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Medical system for elder senior citizens

Last update date March 4, 2019

"Medical system for elder senior citizens" was enforced on April 1, 2008 as new medical system for people 75 years or older and people with obstacle that was constant at 65 years or older.

Summary and procedure for system

We explain rough explanation and procedure for system here. For more details, please see homepage of Kanagawa elderly aged 75 or over medical care interjurisdictional affiliation (the outside site) running of system.

Person insured (target person)

  • People (we become a target from birthday.75 years or older As we mail health insurance card on the end of the month before birth month, report to ward office is not necessary.)
  • Obstacle that is constant at 65 years old - 74 years old (application to ward office is necessary) which caught authorization of interjurisdictional affiliation by being in state

※Person who is all on welfare is excluded.

When report, application is necessary

You see Health and Social Welfare Bureau medical assistance section homepage, and you tell payment responsible (the first-floor ninth window) as needed or please apply.

Self-pay ratio when it hung over medical institution

Self-pay ratio when it hung over medical institution
DivisionApplicable personBurden ratio
Income earner at the same level as active play

Person insured with 1.45 million yen or more taxable income (income after various subtraction) of residence tax of the year (from April through July last year) concerned and the person insured and person insured (note 1) of same household.
But, in the case of the following, net total of income of people (note 2) under 75 becomes "the public" (self-pay 10%) by application person insured and other people insured of the belonging household and 70 years old or older.
1.Less than household 3.83 million yen that elderly person is alone
2.Elderly person is less than more than two household 5.2 million yen

  • (note 1), until July 31, 2008, it is determined including people under 75 70 years old to belong to same household or older.
  • (note 2) underline part is applied from January 1, 2009.
30%
The publicIncome earner at the same level as active play, division II (low-income person 2), except division I (low-income person 1)10%
Division II (low-income person 2)Household where residence tax is tax-free of the year (from April in July last year) all the same household in resident certificate concerned
Division I (low-income person 1)Each income of the household where residence tax of the year (from April in July last year) concerned is tax-free, and all the same household in resident certificate beats is 0 yen (pension income calculates deduction as 800,000 yen) and person insured that it is

About high medical costs

When net totals of self-burden of one month (from 1st the end of the month day) exceeded self-pay limit, we can receive refund about thing that we surpassed later. Including self-pay limit please see Health and Social Welfare Bureau medical assistance section homepage in detail.

  • Including time of medical insurance system for the elderly until 2007, person who has received refund in the past transfers to the account which we sometimes appointed automatically.
  • As application is mailed to the first person by interjurisdictional affiliation, refund, please submit to ward office. We transfer after the second automatically.
  • When you change transfer previous engagement seat of automatic transfer, you change in payment responsible (the first-floor ninth window), and please go through the procedure.
  • When person corresponding to division I (low-income person 1), II (low-income person 2) in the table (self-pay ratio when it hung over medical institution) mentioned above shows "limit application, standard burden limit certificate" to window of medical institution beforehand, self-pay limit is applied. You apply in payment responsible (the first-floor ninth window) before medical treatment beforehand to receive issuance of "limit application, standard burden limit certificate", and please go through the procedure.

Major medical service, large amount of care adding up medical expenses system

Large amount of care adding up medical expenses system began on April 1, 2008 major medical service.
For more details, please see <major medical service, large amount of care adding up medical expenses system>.

Hospitalization meal medical expenses, hospitalization life 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). Burdens are different for each type of hospital and bed. For more details, please see Health and Social Welfare Bureau medical assistance section homepage.

  • When person corresponding to division I (low-income person 1), II (low-income person 2) in the table (self-pay ratio when it hung over medical institution) mentioned above shows "limit application, standard burden limit certificate" to window of medical institution beforehand, each standard burden is applied. Please file for issuance in payment responsible (the first-floor ninth window) before medical treatment beforehand.

Self-pay limit to affect specific illness

Self-pay limit with medical institution
It is if we show "*tei*byoyoju*sho" in the case of hemophilia, chronic kidney failure receiving artificial dialysis, HIV infection due to blood products when one-month self-pay at one hospital is to 10,000 yen.

Specific illness issue of the medical care certificate
Applicable person has documents (including statement of position of doctor), health insurance card, private seal (thing to use vermilion for) proving the fact, and please apply to payment responsible (the first-floor ninth window).

Severeness person with a disability medical expenses subsidy program

To impaired person corresponding to any of the following, there is "severeness person with a disability medical expenses subsidy program" that city bears sum equivalent to co-payment (medical treatment with medical institution becomes free). Report is necessary for payment responsible (the first-floor ninth window) to receive application of this system.

  • Person who receives grant of certificate of the physically disabled of the first grade, the second grade
  • Person who was judged to have 35 or less intelligence quotient
  • The third grade certificate of the physically disabled which received grant and was judged to have 50 or less intelligence quotient
  • Person (from ※ October 1, 2013.who receives grant of the first grade mental patient notebook But hospitalization is out of the medical expenses furtherance.)

For more details, please see page of the severeness person with a disability medical expenses furtherance.

When person insured died, person who performed the funeral is paid funeral costs.

Allowance 50,000 yen

Thing necessary for application

  • Identification of elderly aged 75 or over medical care person insured of person who died

※When health insurance card is not found, please ask lost cases when you cannot submit.

  • Private seal (thing using vermilion) of the chief mourner
  • Receipt, bill of funeral shop or attendance at a funeral thank-you letter
  • Custody, bankbook of financial institution or reserves such as account numbers

When it is past two years from day when we did funeral, it becomes statute of limitations and cannot apply.

Premium

All the people insured are expected to pay premium.
Which was not family nurturer is expected to pay premium in company which was dependent of employee health insurance where there was not duty to pay premium and members of National Health Insurance until now.
(but, about company which was dependent of employee health insurance, there are provisional measures such as reductions of premium)

For more details, please refer to homepage of City of Yokohama, Health and Social Welfare Bureau medical assistance section.
http://translate-en.city.yokohama.lg.jp/kenko/kouki/#hokenryo

Inquiry to this page

Nishi Ward Health and Welfare Center Insurance and Pension Division

Telephone: 045-320-8427

Telephone: 045-320-8427

Fax: 045-322-2183

E-Mail address [email protected]

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