National Health
Insurance Guidebook
2017
Toshima City
Contents
1. What Is the National Health Insurance
System? ... 2
2. How NHI Works ... 2
3. National Health Insurance Certiicate ... 3
4. Enrollment of National Health Insurance ... 5
5. Termination of Membership ... 9
6. Other procedures ... 11
7. Please File a Resident’s Tax Report within the Designated Filing Period ... 11
8. Insurance Premiums ... 12
9. Reduction of the Insurance Premium Per Capita Amount ... 15
10. Payment of the Premium ... 16
11. If You Don’t Pay the Premium ... 19
12. Insurance Beneits ...20
13. Treatment Not Covered by Insurance ... 21
14. Medical Expenses ...22
15. Childbirth Lump-Sum Beneit ...23
16. Long-term Care Insurance ... 25
17. Healthcare Program ...26
18. Specially Designated Health Checkups/ Specially Designated Health Classes ... 26
19. Diabetes Prevention Health Class ... 27
20. The Medical Care System for Older Senior Citizens ...28
1. What Is the National Health
Insurance System?
Even healthy people can fall ill or suffer an injury at any time. If you are ill or injured and need to go to a medical institution (hospital, etc.) and receive treat-ment, it costs money. It would be terrible if you could not go to medical institution because medical treatment was too expensive. Public health insurance is a mutual support system in which members contribute at a rate according to their level of income to lighten the burden of medical expenses for all in the event of illness or injury. Foreign residents in Japan also must participate in a public health insurance program. The insured (the enrolled) is obliged to pay premiums and consequently is entitled to receive treatments covered by health in-surance when sick or injured.
National Health Insurance (NHI) is one of such public health insurance programs.
Application for enrollment or termination of NHI must be done within 14 days.
2. How NHI Works
3. National Health Insurance
Certiicate
(1) Take good care of your National Health
Insurance certiicate
The NHI certiicate is documental proof that you are
a member of NHI. It is also required when you receive insurance-covered medical treatment at a medical in-stitution.
Individual card-type health insurance certificates are issued to each member.
When you reach 70 years of age, you will be issued
an Elderly Recipient Certiicate
When you reach the age of 70, you will be issued an NHI Elderly Recipient Certificate (valid from the month following your birth month; excluding those whose birthday is the first day of month, for whom
the certiicate is valid from the birth month) with the
percentage of the personally borne expense indicated
on the certiicate. Please keep this certiicate in a safe
place, together with your health insurance card.
(2) Present it when you visit a medical institution
Please present your NHI certiicate at the reception
desk when you receive treatment at a medical institu-tion.
In order to receive treatment under NHI, the med-ical institution must be one that accepts NHI. If you receive treatment at a medical institution that does not accept NHI, you will not be able to use your NHI
cer-tiicate and will have to pay the full cost. (The majority
(3) Expiration
As a rule, the expiration date for your NHI certii -cate is the same date as your visa period of stay. If you plan to extend your visa, be sure to complete the applica-tion procedures for this at the Immigraapplica-tion Bureau before your visa expires. Then take your passport, residence
card, and expired health insurance certiicate to the NHI Section and exchange your old insurance certiicate for
a new one. For those with a “designated activities” visa status, relevant documentation is also required. Unless we are able to confirm that your period of stay has been extended, you will no longer be eligible for mem-bership in the National Health Insurance program,
and you may no longer use the NHI certiicate.
(4) National Health Insurance certiicate
① Check that all personal information is correct. ② Apply to change personal information through the
NHI Section, Toshima City Ofice.
③ In the event of damage or loss, apply for reissue. ④ If your visa has expired, if your visa status changes
to “designated activities” and you are involved in “activities with medical treatment,” “activities tak-ing care of someone in everyday life,” “activities for sightseeing, recreation or similar” or if you move to another municipality, or if you enroll in the health insurance program of your place of employment, then you no longer qualify for NHI membership, and you may no longer use your NHI certificate.
Please return the health insurance certiicate as soon
as possible.
⑤ The health insurance certificate may not be used by anyone other than the member himself/herself.
Violations are punishable by law.
⑥ There is a space on the back of the health insurance
certiicate to declare your willingness to donate your
organs.
