Procedures
Health insurance members must undertake certain procedures in cases such as applying to receive benefits when a child is born. Described below are the required procedures and application methods in such cases:
Health insurance eligibility procedures
To have an Eligibility Verification Certificate, etc. issued or reissued
Information on what to do to have an Eligibility Verification Certificate or Notice of Eligibility Information issued or reissued (New issue and reissue of health insurance cards have ended.)
Moving and job transfer
Information on what to do if you move and change your address
Change of name
Information on what to do if you change your name due to marriage or other reason
Family membership
Information on what to do to add family members
- If the number of dependent family members has increased (due to birth, marriage, separation from employment, etc.)
- The number of dependent family members has decreased (due to new employment, exceeding income standards, etc.)
- When a dependent family member has begun to receive unemployment benefits
- Dependents enrolled in the medical care system for the the advanced elderly
Documents to attach for dependent certification
Information is provided below on the documents that must be attached for applications concerning dependents.
After you leave your employer
Information on what to do after you leave your employer
- Returning your health insurance card or Eligibility Verification Certificate
- Joining the Voluntarily and Continuously Insured Persons Medical Care System
- Joining the Special-Case Retired Persons Medical Care System
- If you want a certificate to join National Health Insurance or another insurance plan
When you are exempt from the long-term care insurance program
Information on what to be exempt from the long-term care insurance program
If you need various certificates
Information on what to do if you need various certificates
- If you need a certificate for my qualification (for general insured persons only)
- If you want a certificate of loss of eligibility as an insured person
- If you want a certificate of loss of eligibility as a dependent
- If you want a certificate of benefits
- If you want a certificate of payment of insurance premiums (for Voluntarily and Continuously Insured Persons and Special-Case Retired Insured Persons only)
If you want to change the account to which benefits are remitted
Information on what to do if you want to change the account to which benefits are remitted
Benefit procedures
Childbirth
Information on what to do after a child is born
- Claiming Childbirth and Childcare Lump-sum Grant (for childbirth in Japan)
- Claiming Childbirth and Childcare Lump-sum Grant (for childbirth overseas)
- Using the system of direct payment of Childbirth and Childcare Lump-sum Grant to medical institutions
- Using the system of receipt of the Childbirth and Childcare Lump-sum Grant directly by the medical institutions on your behalf
- Naming the newborn child as a dependent
If you take time off from work for childbirth
Information on mandatory procedures before a female insured person takes time off from work for childbirth
Death
Information on what to do if the insured person or dependent has died
If you paid the entire medical care cost up front
Information on procedures for benefits that repay medical care costs you have paid up front
- If you paid the entire medical care cost up front
- If you reimbursed medical care costs billed to you by another health insurance society
- If you were fitted with a corset or other equipment
- If you underwent acupuncture/moxibustion with a physician’s consent
- Massage treatment with physician’s consent
- If you had eyeglasses prepared to treat juvenile amblyopia
- Examination or treatment at a medical care institution overseas
If you take time off from work due to sickness
Information on what to do to obtain benefits when you are unable to earn a salary or other income while taking time off from work due to a nonoccupational illness or injury
If you become sick or are injured due to the actions of another party
Information on what to do if you have been injured due to the actions of another party, as in a traffic accident or due to contact with another person during physical exercise
When you incur high medical care costs
Information on what to do when you incur high medical care costs