Q&A Frequently Asked Questions
Dependent
My wife plans to receive employment insurance (unemployment insurance) after retirement. Can she become dependent until the start day of payment from unemployment insurance.
Yes. Until the start day of payment.
However, if the daily amount of payment is 3,612 yen (5,000 yen for those over 60 years old), you will need to take the procedure to remove it from your dependents when the payment starts.
However, if the daily amount of payment is 3,612 yen (5,000 yen for those over 60 years old), you will need to take the procedure to remove it from your dependents when the payment starts.
My baby was born. Both husband and wife work. Who should our child depend on?
As a general rule, we take out health insurance for people with high income.
Even if the husband is self-employed and enrolled in National Health Insurance, if the income (income) is higher than that of the wife, the child will be enrolled in National Health Insurance.
Even if the husband is self-employed and enrolled in National Health Insurance, if the income (income) is higher than that of the wife, the child will be enrolled in National Health Insurance.
My father is living separately, my mother is dependent on my father. Can I put as my dependents two of them after father's retirement in the same time?
We will make a decision after checking the procedure.
We will check whether the parents' income is within the "income requirements", whether the parents' household has financial support such as other siblings, or whether the parents' income is continuously (3 months or more) remittance exceeding the parents' income.
We will check whether the parents' income is within the "income requirements", whether the parents' household has financial support such as other siblings, or whether the parents' income is continuously (3 months or more) remittance exceeding the parents' income.
Will insurance fee increase if the number of dependents increases?
No, it will not increase.
The insurance fee is determined by the monthly remuneration of the employee (insured person). It does not change even if the number of family members (dependents) increases or decreases.
The insurance fee is determined by the monthly remuneration of the employee (insured person). It does not change even if the number of family members (dependents) increases or decreases.
I recently married a foreign husband. He doesn't have proof of income in Japan. What should we do?
If my husband's income is the same as when he was abroad, he will need proof of income (with translation) before coming to Japan.
If you do not have income for some reason, please submit the "Pledge for Unemployed / No Income" (Download Health Insurance website).
If you do not have income for some reason, please submit the "Pledge for Unemployed / No Income" (Download Health Insurance website).
Insurance fee
When is the standard monthly salary, which is the basis for calculating insurance fee determined?
- Determined when entering the company.
Starting salary, the standard monthly salary is determined also including various allowances. - Regular review once a year
We review all employees (insured persons) once a year.
Every year, it is reviewed based on the total amount of salary paid in April, May, and June, reviewed from September of that year, and used for one year until August of the following year. - When salary changes significantly due to salary increase (decrease) etc. (revised from time to time)
If there is a change in fixed wages due to a salary increase, etc., and the monthly salary changes significantly, and if there is a difference of 2 grades or more compared to the previous grade, the standard monthly salary will be re-determined. - Suspension of business, parental leave end in after giving birth and become the reduction of working hours duty and re-determine standard pay for the amount of 3-month average by the proposal of the employee (person insured) after suspension of business, a month to belong on the next day on the end day of the parental leave in after giving birth when salaries decreased (after giving birth, the parental leave end revision).
The number of dependents has increased. Will insurance fee rise?
Insurance fee will not increase.
It is determined by the standard monthly salary of employees (insured persons) regardless of the number of dependents.
On the other hand, the National Health Insurance pays the premium to each family member, so insurance fee is depending on the number of people.
It is determined by the standard monthly salary of employees (insured persons) regardless of the number of dependents.
On the other hand, the National Health Insurance pays the premium to each family member, so insurance fee is depending on the number of people.
I left the company on the 15th of the month. Is insurance fee calculated on a daily basis?
It is not prorated. Insurance fees are calculated on a monthly basis.
In other words, if you enter to the company on the 15th of the month, one month's payment will be deducted from your salary the following month.
On the other hand, if the retirement date is the 15th of the month, no insurance fee will be collected.
However, if you retire at the end of the month, you will be enrolled for one month from the first day to the end of the month, so one month's insurance fee will be collected.
In other words, if you enter to the company on the 15th of the month, one month's payment will be deducted from your salary the following month.
On the other hand, if the retirement date is the 15th of the month, no insurance fee will be collected.
However, if you retire at the end of the month, you will be enrolled for one month from the first day to the end of the month, so one month's insurance fee will be collected.
Health insurance card
I lost my health insurance card. I am worried that it will not be overused. What should I do?
Please report to the police immediately. However, the validity of your health insurance card cannot be stopped.
Please be careful when use your health insurance card.
Please be careful when use your health insurance card.
I moved and my address changed. What should I do with the address on the back of my health insurance card?
Please correct the address on the back by yourself.
If there is no margin, please attach the insurance card to the "Application for Reissuance of Insured Person" and submit it. We will issue a new insurance card.
If there is no margin, please attach the insurance card to the "Application for Reissuance of Insured Person" and submit it. We will issue a new insurance card.