(5) NHI certiicate will be updated in October
2017
New NHI certificates valid from October 1, 2017 will be mailed in September to heads of household (via
simpliied registered mail; cannot be forwarded to oth -er address). Please also read page 7 for how to obtain
the certiicate. Detailed information will be posted in
the city bulletin and website around August 2017. Inquiries: Qualiication and Premium Group
03-4566-2377
4. Enrollment of National
Health Insurance
(1) People who must join National Health Insurance
Those who are subject to the Residential Basic Book Act must all join NHI, except those covered under (2) below. It is not up to the individual to make the choice of enrollment or membership termination. Application for enrollment, change and termination must be done within 14 days of the reason for such procedure(s).
Note: You must enroll in National Health Insurance even if you are enrolled in foreign student life insurance,
(2) Those who cannot join National Health Insurance
Even if they reside in Toshima City and are subject to the Residential Basic Book Act, those who fall under the following categories cannot join NHI.
① Those who have joined (or can join) another public health insurance system (such as employees’ health insurance programs or the Japan Health Insurance Association’s health insurance plans)
② Those who are a dependent (or can be a dependent) of a person who is a member of other public health insurance system (employees’ health insurance pro-grams or the Japan Health Insurance Association’s health insurance plans)
③ Those receiving social security beneits
④ Those whose period of stay in Japan is three months or less*
* Even if your visa is for three months or less, you are eligible to join NHI if you can prove that you will be residing in Japan for more than three months,
such as with a school enrollment certiicate. Please
consult us for your eligibility. (This excludes those with short-stay visas and those without visas.) In addition, persons already enrolled in NHI may re-tain their memberships even if their visa period is changed to three months or less.
⑤ Among those with a “designated activities” visa status, those whose purpose of stay is “receiving medical treatment” or “taking care of such persons in everyday life” or “sightseeing, recreation or simi-lar.”
(3) Procedures for application for membership
Within 14 days of the following, you must complete
procedures for membership at the Toshima City Ofice (NHI Section) or Residents Ofice.
When you enroll NHI:
① Commencement of residence in Toshima City (Ja-pan)
② Termination of membership in another public health insurance system
③ Birth of a child
④ Termination of social security beneits
(4) Receiving your NHI certiicate
As a rule, NHI certificates will be delivered by simplified registered mail (note that they cannot be forwarded to another address). Please put your name on your mailbox. If you are not at home to receive your
certiicate or the delivery cannot be completed because
the address was incorrect or unclear, you need to apply
for redelivery at the NHI Section or Residents Ofice. If you need your NHI certiicate immediately/on the same day, bring an ID document (one of those listed below). Also note that you can receive your NHI certiicate on
the same day you enroll the NHI program at the service
counter if you bring the ID listed below when applying
for enrollment.
ID documents that enable you to receive your
NHI certiicate on the same day: Note: Must be original and still valid. - Passport
- Other documents that certify your identity issued by a public agency (with photo and listing name and date of birth)
Note: If the service counter is extremely busy, you may
not be able to obtain your certiicate on that day even if you show the valid ID listed above. Your certiicate
will be delivered by mail.
(5) When you are late in applying for membership
You will be asked to pay the premium from the month you join NHI. In addition, you will be asked to pay the unpaid premium for the period you should have been a member for maximum two years. Furthermore, while you are uninsured, you must pay the full cost of medical expenses incurred.
Note:
If you extend your period of stay, then please com-plete the designated NHI procedures as well. You
may not use your NHI certiicate if your visa expires,
even if you are currently enrolled in the NHI program
of Toshima City and have an NHI certiicate.
rec-reation or similar,” you will no longer be eligible for membership in the NHI program, and you may no
longer use the NHI certiicate.
If your period of stay is shortened to three months or less and the new resident record (juminhyo) is
created, ile a notiication at the NHI Section.
Inquiries: Qualiication and Premium Group
03-4566-2377
5. Termination of Membership
Within 14 days of the following, you must com-plete procedures for termination of membership at the
Toshima City Office (NHI Section or the General Reception Desk) or the Residents Ofice. Please bring NHI certificates of all NHI members in your house-hold.
