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  6. About certificate of payment of medical care premium for elder senior citizens

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About certificate of payment of medical care premium for elder senior citizens

Last Updated November 4, 2022

Proof of certificate of payment of medical care premium for elder senior citizens

The certificate for payment of medical insurance for seniors certifies the amount of insurance paid in one year, and can apply up to 5 years ago.

When applying at the ward office window

Necessary items for application at the counter
Case of application (main)

Necessary items (Note)

Request by the principal ・Identity Confirmation Documents

Requests by household members

<Those who have a resident registration in Yokohama City on the day of application>
・Identity Confirmation Documents
<Those who do not have resident registration in Yokohama City on the day of application>
・Identity Confirmation Documents
・Power of Attorney (PDF: 85KB)
・certificate of family register, etc. (if the insured person has died)

Billing by proxy/agent

・proxy/agent's identity verification documents
・Documents to verify the identity of the delegate
・Power of Attorney (PDF: 85KB)


Application fee

It costs 300 yen per case per year.

Application destination

You can apply at the nearest ward office, Insurance and Pension Division.

When applying by mail

Please send the following documents to the ward office Insurance and Pension Division.

(1) Payment certificate application
Please fill out the application form with required items.

(2) Fixed amount postal money order for commissions
Available at Japan Post Bank (postal savings window) (Please do not enter anything in the fixed amount postal money order.) 。
For postal fixed amount money order, please prepare at the amount that will not be changed. If a fixed amount of money that exceeds the payment amount is sent, the amount of money will be paid.
Please note that you will be sent a fixed amount of money for the payment amount again.

(3) Reply envelope
Please put a stamp and fill in the address.

Precautions when applying by mail

  • If you are in a hurry or have a reliable receipt, please use express mail or registered mail for mailing to the ward office or reply envelope.
  • Since it is necessary to confirm that the application has been made at the will of the person (in principle, the request will be made in the name of the person), the certificate will be sent to the person in Address.
  • If you move out of Yokohama and move further, please enclose a copy of the relationship between your current address and the former Address (e.g., a copy of both sides of your driver's license).

Download the application form

Other notes

  • If you need a certificate of payment for medical insurance for seniors immediately after payment at a financial institution, please bring a receipt together.
  • Please note that if the Address entered in the application form or your name is different from the contents of the ledger, we may issue it after necessary confirmation.
  • Depending on your request, you may not be able to issue a certificate other than yourself.

Inquiries regarding procedures

Please contact Insurance and Pension Division of your ward office.
Contact information

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Inquiries to this page

Medical Aid Division, Ministry of Life and Welfare, Health and Social Welfare Bureau

Telephone: 045-671-2409

Telephone: 045-671-2409

Fax: 045-664-0403

Email address: kf-kouki@city.yokohama.jp

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Page ID: 478-995-629

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