and Pension Division National Health Insurance Section of ward to live later. When supply is accepted by interjurisdictional affiliation, sum except copayment is refunded. (it is at statute of limitations in progress for two years from the next day of day when we paid medical expenses and cannot provide.)

Thing necessary for application
  • Health insurance card (identification of elderly aged 75 or over medical care person insured)
  • We feel mark (thing to use vermilion for)
  • We can confirm transfer previous engagement seat (bankbooks)
  • Documents about personal number (my number)
  • Of list shown below is listed

Ward office Insurance and Pension Division National Health Insurance Section has application (copying type). It is transferred to designated account 2-3 months later after applying.

Application of allowance for family medical expenses
When we can apply Thing which is necessary for application in addition to the above
When we had a medical examination without having health insurance card by urgent other unavoidable circumstances including sudden illness ・Receipt when we paid to medical institution
・Receipt (receipt)
※It is usually different from medical expenses statement issued with receipt when we paid to medical institution.
When we made harness for treatment including corset ・Statement of position of doctor
・Documents which mention of wearing confirmation day by doctor is made
・Receipt of the price and statement
When we were treated for medical institution by sudden diseases abroad
(insurance does not come to apply about treatment that is not applied in travel, Japan in treatment purpose)
・Receipt of the price
・Statement which medical treatment contents were listed in and translated sentence of 英語
・Passport
・Written consent (ward office Insurance and Pension Division National Health Insurance Section has style)
When we underwent surgical operation of bonesetter
(finished, application procedure may be unnecessary if we show health insurance card just to pay copayment.)
・Receipt of the price
・Surgical operation packing list
・When undergo surgical operation by bone fracture, dislocation, written consent of doctor
When we swelled and, with the approval of doctor, underwent surgical operation of moxacautery, masseur
(finished, application procedure may be unnecessary if we show health insurance card just to pay copayment.)
・Receipt of the price
・Surgical operation packing list
・Written consent of doctor
When we used blood for blood transfusion ・Receipt of the price
・Blood transfusion certificate of doctor

Mosquito. Other medical care benefits

The details about temporary nursing at home allowance for family medical expenses, transportation costs, specific illness ("*tei*byo*yoju*sho" grant), please look at homepage of Kanagawa elderly aged 75 or over medical care interjurisdictional affiliation.

(3) Report (when we looked good with traffic accidents) of third party act

When we are damaged from the other party (third party) including traffic accident and case of bodily injury, we can be treated for insurance (medical system for elder senior citizens) by report. At first please connect with ward office Insurance and Pension Division National Health Insurance Section of ward to live. Ward office Insurance and Pension Division National Health Insurance Section has "report of sickness and wound by act of third party". Traffic accident certificates of the police are necessary, too.
The other party who is assailant is thing which should bear expense that it cost for treatment, but we pay treatment costs by insurance (medical system for elder senior citizens) by report once, and interjurisdictional affiliation originally requests expense from the other party later. Please talk with ward office Insurance and Pension Division National Health Insurance Section of ward to live by all means before settlement out of court.

4. Premium

In medical system for elder senior citizens, interjurisdictional affiliation decides the amount of premium, and municipality to live collects the premium. Premium that municipality collected is paid by interjurisdictional affiliation.
The amount of annual premium is "the amount of per capita rate" and sum that added up "the amount of income percent" to bear according to income in the previous year of person insured that all the people insured bear equally.
The amount of amount of amount of annual premium = per capita rate + income percent
It takes premium in monthly hire-purchase system until the previous month of day when we withdrew from the moon where we joined. (employee health insurance of National Health Insurance and company where we joined before medical system for elder senior citizens is similar.)
(example 1) When we become 75 years old on March 1 and are transferred to other metropolis and districts on December 31, the same year, premium of medical system for elder senior citizens of Kanagawa takes share from March to November.
(example 2) When we become 75 years old on March 31 and are transferred to other metropolis and districts on January 1 in the next year, share from March to December is applied to premium of medical system for elder senior citizens of Kanagawa.

(1) Reduction measures of premium

As for the same household that sums that added up gross income amounts of money in the previous year of all the person insured and family nurturer become less than standard of next table 3, the amount of per capita rate (30.31 year 41,600 yen) is reduced.

Standard of household where the amount of table 3 per capita rate is reduced
Standards (2019) such as gross income amounts of money of householdReduction ratioSum that is reducedThe amount of per capita rate after reduction
330,000 yen or less8.5 percent35,360 yen6,240 yen
Among the households mentioned above, all the people insured are less than pension income 800,000 yen (there is no other various income)80%33,280 yen8,320 yen
330,000 yen + (the number of people insured belonging to 280,000 yen X household concerned) lower than50%20,800 yen20,800 yen
330,000 yen + (the number of people insured belonging to 510,000 yen X household concerned) lower than20%8,320 yen33,280 yen

(note 1) Because it is unknown whether you correspond to standard, reduction measures are not applicable to person who does not declare of income. As you may ask for submission of "petition for income" from ward office Insurance and Pension Division National Health Insurance Section of ward to live, please cooperate.
(note 2) By calculation such as gross income amounts of money targeted for reduction judgment, there is no subtraction of basic deduction (330,000 yen). In addition, elderly person judges receiving deduction from the pension in the tax law to affect one 65 years or older with amount of money that subtracted deduction 150,000 yen in particular from public pension income.
(note 3) "Standards such as gross income amounts of money of household", please be careful in different one every year.