① Departure from Toshima City
First of all, ile a notiication at the General Recep
-tion Desk or Residents Ofice.
Notes:
1. Please complete procedures for membership once again in your new city, town or village.
2. If you fail to ile the notiication when you leave Japan, insurance premiums continue to be levied on you as long as your resident record is kept.
3. Please ile a “moving-out overseas notiication” if
you will be out of Japan for a long period. ② When joining another public health insurance
sys-tem (such as an employees’ health insurance pro-gram or Japan Health Insurance Association’s health insurance plan)
Residents Ofice.
Along with the NHI certiicate and your other pub
-lic health insurance certiicate—such as from your place of employment—please bring your residence card, special permanent resident certiicate or other
equivalent certificate. Please also bring your indi-vidual number notification card or “My Number” card (individual number card with photo) (if you have one).
Notes:
1. If you do not complete procedures for termi-nating your membership, you will be a member of both health insurance systems and, as such, charged both premiums.
2. Even if you are insured through foreign student insurance, life insurance which includes health insurance or travel insurance, you cannot ter-minate your NHI membership. (These types of insurance are not considered as a public health insurance system in Japan.)
Notes:
① If you leave Toshima City, or join another pub-lic health insurance system (employees’ health insurance programs or Japan Health Insurance Association’s health insurance plans), you are not
allowed to use the Toshima City NHI certiicate.
If you do use it, you will have to pay the amount borne by the insurer.
② Please note that you cannot withdraw from the NHI program for such reasons as: The premium fees are
too expensive, or you do not use the NHI certiicate.
Inquiries: Qualiication and Premium Group
6. Other procedures
If you have changed your address within Toshima City or any of your household members changed his/ her name, please bring the NHI certificates of all
household members affected by the change to the Gen
-eral Reception Desk or the Residents Ofice.
7. Please File a Resident’s Tax
Report within the Designated
Filing Period
National Health Insurance premiums are calculated based on the total income.
Please ile a resident’s tax report even if you don’t
have income or your income is low since the figures serve as the basis for calculation of insurance premi-ums and for authorizing a per capita amount reduction.
The tax report should be iled at the tax section of the municipal ofice of the address where you were reg -istered on January 1 of the current year.
○If you came to Japan on or before January 1, 2017
Please file a resident’s tax report at the municipal
ofice of the address where you were registered as of
January 1, 2017.
○ If you came to Japan on or after January 2, 2017
If you have just come to Japan, please ile a “National
Health Insurance Premium-related Report.” Please note that money sent from family back home and scholarship funds are not taxable as they are not considered income.
Inquiries: Qualiication and Premium Group
8. Insurance Premiums
The premium must be paid starting from the portion of the month you became insured. As soon as you move into Toshima City, or your membership in another pub-lic health insurance system (employees’ health insur-ance programs or Japan Health Insurinsur-ance Association’s health insurance plans) terminates and you join NHI, you qualify for NHI and thus become liable to pay the premium.
(1) How the premium is calculated
The premium is calculated by the iscal year (April
through March of the following year) based on the in-sured’s determined basic amount and number of house-hold NHI members.
The “determined basic amount” refers to the amount remaining after the basic deduction (¥330,000) from the total income earned in Japan from January through
December of the previous year.
The annual insurance premium is a sum of the income-derived amount, which is based on the deter-mined basic amount, and the per capita amount, which
is a lat rate imposed on each insurance member in the
household.
For example, if you came to Japan in January 2016, have lived in Toshima City since then, and have a valid visa, then the determined basic amount will be calcu-lated based on income earned from January through
December 2016, and your health insurance premiums
Premiums for the medical treatment portion
Income-derived amount:
＋
Per capita amount:
You pay:
Premiums for the portion of medical treatment for the period from April to March in the follow-ing year (Maximum amount:
¥540,000) To
ta l a m o u n t = A n n u a l N H I p re mi u m
Total amount of the determined basic amount* of each household NHI member × 7.47%
Number of NHI mem-bers in household × ¥38,400
Latter-Term Elderly Support Portion
Income-derived amount:
＋
Per capita amount:
You pay:
Premiums for the latter-term elderly support portion for the period from April to March in the following year (Maximum amount: ¥190,000) Total amount of the
determined basic amount* of each household NHI member × 1.96%
Number of NHI mem-bers in household × ¥11,100
Premiums for the portion of Long-term care
Income-derived amount:
＋
Per capita amount:
You pay:
Premiums for the Long-term care portion for the period from April to March in the following year (Maximum amount: ¥160,000) Total amount of the
determined basic amount* of all house-hold NHI members between 40 and 64 years of age × 1.55%
Number of members between 40 and 64 years old in the household × ¥15,600
*The determined basic amount = Total income amount of the previous year - the basic deduction (¥330,000).