The print on my health insurance card has become lighter. What should I do?
Please attach your health insurance card to the "Application for Reissuance of Insured Person" and submit it. We will issue a new insurance card.
Injury and illness allowance
I retired because of illness during my tenure. Can I continue to claim the injury and sickness allowance after retirement?
- The insured period of health insurance continues for one year or more (* 1) until the retirement date (the day before the disqualification date).
- Before the retirement date, there are three or more consecutive days off (* 2) due to inability to work.
- I didn't work on the day of retirement (* 3) because I cannot work.
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Extending the receipt of employment insurance (so-called unemployment benefits).
If you meet all of the above conditions, you will be paid the same injury and illness allowance as when you were insured. (※4)（※1） Even if it is less than one year after joining the health insurance association, if you join the previous health insurance association without any blank day , You can add up both health insurance period.
（※2）In order to receive the injury and illness allowance, it is necessary to meet the so-called "waiting period".
（※3）If you "commute to work (even for a short time)" on the day of retirement, you will not be able to receive benefits after disqualification.
（※4）Since the payment is only for injuries and illnesses that continue to be incapable of working during the period of employment, if you become possible to work after retirement or other injuries and illnesses that newly occurred after retirement. If you become unable to work again after that, you will not be eligible for payment.
I received an injury and illness allowance about three years ago. Can I reclaim with similar symptoms?
You can reclaim if you meet the following conditions after the last payment.
No objective symptoms were found by the doctor's diagnosis, treatment (medication) was completed and it was recognized that he/she could work, there was no problem in daily life, and he/she was in good health for a considerable period of time (*), and he/she consulted and treated at a medical institution. If there is a period of regular work.
（※）Equivalent period is 1 year or more for medical illness, 3 years or more for mental illness such as depression, and chronic illness such as diabetes.
No objective symptoms were found by the doctor's diagnosis, treatment (medication) was completed and it was recognized that he/she could work, there was no problem in daily life, and he/she was in good health for a considerable period of time (*), and he/she consulted and treated at a medical institution. If there is a period of regular work.
（※）Equivalent period is 1 year or more for medical illness, 3 years or more for mental illness such as depression, and chronic illness such as diabetes.
Can I get both an injury and sickness allowance and a maternity allowance?
You cannot get both maternity allowance and injury and illness allowance.
Only maternity allowance will be paid.
If the injury and sickness allowance is paid first, the payment is including maternity allowance.
Only maternity allowance will be paid.
If the injury and sickness allowance is paid first, the payment is including maternity allowance.
I am receiving a disability pension from the welfare pension insurance. Can I get an injury or illness allowance?
If you receive a disability benefit (disability welfare (basic) pension or disability allowance) from the welfare pension insurance for the same injury or illness, and if the amount of the injury or illness allowance is larger than the disability benefit, the difference will be paid as an injury and illness allowance.
If I become unable to work during working hours, will that day be a waiting period?
If you become unable to work due to an injury or illness that occurs during working hours, but the reason is other than work that day will be the first day of the waiting period.
Is it necessary to fill out the consent form of the injury and illness allowance bill every time?
You only need to fill in the first time (first time). (Not required after the second time.)
Notice of medical expenses
Why is the medical expenses I received in December not listed in the medical expenses notification?
It takes more than 3 months for medical expense data to arrive from the medical institution to the health insurance association.
For December, you will be able to view the medical expenses notice (Pep Up) on March 10 (the next business day if it is a Saturday, Sunday, or holiday).
For December, please add the "statement of medical expense deduction" created based on the receipt from the medical institution to the final tax return and attach it. If you attach the "statement of medical expense deduction" prepared by the filer, you need to keep the receipt for 5 years.
For December, you will be able to view the medical expenses notice (Pep Up) on March 10 (the next business day if it is a Saturday, Sunday, or holiday).
For December, please add the "statement of medical expense deduction" created based on the receipt from the medical institution to the final tax return and attach it. If you attach the "statement of medical expense deduction" prepared by the filer, you need to keep the receipt for 5 years.
Why is the actual copayment amount different from copayment amount stated in the medical expense notice?
In the case of publicly funded medical care, medical expenses subsidy by the local government, or refund of high medical expenses, these actual copayment expenses will not be reflected in the medical expenses notification. You should apply by yourself to declare the amount of money that you paid during the year.
Can I make a paper declaration using the medical expense notification printed in the medical expense notification (Pep Up)?
It is not possible to print out electronically issued medical expense notifications and for a file declaration.
When filing a tax return in writing, the original medical expense notification issued by the Japan Health Insurance Association must be attached, or the statement of medical expense deduction must be prepared and attached by the filer himself / herself.
When filing a tax return in writing, the original medical expense notification issued by the Japan Health Insurance Association must be attached, or the statement of medical expense deduction must be prepared and attached by the filer himself / herself.
Should I save receipts from medical institutions for the amount stated in the medical expense notification, it will be necessary in the future?