A. Reduction (reduction of "the amount of per capita rate") depending on income

i. Reduction of the employed insurance which was dependent

On the day before to take out medical system for elder senior citizens, as for the association of national employee health insurance management employee health insurance, seamen's insurance, health insurance union, cooperative association which was dependent, premium is reduced (not for National Health Insurance, National Health Insurance Association which was member).
There is not burden of "the amount of income percent" and burdens "only the amount of per capita rate" from the moon which took out system, and, as for the reduction ratio of "the amount of per capita rate", it is to 50%.
In addition, after Heisei 31 (Reiwa 1), reduction ratio of "the amount of per capita rate" becomes 50% only for periods from participation month to 24 months (in the previous month when it is to 77 years old e.g.). Since then reduction disappears, and "the amount of per capita rate" is charged in full.

(2) Change of payment method

A. When we hope for change of payment method

Premium becomes payment (special collection) from pension as principle, but you want and can choose payment by fund transfer (the normal collection) more. Either payment method has the same premium to pay in the year. (we cannot choose payment notice.)
In addition, we may not be changed to fund transfer when nonpayment occurs about elderly aged 75 or over medical care premium before payment start from pension though there are not unavoidable special circumstances and did not accept demand of payment.
In addition, we come back to payment from pension when state that fund transfer is not possible continues after the change of payment method.
Because systems are different, procedure is necessary for one that paid National Health Insurance charges in fund transfer some other time.

i. The handling of social insurance deduction

In the case of payment from pension , it becomes social insurance deduction of person insured. In the case of final income tax return, we can do the amount of premium paid in fund transfer with the amount of social insurance deduction of account holder of a title deed from accounts such as relatives except person insured. As a result, burden of income tax of whole family and residence tax may fall. (in the case of payment from pension , it becomes subtraction of person insured.)
When payment is hoped for by accounts such as relatives, the next clause, please read "procedure that cormorant changes for fund transfer".

Cormorant. Procedure to change to fund transfer

Please submit documents of following (a) (i) to ward office Insurance and Pension Division National Health Insurance Section of ward to live after notification.
(a) Elderly aged 75 or over medical care premium payment method change proposal book (proposal book to stop payment from pension )
(i) Yokohama-shi elderly aged 75 or over medical care premium fund transfer request book (fund transfer request book (three pieces copying) to financial institution)
Ward office Insurance and Pension Division National Health Insurance Section has documents.

Thing necessary for procedure
  • Health insurance card (identification of elderly aged 75 or over medical care person insured)
  • We can confirm account to appoint (bankbooks)
  • Report mark of account to appoint

(note 1) Procedure is necessary for one that paid National Health Insurance charges some other time.
(note 2) Fund transfer finishing procedure already offers (a) payment method change with elderly aged 75 or over medical care premium, and please submit only book. But please submit fund transfer request book together when you want to change account to appoint (i).
(note 3) It takes 2-3 months before payment from pension stops after it was filed.
(note 4) When I cannot switch to fund transfer, I will inform so by mail.

5. Yokohama-shi Health Checkups

About Yokohama-shi Health Checkups, please see page of Yokohama-shi Health Checkups.

The self-medication taxation system (exception of medical expenses subtraction)

When individual performing "constant approach" as approach to maintenance increase of health and the prevention of illness purchased switch OTC pharmaceutical products (pharmaceutical products converted among instruction pharmaceutical products required and OTC drugs by medical use) between January 1, 2017 and December 31, 2021, the self-medication taxation system (exception of medical expenses subtraction) can receive deductions from income about the purchase expense.
About self-medication, please see homepage (the outside site) of Ministry of Health, Labour and Welfare.
About report of the self-medication taxation system (exception of medical expenses subtraction), please see homepage (the outside site) of National Tax Agency.

(after filling out entry, seal of claimer full name, the large frame, please submit to ward office Insurance and Pension Division National Health Insurance Section of ward to live.)

6. News (notice of medical expenses ) of medical expenses

(1)Shipment time of notice of medical expenses for 2018

  • Medical treatment minute is around the end of January, 2019 for from January to October
  • Medical treatment minute is around the end of March, 2019 for from November to December

(notice of medical expenses to share sent for medical treatment in the end of March in the next year for end of September, from July to December in medical treatment minute for from January to June in 2017)

(2)Report of medical expenses subtraction

Report of medical expenses subtraction can use notice of medical expenses for 2018.
But (medical institutions except Kanagawa, Tokyo) needs supplement entry to notice of medical expenses as much as names such as consultation or medical institution which are not listed in notice of medical expenses are not listed. In that case, storage of receipt is necessary, too. Please inquire whether you have you confirm homepage (the outside site) of National Tax Agency for more information about medical expenses subtraction to tax office having jurisdiction over area to live.

(3)Re-grant of notice of medical expenses

About re-grant of notice of medical expenses , please ask Kanagawa elderly aged 75 or over medical care interjurisdictional affiliation (key number 045-440-6700).

7. Data

8. In addition, (bid, opinion offer)

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Inquiry to this page

Health and Social Welfare Bureau life Welfare Division medical assistance section

Telephone: 045-671-2409

Telephone: 045-671-2409

Fax: 045-664-0403

E-Mail address kf-iryoenjo@city.yokohama.jp

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