When you join or withdraw from the NHI system in the middle of the
iscal year:
The total premiums
for the iscal year ×
Number of months of enrollment 12
(2) Notiication of Premiums
Insurance premiums are determined every year in June.
Insurance premiums will be determined in June when the resident’s tax is confirmed, and “National Health Insurance Premiums Notification” is sent in mid-June. Payment is made from June through March of the following year in 10 installments.
health insurance) in a member’s household in April
or May, you will be notiied of your insurance pre -miums in June.
Furthermore, the “National Health Insurance
Premi-ums Adjustment Notiication” will be sent if there is a
change in the total income or if there is a change in the household in or after June.
Precautions concerning insurance premiums
① Insurance premiums are calculated starting
from the month of eligibility for membership in the city’s NHI program.
For example, if you withdraw from employee’s health
insurance in May and ile an application in August
for enrollment in NHI, you must pay premiums dat-ing back from May. (Retroactive payments datdat-ing back to a maximum of two years may be charged.)
② Insurance premiums for those who have just
moved into Toshima City may later be increased.
Insurance premiums for those who have just moved into Toshima City are initially calculated only with the per capita amount. Later, the premiums are re-calculated with the NHI premiums income-derived amount with reference to the total income earned in the municipality of the previous address as of Jan-uary 1 of that year, and “National Health Insurance
Premiums Adjustment Notiication” may be sent.
③ Insurance premiums for those who terminate
membership in the middle of the iscal year (i) If the entire household terminates membership,
pay the balance in or after the month of termination. If there has been an overpayment, you will receive a refund at a later date.
If you plan to leave Japan (return to your home
country) during the iscal year, you may have to pay
the balance due when you complete withdrawal pro-cedures.
(ii) If only some members of the household termi-nate membership, then the insurance premiums will be recalculated, and the balance due will be divided into the remaining installments from the month fol-lowing termination of membership up to March. ④ Insurance premiums for the past iscal year Insurance premiums are calculated for each fiscal
year (from April to March of the following year).
“Insurance premiums for the past iscal year” refer
to premiums for such cases as when eligibility for NHI membership dates back to the previous fiscal year (on or before March 31), or cases in which the income for the previous year turned out to be higher than initially considered and insurance premiums must be increased.
Inquiries: Qualiication and Premium Group
03-4566-2377
9. Reduction of the Insurance
Premium Per Capita Amount
the previous year is less than the designated standard, the per capita amount of the insurance premium will be reduced.
The standard day for reduction is April 1, 2017. For newly enrolled households, the standard day is the day they become eligible for NHI membership.
Total income for the entire household during the previous year
Reduc-tion rate
Per capita portion per person per year Basic (medical) portion Latter-tem elderly support portion Long-term care portion ¥330,000 or less 70% ¥11,520 ¥3,330 ¥4,680 ¥330,000 + (No. of NHI
Members excluding the Head of the Household x ¥270,000) or less
50% ¥19,200 ¥5,550 ¥7,800
¥330,000 + (No. of NHI Members x ¥490,000) or less
20% ¥30,720 ¥8,880 ¥12,480
To be eligible for the reduction program, you must
ile an income tax report for the income earned the pre -vious year. Even those who did not have an income, or
whose income was very low, must ile a resident’s tax
report.
Inquiries: Qualiication and Premium Group
03-4566-2377
10. Payment of the Premium
Please pay your premiums by automatic bank transfer. Your premium payment will be automatically debit-ed from your account on the last day of each month. (If
that day is a holiday for your particular inancial institu
in your account by the day before the transfer.
