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Premium

Last update date November 17, 2020

About premium

In medical system for elder senior citizens, interjurisdictional affiliation decides the amount of premium, and municipality collects the premium. Premium that municipality collected is paid by interjurisdictional affiliation.


As for the amount of annual premium, it is to "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


※When we became person insured in the middle of the year, it is calculated in monthly hire-purchase system from the month. In addition, premium enters the previous month in monthly hire-purchase system until minute when it was not person insured.
(example 1) When it is become 75 years old and is transferred to other metropolis and districts on December 31, the same year on March 1, premium of medical system for elder senior citizens of Kanagawa takes share from March to November.
(example 2) When it is become 75 years old and is transferred to other metropolis and districts on January 1 in the next year on March 31, premium of medical system for elder senior citizens of Kanagawa takes share from March to December.

Reduction measures of premium

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

As for the same household that sums that added up gross income amounts of money of the previous year of all the person insured and family nurturer become the next standard or less, the amount of per capita rate (in 2020, 2021 43,800 yen) is reduced.

Standard of household where the amount of per capita rate is reduced
Standards (2020) such as gross income amounts of money of household Reduction ratio Sum that is reduced The amount of per capita rate after reduction
330,000 yen or less 7.75 percent 33,945 yen 9,855 yen
Among the households mentioned above, all the people insured are pension income 800,000 yen or less (there is no other various income) 70% 30,660 yen 13,140 yen
330,000 yen + (the number of people insured belonging to 285,000 yen X household concerned) lower than 50% 21,900 yen 21,900 yen
330,000 yen + (the number of people insured belonging to 520,000 yen X household concerned) lower than 20% 8,760 yen 35,040 yen

(note 1) As 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 catching deduction from the pension in the tax law to be concerned with people 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.
(note 4) When the amount of premium includes fraction less than 10 yen, we cut this off.

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 (Raiwa 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.

Change of payment method

When you wish to change payment method

Premium becomes payment (special collection) from pension as principle, but can choose payment by fund transfer (the normal collection) by hope. 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 person who paid National Health Insurance charges in fund transfer some other time.

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 to change to fund transfer".

Procedure to change to fund transfer

Thing necessary for procedure is the following.

  • 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

You contact ward office Insurance and Pension Division National Health Insurance Section of ward to live, and please submit the following documents.

  • Elderly aged 75 or over medical care premium payment method change monkey appearance book (we stop payment from pension report book)
  • Request for Yokohama-shi elderly aged 75 or over medical care premium fund transfer book (request for fund transfer book (three pieces copying) to financial institution)

Ward office Insurance and Pension Division National Health Insurance Section has documents.
(note 1) Procedure is necessary for person who paid National Health Insurance charges some other time.
(note 2) Fund transfer finishing procedure, please already submit only (a) payment method change monkey appearance book with elderly aged 75 or over medical care premium. But please submit request for fund transfer 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.

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 [email protected]

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