The Advanced Elderly Medical Service System（後期高齢者医療制度）

All people aged 75 years and over sign up for this health insurance scheme. Those between the ages of 65 and 74 years can also receive approval for this scheme if they have certain disabilities.
The health-care system for people aged seventy-five and over is administered at the prefectural level by an organizations called the Kanagawa Prefecture Wide Area Union for the Late-stage Medical Care System for the Elderly.
Please show your health insurance card when going for a consultation at a medical institution. The amount you pay will be calculated according to your income or earnings.

Please submit notification in the following cases at the National Health Insurance Section, Health Insurance and Pension Division of the ward office of the ward where you live.

• If you move in to Yokohama City
• If you move out of Yokohama City or leave the country
• If your address or name changes
• If someone in your family dies
• If you start or stop receiving public assistance
• If you lose your health insurance card or Certificate of Eligibility

You can use your paper health insurance card (light blue) until July 31, 2025.
Even after you have stopped using your paper health insurance card, please do not throw it away until July 31, 2025.
Those who have not registered for the Individual Number card (My Number card) after paper health insurance cards have been discontinued (from December 2, 2024):
・If you have not registered for the Individual Number card, you will be issued a Certificate of Eligibility*1.
・If you have registered for the Individual Number card, you will be issued a Notice of Eligibility Information*2.
*1 Certificate of Eligibility: You can show this to a hospital or other medical institution to receive treatment covered by health insurance.
*2 Notice of Eligibility Information: This will be sent so that you can check the insurance information registered in July 2025. Until July 31, 2025, a Certificate of Eligibility will also be issued to those who have registered.

Your annual health insurance premium amount is calculated by totaling up the fixed amount that all insured persons pay equally, and an income-based amount which insured persons pay according to their income in the previous year. The health insurance premium is divided into monthly payments from the month you joined the scheme until the previous month from the day you leave the scheme.
You can pay by having the amount deducted from your pension, direct debit from your bank account or using a payment slip.

Please consult with the National Health Insurance Section, Health Insurance and Pension Division of the ward office of the ward where you live.

In accordance with the law, you will receive a reminder in the post, and may face action including the seizure of assets.

If you have high medical costs or copayments for both high medical care and long-term care costs, you can receive medical care benefits for the portion which exceeds the maximum amount. Please apply at the National Health Insurance Section, Health Insurance and Pension Division of the ward office of the ward where you live.

You can receive a reduction on the amount you pay up to a maximum amount by showing a Certificate of Maximum Amount Applicability/Reduction in Standard Burden Amount when you visit a medical institution. To be issued with this certificate, you need to apply at the National Health Insurance Section, Health Insurance and Pension Division of the ward office of the ward where you live.