[Automatic Bank Transfer Application Procedure] • At the desk
If you have an account with any of the following
inancial institutions, you can complete the application
procedures only if you bring your cash card to the NHI
Section or Residents Ofice.
<Applicable Financial Institutions>
Mizuho Bank, Bank of Tokyo-Mitsubishi UFJ, Sumitomo Mitsui Banking, Resona Bank, Japan Post Bank, Sugamo Shinkin Bank, Tokyo Shinkin Bank, Johoku Shinkin Bank, and Kosan Shinkin Bank
• By mail
Complete the automatic bank transfer application form, stamp it with the name stamp you use for your bank account and send it to the Financial Account
Desk, NHI Section. Your automatic bank transfer will
start about two months after the month you apply. Au-tomatic bank transfer application forms are available at
the NHI Section, Residents Ofice and inancial institu -tions in Toshima City. If you call the Financial Account
Desk, they will mail an application form to you. Inquiries: Financial Account Desk 03-3981-1468
When you are unable to pay by bank transfer, please pay by any of the following method.
(1) With the payment slip
If your premium amount does not change during the year, the payment slips will be mailed to you three
times a year (in June, September and December). Pay
-ment can be made at a nearby convenience store, inan
-cial institution, the payment desk on the third loor of
must be made by the last day of each month (when the
last day is a inancial institution holiday, the next busi -ness day). The payment slips will not be sent to house-holds that pay premiums by automatic bank transfer.
If you lose your payment slips, bring your NHI
certiicate, your past premium payment receipt, etc. by
which your NHI identifying number can be checked to
Toshima City Ofice or a Residents Ofice and you will
be able to make payment. Alternatively, the payment
slips will be resent to you upon notiication to the NHI
Section.
(2) Payment through Credit Cards
You can pay the premium by credit card using your personal computer or mobile phone. The procedure can be made from the public money payment page in “Ya-hoo! Japan” website.
Note: Payment slips whose deadline of payment has passed are invalid.
(3) Payment through “Mobile Regi” service You can pay the premiums if you read the bar code on your invoice by a cell phone and access a mobile
banking site. To use this service, you must irst apply
for mobile banking with the financial institution you would like to use, and download the application into your cell phone.
(4) Deduction from the pension Some conditions apply related to eligibility.
Inquiries: Qualiication and Premium Group
11. If You Don’t Pay the Premium
In Japan’s health insurance system, everyone en-rolled pays premiums regularly according to their income so that the individual member’s burden is only a part of their medical expenses when they get ill or injured. Everyone is obliged to join a health insurance plan. You can’t avoid paying premiums just because you never go to a hospital or other medical institution. Be sure to pay the premiums by the designated dead-lines. If you are in a situation where you are unable to make payments, please consult us as soon as possible.
Your insurance premium may be low for the irst year
you are in Japan, but it may increase from the following year if you earn a salary from a part-time or full-time job, etc. It is smart to reserve a part of your income to pay your premiums for the upcoming year. Please also note that there is no payment exemption/reduction program for students.
(1) If premiums are not paid by the due date, reminder notices are sent. If you continue to leave your pre-miums unpaid, you will be reminded additionally in writing. You may also be reminded by telephone periodically.
(2) If your premiums are still not paid after you have been sent reminder notices, your assets will be as-sessed and seized for failure to pay.
To assess your property, we may contact your place of employment (regardless of full-time or part-time) and ask about your salary.
According to the law, your assets (e.g., bank deposit
and real estate) will be coniscated.
(3) If payments are delayed continuously, health
in-surance certiicates with shorter periods of validity
(4) If further payment delays continue, a “qualify-ing certificate for insured person” will be issued instead of an insurance certificate. If you use the qualifying certificate, you may receive healthcare services covered by health insurance, but you will need to pay all the medical expenses at the medical institution when you receive treatment. The amount covered by insurance will be collected as the de-layed premiums payments.
Inquiries: Filing and Premium Collection Group Special Filing Group
03-3981-1294~5
12. Insurance Beneits
When you are ill or injured, show your NHI certii -cate at a hospital or other medical institution to receive the necessary treatment. When you receive treatment, pay 30% of the medical expenses (20% for those up to six years old until the first March 31 after their sixth birthday; and 20% or 30%* for those 70 years old and older) at the medical institutions. The remaining ex-penses will be paid by Toshima City.
