What is health insurance?

What is health insurance?

With health insurance,the insured(employee)and the business owner (company) share insurance premiums, and each other provides medical care and cash necessary when the person or family is ill, injured, giving birth, or dies. This system was born with the purpose of alleviating anxiety in daily life.

Business and mechanism

事業と仕組みの図

About insurance card

Health insurance card

When you join the health insurance association, you will be issued a" health insurance card (health insurance card) "as proof of your qualification.
Please be careful when storing your health insurance card and use it carefully.
In the unlikely event that you lose it, please report it to the police and then reissue it to the Japan Health Insurance Association via the company.
Fujisoft Health Insurance Card
Precautions for use

How to use your health insurance card at the hospital

Explanation about the mechanism and benefits of receiving medical treatment using a health insurance card at a hospital.
If you show your health insurance card to the hospital window, you can receive medical services by paying 30% of the medical expenses. So where is the remaining 70% borne? do you know? Actually, it has the following mechanism.

Benefit ratio

Compulsory education until preschool

80% benefit
【Health insurance burden】
20%
【Patient burden】

After entering compulsory education-69 years old

70% benefit
【Health insurance burden】
30%
【Patient burden】

Health insurance cannot be used in such cases

Illness or injury during work or commuting
Please treat with workers' accident compensation insurance.
Treatment for mere fatigue and recovery from fatigue
However, if you continue to be tired and suspect that you are ill, you will be covered by health insurance.
Cosmetic surgery for beauty
However, if strabismus interferes with labor, you will be covered by health insurance for cleft lip and palate, plastic surgery for treating injuries, and armpits that cause significant discomfort to others.
Medical examination
The health insurance association provides subsidies as a health business.
Preventive vaccine
However, it is allowed in cases of tetanus, rabies, measles, whooping cough, etc., which are at risk of infection.
Normal pregnancy, childbirth
However, if you need to be treated, such as toxemia of pregnancy or abnormal childbirth, you will be covered by health insurance.
Advanced medical care under study
However, if you receive a medical examination specified by the Minister of Health, Labor and Welfare at a "specified approved insurance medical institution" such as a university hospital approved by the prefectural governor, you will be covered by health insurance.
Abortion surgery for financial reasons
However, abortion surgery based on the Maternal Health Act is covered by health insurance.