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.
Operated by an organization called the Kanagawa Prefecture Wide Area Union for the Late-stage Medical Care System for the Elderly.

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 Certificate of Eligibility

When visiting hospitals or pharmacies, please use your Myna Health Insurance Card or Certificate of Eligibility. By presenting the Certificate of Eligibility, you can receive medical treatment using health insurance. The amount paid at the hospital or pharmacy counter is calculated based on the applicable copayment rate according to the individual’s income.
For the time being, under the Advanced Elderly Medical Service System, Confirmation of Eligibility will be issued to all beneficiaries.

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 using your Myna Health Insurance Card or presenting a Certificate of Eligibility showing your copayment limit category when you visit a medical institution.
If you need a Certificate of Eligibility showing the copayment limit category, please apply at the Insurance Section of the Insurance and Pension Division at your local ward office.