If you attach a notification of medical expenses to your tax return, you do not need to save a receipt for the medical expenses stated in the notification of medical expenses. However, for medical expenses not stated in the medical expense notification, attach the "statement of medical expense deduction" created based on the receipt from the medical institution to the final tax return, and you need to keep those receipts for 5 years.
Can I use it for final tax return without checking the contents described in the medical expense notification?
Even if you attach a medical expense notice to the medical expense deduction, please be sure to check it with your receipt.
If there are any differences, please correct them yourself.
In addition, if there are medical expenses that can be declared that are not listed in the medical expenses notification, or if there are shortages, etc., please make a statement of medical expenses deduction by yourself based on the receipt and declare it.
Please note that the following points are related to the amount of medical expenses deduction.
If there are any differences, please correct them yourself.
In addition, if there are medical expenses that can be declared that are not listed in the medical expenses notification, or if there are shortages, etc., please make a statement of medical expenses deduction by yourself based on the receipt and declare it.
Please note that the following points are related to the amount of medical expenses deduction.
- Having non-publication information or not
If the medical institution delays the billing of medical expenses to the Japan Health Insurance Association, the posting of medical expenses in the notification will be delayed too.
In addition, if you didn't use your health insurance card for free medical treatment, it will not be posted in the medical expense notification. - Confirmation of copayment
Medical expenses such as (family), lump-sum childbirth and childcare allowance, high-cost medical expenses, partial return, etc., or if there is a subsidy from the local government, etc. If the amount of medical expenses is not reflected in amount stated in the notice, you need to correct it by yourself and declare it.
Please contact each local government for the medical expenses subsidy system unique to each local government.
Medical examination
Can I change the barium examination of the stomach to a gastrocamera examination?
You can change it if the examination institution can perform gastrocamera examination.
However, you have to pay for the difference in costs incurred by changing the barium test to a gastrocamera test. Please see the "Consultation Course" above in the cost difference.
In addition, it may be difficult to make an appointment for gastrocamera examination depending on the examination institution, so it is recommended to make an early appointment.
However, you have to pay for the difference in costs incurred by changing the barium test to a gastrocamera test. Please see the "Consultation Course" above in the cost difference.
In addition, it may be difficult to make an appointment for gastrocamera examination depending on the examination institution, so it is recommended to make an early appointment.
What kind of test is the gastric cancer risk(ABC test)?
It is a test to check if you are infected with" Helicobacter pylori "that causes stomach cancer by blood test and classify whether the risk of developing stomach cancer is high or low. The inspection is OK once in a lifetime.
It is not a test to detect stomach cancer, so if you have any symptoms, please see a doctor.
Also, the following people are not suitable for this inspection.
- Helicobacter pylori is transmitted by ingestion (drinking water or mouth transfer from parents) in early childhood.
- Adults have strong stomach acid, so they will not get infected after becoming an adult.
It is not a test to detect stomach cancer, so if you have any symptoms, please see a doctor.
Also, the following people are not suitable for this inspection.
- Those who have received eradication treatment for Helicobacter pylori
- Those with obvious upper gastrointestinal symptoms
- Those who are taking proton pump inhibitors
- Those who are being treated for esophageal, gastric, or duodenal diseases
- After gastrectomy
- People with renal failure
I am 35 years old at the end of the fiscal year, and the target course is a lifestyle-related disease examination (Toshinkyo B course). Can I have a human dock (Toshinkyo D1 course)?
As for the Health Insurance Association, there is no problem if you pay the difference payment by yourself, but depending on the examination institution, such cases may not be accepted, so please check with the examination institution.
I am 40 years old at the end of the year, and the target course is the Human Dock (Toshinkyo D1 course). Can I take a general medical examination (Toshinkyo A2 course)?
You can take a course with a rank lower than the target course, but we have set the test items according to your age, so please take the target course as much as possible.
When I made a phone reservation to a medical examination institution, They asked me the address of the company because the examination results will be sent to the company.
All the examination results will be sent to the examinee's home, so please tell them to send them to your home instead of sending them to the office.
When I made a telephone reservation to a medical examination institution, They told me to contact the Japan Health Insurance Association check of the reservation details.
You do not need to contact the Japan Health Insurance Association with your reservation details.
Do I have to take the Toshinkyo brain test at the same testing institution as the human dock?
You can get a medical examination at a contract examination institution other than the human dock.
I got a judgment result of "re-examination required" or "detailed examination required" in the examination results. Should I go to the health examination again?
For re-examinations and detailed examinations, please go to a medical institution with your own insurance card.
Since the assistance for the health examination is only once a year, you cannot have the health examination two times. As a re-examination or a detailed examination, please note that if you go to the health checkup second time , you will be responsible for the payment.
Since the assistance for the health examination is only once a year, you cannot have the health examination two times. As a re-examination or a detailed examination, please note that if you go to the health checkup second time , you will be responsible for the payment.