If you do not show your NHI certificate, you will have to pay the full amount.
If you use a NHI certiicate even though you have
moved out of the city or lost your eligibility due to visa expiration, etc., you will be charged by Toshima City for all expenses the city covered on your behalf.
Please note that using someone else’s NHI certifi-cate is punishable by law.
:30% for those who earned income more than the des-ignated level;
:20% for those who reached 70 years old on or after April 1, 2014 and whose income is less than the designated level (this rate applies from the month following the month he/she reaches the age of 70);
:10% for those other than speciied above.
Inquiries: Beneits Group 03-3981-1296
13. Treatment Not Covered by
Insurance
The following items are not covered by insurance so you have to pay the full amount:
① General medical checkup, complete physical exam -ination (ningen dokku), preventative vaccinations ② Normal pregnancy and delivery, cosmetic surgery
or treatments, orthodontics
③ Work-related injuries or diseases (These are covered by the workers’ accident compensation insurance plan.)
④ Medical treatment not covered by insurance provid-ed upon the request of the patient
⑤ Extra fee for hospitalization in a special patient bed-room
⑥ Special dental treatment (e.g., treatment using spe-cial materials)
⑦ Injuries or illnesses incurred while the insured is committing a crime, or as a result of intentional ac-tions by the insured
⑧ Injuries or illnesses incurred as a result of a ight or
excessive drinking
14. Medical Expenses
If you receive medical treatment without showing your NHI certificate because of some unexpected rea-son, such as an emergency, the total cost must tempo-rarily be personally borne, but part of the cost will be refunded by application. This program is limited only to the cases that are approved by an inspection committee.
The application period is for two years from the day you receive medical treatment for the medical fees. It takes about three months to process the application.
[Required Documents]
① a detailed breakdown of the medical fee ② receipts
③ NHI certiicate
④ your bank account number
⑤ name stamp of the head of the household (if the household head is a foreign national, a signature is acceptable)
Note: If you do not enroll in the NHI program within fourteen days after you become eligible, you must pay all medical expenses yourself for the period you were not enrolled. You cannot apply for a refund except in cases of unavoidable emergency.
Overseas Medical Expense
When medical treatment is received overseas for an illness or injury, insurance benefits are provided ac-cording to designated standards. The medical treatment received must be recognized as insurance-applicable in
The benefit will be paid after subtracting personal-ly-borne amount. Please tentatively pay the entire
medi-cal cost, and then apply for this beneit after returning to
Japan. (This beneit does not apply to cases in which a member travels overseas for the purpose of medical treatment.)
[Required Items for Applying for a Refund]
① Receipt (If the document is written in a foreign lan-guage, then a Japanese translation is also required.) ② Documentation describing the type of medical treat
-ment, such as a Certiicate of Medical Treatment. (If
the document is written in a foreign language, then a Japanese translation is also required.)
③ Receipts (If they are written in a foreign language, a Japanese translation is required as well.)
④ NHI certiicate
⑤ Bank account number
⑥ Name stamp of the head of the household (for for-eign residents, signature is also acceptable)
⑦ Passport of the person who received the treatment Please ask forms ① and ② at Beneits Group.
Note: The application period is within two years from the following day of receiving medical treatment.
Inquiries: Beneits Group 03-3981-1296
15.
Childbirth Lump-Sum Beneit
The childbirth lump-sum beneit is provided when Toshima City NHI members give birth. Please ile an
application for the benefit at the NHI Section of the
Toshima City Ofice after the childbirth.
have the beneit paid directly to the medical institution, with the beneit amount (¥420,000) as the maximum.
If the childbirth cost was below ¥420,000, please file
a notiication at the NHI Section of the Toshima City Ofice after the childbirth, then the difference will be
paid to you. Please also note, because some medical institutions do not handle these programs, please check with the medical institution in advance.
Type of
beneit Amount paid Necessary Items
Ch ild bi rth lu mp -s ump b en ei t ¥420,000
① Insurance certiicate of the mother
② Maternal and child health handbook (Boshi Techo)
③ Name stamp of the head of household ④ Bank account number
⑤ Receipt that contains a detailed break-down of childbirth expense ⑥ Written agreement with the medical
institution, etc.
