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National Health Insurance Division
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9．Medical Care for the Elderly
9-1 Medical Care System for the Elderly
Persons whose medical care expenses are insured:
Those who are 75 years old and above.
Membership automatically starts upon turning 75.
As for those who have certain disabilities aged 65 to 74 years old, membership to the medical care starts on the day of qualification on Gifu Prefecture Regional Alliance for the Medical Care for the Elderly.
Medical and Insurance Premium
An insured person can receive a variety of medical treatments and pay for just a part of the cost by presenting their health insurance card to the hospital’s reception desk. All insured people are obliged to pay the medical premiums regardless of whether they have received services or not.
| When | Requirements |
|---|---|
| Moving out of the prefecture | Health insurance card・Seal (inkan) |
| Moving in from another prefecture | Co-payment classification certificate・Seal (inkan) |
| Change of address within the prefecture | Health insurance card・Seal (inkan) |
| Started receiving public Assistance | Health insurance card・Seal (inkan) |
| Stopped receiving public assistance | Seal (inkan) |
| When the insured person dies | Documents that confirm the identity of the bereaved person・Seal (inkan)・Bank book（of the bereaved person or the inheritor） |
| When the insurance card has been lost | Identification card・Seal (inkan) |
※Self-inking seal (shachihata) is not allowed
（1）Medical Care Premiums (If you paid the full amount of your medical fees upfront)
If you have purchased a corset or another treatment device that the doctor deems necessary, the cost will be covered excluding a set copayment if the application gets approved. Please ask the National Health Insurance and Pension Division for the requirements upon applying.
（2）High-cost Medical Expenses
If the medical co-payments exceed the co-payment limit, the excess will be paid as high-cost medical allowance.
A guide to application letter will be sent to eligible households.
10．National Pension
10-1 National Pension System
People insured by National Pension
Residents of Japan between 20 and 60 years old are obliged by the law to join the National Pension System and pay pension premiums regardless of their nationality. However, this does not apply to those who are members of Employees’ Pension Plan (Kousei Nenkin).
In addition, a person can join on a voluntary basis between the ages of 60 and 65 years old, or up to 70 years old if they do not satisfy the minimum qualification period to receive a pension.
Pension Contribution
16,540 yen/a month（FY2020）
Exemption System: Application
A person can apply for exemption if they are having difficulty paying the pension premiums due to reasons such as low income, loss of job or if they’ve just arrived to the country etc.
The application will be examined based on your/your spouse/your householder’s previous year income and employment status. Applying does not guarantee full exemption.
Types of exemption include full exemption, postponement of contribution, partial exemption, etc.
Special Payment System for Students
If you are a student and your income is less than a certain amount, you may be allowed to postpone your contribution payment if your application is approved. If so, the pension amount you will receive in the future will be reduced.
10-2 Receiving Pension
Those who are a member of National Pension can receive the following types of pension.
It is necessary to meet certain conditions, please ask the Pension Office for more details.
（1）Old-age Basic Pension
Old-age Basic Pension can be received at the age of 65 if they have paid the insurance premiums for 10 years or more (including the exempted periods).
A person can request an early payment starting at the age of 60 and receive reduced amount of pension or postpone the payment until the age of 66 or later and receive an increased amount.
（2）Disability Basic Pension
A person can receive Disability Basic Pension if they became disabled during their membership to the National Pension or those who have a disability were diagnosed and recognized before the age of 20.
（3）Survivors’ Basic Pension
If a person passed away during their membership to the National Pension, the spouse of his/her children or his/her children can receive the Survivors’ Basic Pension.
（4）Others
Lump-sum Payment for the Bereaved, Lump-sum Payment for the Withdrawal of Short-term Foreign Residents etc.
11．National Health Insurance
11-1National Health Insurance System
Persons to Join National Health Insurance
Everyone must enroll in the National Health Insurance, excluding those who are members of Social Insurance from their employer, members of Medical Care for the Elderly or those receiving Public Assistance.
Foreign Nationals who are approved to stay in Japan for more than 3 months must join the National Health Insurance. (Excluding those who entered the country with a medical visa and those with status of residence for tourism and recreation.)
Medical and Insurance Premiums
An insured person can receive a variety of medical treatments and pay for just a part of the cost by presenting their insurance card on the hospital’s reception desk. All insured people are obliged to pay the medical premiums regardless of whether they have been hospitalized or not.
The National Health Insurance Premium is the total medical insurance premium, including the premium for supporting the elderly and nursing care premium (only for 40 ~ 64 years old)
The health insurance premium for each household is determined based on income, the number of household members plus a standard amount levied per household. The head of the household is responsible
for the payment.
When Procedures are Necessary
| When | Requirements |
|---|---|
| Moving in from another municipality | Identification card（Residence card etc.）, a document that shows My Number |
| Ceasing to be eligible for social insurance by your employer | Proof of ineligibility for Social Insurance of your workplace, identification card, a document that shows My Number |
| Ceasing to be eligible for a dependent’s social insurance | Proof of ineligibility for dependent’s Social Insurance, identification card, a document that shows My Number |
| When a child is born | Identification card, a document that shows My Number |
| Stopping receiving public assistance | Identification card, a document that shows My Number, notice of decision to stop receiving Public Assistance |
| When | Requirements |
|---|---|
| Moving out to another municipality | Health insurance card, identification card, a document that shows My Number |
| Joining Social Insurance of workplace | Social Insurance card and National Health Insurance card, identification card, a document that shows My Number |
| Joining Social Insurance as a dependent | Social Insurance card and National Health Insurance card, identification card, a document that shows My Number |
| An insured person passes away | National Health Insurance card, Seal (inkan), Documents that confirm the bereaved person, Bank book |
| Starting to Receive Public Assistance | Identification card, documents that show My Number, notice of decision to start Public Assistance |
| When | Requirements |
|---|---|
| Changing Address within the City | National Health Insurance card, identification card, a document that shows My Number |
| Separating or Joining Households | National Health Insurance card, identification card, a document that shows My Number |
| Changing the Head of the Household or Name | National Health Insurance card, identification card, a document that shows My Number |
| Someone has lost their National Health Insurance card | Identification card |
11-2 Medical Benefits
An insured person can undergo medical treatments and pay for just a part of the cost by presenting their insurance card to the hospital’s reception desk.
（1）Medical Premiums (If you paid the full amount of your medical fees upfront)
If a person has purchased a corset or other treatment device that the doctor deems necessary, the amount will be reimbursed minus a set copayment amount if the application gets approved.
（2）High-cost Medical Expenses
If medical copayments in a month exceed the copayment limit, the excess will be paid as high-cost medical allowance.
A guide to application letter will be sent to eligible households.
11-3 Lump-sum Birth Allowance
An allowance will be paid when an insured person gives birth. This includes stillborn pregnancy and miscarriage from 12th weeks (85 days) of pregnancy. As a general rule, National Health Insurance pays directly to medical institutions (Direct payment system). National Health Insurance will not provide Lump-sum Birth Allowance if it is paid by another health insurance.
11-4 Funeral Expenses
When an insured person dies, the bereaved person will receive the allowance upon application.
11-5 Traffic Accidents
An insured person can receive medical treatments under National Health Insurance if they get injured due to a third-party act such as in a traffic accident. In that case they must submit a Notification of Injury due to a Third-party Act.
However, receiving medical treatment costs or having a private settlement with the party who is at fault may lead to disqualification from using the National Health Insurance. Be sure to contact the National Health Insurance and Pension Division in case of any damages.