Note: ⑤ and ⑥ are not required if you use
the “Proxy Recipient Program.” Please ile an application at the Toshima City Ofice
before childbirth. Those who gave birth abroad should bring the abovementioned ① through ④, as well as passport, certii -cate of birth and the Japanese translation
of the certiicate.
The above amount applies for stillbirths and misbirths after pregnancy for 85 days or more
① to ⑥ above plus medical certiicate
Notes:
1. Those who give birth outside Japan are able to apply only after returning to Japan.
2. NHI will not provide this benefit to those who
re-ceived childbirth beneit from another form of public
health insurance (health insurance union or health insurance plan by Japan Health Insurance Associa-tion).
form of public health insurance for one year or lon-ger, and the childbirth was within six months after withdrawal.
3. The application period is two years from the date of the childbirth.
4. This beneit will not be paid if the member does not have NHI membership on the day of child-birth.
Inquiries: Beneits Group 03-3981-1296
16. Long-term Care Insurance
Long-term Care Insurance is a system to support those requiring long-term nursing care and their fami-lies along with society as a whole.
NHI members 65 years of age and older are required to pay long-term care insurance premiums separately from NHI premiums.
For NHI members between 40 and 64 years of age, the long-term care insurance premiums are added on to the health insurance premiums and paid together.
In addition, members of Long-term Care Insurance can use long-term care services upon authorization by
the Toshima City Ofice if you need long-term care (or
support). Please call the Public Nursing Insurance Sec-tion for more informaSec-tion on eligibility requirements and how to take advantage of long-term care services.
Inquiries: Consultation Group, Public Nursing
17. Healthcare Program
In order for everyone to live a healthy and active daily life, the following programs have been imple-mented. For more information, please contact the
Man-agement Group.
(1) Distribution of discount tickets for natural hot springs facilities
Discount tickets for day-trip natural hot springs fa -cilities are available.
(2) NHI designated hotels
Agreements have been reached with hot spring ho-tels for members to use at a lower rate.
Inquiries: Management Group 03-3981-1923
18. Specially Designated
Health Checkups/Specially
Designated Health Classes
Specially designated health checkups and specially designated health classes focusing on metabolic syn-drome are conducted to prevent lifestyle-related ill-nesses.
on identifying metabolic syndrome patients and poten-tial patients.
(2) Specially Designated Health Classes Specially designated health classes are sessions in which persons who need to improve lifestyle according to the result of the checkups can receive support from specialists (public health nurses and nutritionists, etc.) and advice on how to prevent or eliminate metabolic syndrome, so that each person can reconsider improv-ing their own lifestyle.
To maintain good health, it is most important to pre-vent illness from happening. Please take advantage of
this service to relect on your own lifestyle and design
a health maintenance routine that best suits you. (privi-leges related to your health can be granted).
Inquiries: Health Group, Community Health Section
03-3987-4660
19. Diabetes Prevention Health
Class
Targets
Residents with a count of between 6% and 6.4% of HbA1c (glycated hemoglobin) as measured during spe-cially designated health checkups are eligible for this program if they do not take medication for diabetes. However, those eligible for the specially designated health class may not enter the program.
pre-venting the onset of diabetes and supporting healthier life by helping people understand the benefits of im-proving their lifestyles.
Inquiries: Health Group, Community Health Section
03-3987-4660
20. The Medical Care System for
Older Senior Citizens
This is a medical insurance program mainly for those who are 75 years of age and older. When you turn 75, you withdraw from the insurance plan you were enrolled in and become a member of the Medical Care System for Older Senior Citizens.
Please call the Elderly Medical Insurance and Pension Section for more information on eligibility requirements, enrollment procedures and insurance premiums.
Inquiries: Health Insurance for the Elderly Group;
National Health Insurance Section,
Resident Division
Toshima City
2-45-1 Minami-ikebukuro, Toshima-ku, Tokyo
Tel: 03-3981-1111 (main switchboard)
Paying your NHI premiums using an invoiceIf you cannot pay your NHI premiums by automatic
