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Joining and leaving the National Health Insurance scheme(国民健康保険の加入・脱退について)

Last updated date:2026/3/1

About the National Health Insurance scheme

Health insurance schemes provide partial or total coverage for medical expenses incurred in the course of examinations and treatment at medical institutions.
In Japan, there are the following health insurance schemes: "employee health insurance," which people sign up for through their workplace; the "Advanced Elderly Medical Service System," which people aged seventy-five and over sign up for; and "National Health Insurance," which everyone else signs up for.
In this case, "everyone else" refers to people who are not signed up for another health insurance scheme, which includes self-employed people, those working in the agricultural sector, retirees, etc.
If you are not signed up for employee health insurance through your workplace, the "Advanced Elderly Medical Service System," or receiving public assistance, please make sure to sign up for National Health Insurance at the municipality in which you live.
*Please inquire at your workplace for more information on employee health insurance. Please click the link for more information on the "Advanced Elderly Medical Service System".
*Non-Japanese residents are also required to sign up for health insurance if staying in Japan for more than 3 months.
*Foreign language guidebooks translated into English, Chinese, Korean, Spanish, and Portuguese are available on the website. Please visit the link to download a copy.

Who needs to sign up for health insurance?

There are the following health insurance schemes: "employee health insurance," which people sign up for through their workplace; the "Advanced Elderly Medical Service System," which people aged seventy-five and over sign up for; and "National Health Insurance," which everyone else signs up for.
Anyone who is not signed up for employee health insurance through their workplace, the "Advanced Elderly Medical Service System," or receiving public assistance is required by law to sign up for National Health Insurance.

About the Certificate of Eligibility and Notice of Eligibility Information
Depending on whether you are registered to use the Myna Health Insurance Card (IndividualNumber Card (My Number Card) registered for health insurance use), you will be issued either an “Notice of Eligibility Information” or an “Certificate of Eligibility.”:
・If you do not have a Myna Health Insurance Card: you will be issued a Certificate of Eligibility*1.
・If you have an 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: You can use this to check the insurance information that has been registered.

When you need to submit notification

If any of the following 3 items apply to you, you need to notify the National Health Insurance Section at the ward office of the ward in which you currently live within 14 days of applicability.
(Click on the item to check what you need to submit.)

(1) If joining the National Health Insurance scheme

(2) If leaving the National Health Insurance scheme

(3) Other

  1. Documents that can confirm the date your previous health insurance coverage ended
    (Certificate of Loss of Health Insurance Eligibility, My Number Card with Myna Portal eligibility screen, etc.)
  2. A form of personal identification (resident card, passport, Individual Number card, driver's license, etc.)
  1. A form of personal identification (resident card, passport, Individual Number card, driver's license, etc.)
  1. Notification of revocation or suspension of public assistance
  2. A form of personal identification (resident card, passport, Individual Number card, driver's license, etc.)
  1. Mother and Child Health Handbook
  2. A form of personal identification for the person coming to submit notification (resident card, passport, Individual Number card, driver's license, etc.)
  1. Documents that can confirm the date you obtained eligibility for your current health insurance
    (Certificate of Eligibility, Notice of Eligibility Information, Certificate of Health Insurance Eligibility Acquisition, My Number Card with Myna Portal eligibility screen, etc.)
  2. Certificate of Eligibility for National Health Insurance previously used
    *If you have moved or if the details on your Certificate of Eligibility, such as the name of the head of the household or the address, have changed, please bring the Certificate of Eligibility for all members of your household.

From the date you joined your workplace's health insurance scheme or National Health Insurance Society onward, you are no longer entitled to use your Certificate of Eligibility, etc. for City of Yokohama National Health Insurance.If you do, you may be asked to pay back any medical fees that the City of Yokohama has covered.

  1. Certificate of Eligibility for National Health Insurance previously used
    *If you have moved or if the details on your Certificate of Eligibility, such as the name of the head of the household or the address, have changed, please bring the Certificate of Eligibility for all members of your household.

From the day you move out of Yokohama City onward, you are no longer entitled to use your Certificate of Eligibility, etc. for City of Yokohama National Health Insurance. If you do, you may be asked to pay back any medical fees that the City of Yokohama has covered.

  1. Public Assistance Benefit Decision Notice
  2. Certificate of Eligibility for National Health Insurance previously used
    *If you have moved or if the details on your Certificate of Eligibility, such as the name of the head of the household or the address, have changed, please bring the Certificate of Eligibility for all members of your household.
  1. Something certifying that the health insurance cardholder has died
  2. Certificate of Eligibility for National Health Insurance previously used
    *If you have moved or if the details on your Certificate of Eligibility, such as the name of the head of the household or the address, have changed, please bring the Certificate of Eligibility for all members of your household.

*Please submit notification at the ward office of the ward in which your new home is located.

  1. Certificate of Eligibility for National Health Insurance previously used in another ward
  2. A form of personal identification (resident card, passport, Individual Number card, driver's license, etc.)
  1. Certificate of Eligibility for National Health Insurance previously used
    *If you have moved or if the details on your Certificate of Eligibility, such as the name of the head of the household or the address, have changed, please bring the Certificate of Eligibility for all members of your household.
  2. A form of personal identification (resident card, passport, Individual Number card, driver's license, etc.)
  1. Student registration certificate
  1. In cases of loss: documents showing the insured person number, such as a notice of insurance premium determination or payment slips.In cases of damage: the damaged Certificate of Eligibility, etc.
  2. A form of personal identification (resident card, passport, Individual Number card, driver's license, etc.)
Where to inquire (*Inquiries in Japanese only)
ContentContact details

About these procedures
(If you live in Tsurumi-ku)

Tsurumi Ward Health Insurance and Pension Division
Tel: 045-510-1807 Fax: 045-510-1898

About these procedures
(If you live in Kanagawa-ku)

Kanagawa Ward Health Insurance and Pension Division
Tel: 045-411-7124 Fax: 045-322-1979

About these procedures
(If you live in Nishi-ku)

Nishi Ward Health Insurance and Pension Division
Tel: 045-320-8425, 045-320-8426
Fax: 045-322-2183

About these procedures
(If you live in Naka-ku)

Naka Ward Health Insurance and Pension Division
Tel: 045-224-8315, 045-224-8316
Fax: 045-224-8309

About these procedures
(If you live in Minami-ku)

Minami Ward Health Insurance and Pension Division
Tel: 045-341-1126 Fax: 045-341-1131

About these procedures
(If you live in Konan-ku)

Konan Ward Health Insurance and Pension Division
Tel: 045-847-8425 Fax: 045-845-8413

About these procedures
(If you live in Hodogaya-ku)

Hodogaya Ward Health Insurance and Pension Division
Tel: 045-334-6335 Fax: 045-334-6334

About these procedures
(If you live in Asahi-ku)

Asahi Ward Health Insurance and Pension Division
Tel: 045-954-6134 Fax: 045-954-5784

About these procedures
(If you live in Isogo-ku)

Isogo Ward Health Insurance and Pension Division
Tel: 045-750-2425 Fax: 045-750-2545

About these procedures
(If you live in Kanazawa-ku)

Kanazawa Ward Health Insurance and Pension Division
Tel: 045-788-7835, 045-788-7836
Fax: 045-788-0328

About these procedures
(If you live in Kohoku-ku)

Kohoku Ward Health Insurance and Pension Division
Tel: 045-540-2349 Fax: 045-540-2355

About these procedures
(If you live in Midori-ku)

Midori Ward Health Insurance and Pension Division
Tel: 045-930-2341 Fax: 045-930-2347

About these procedures
(If you live in Aoba-ku)

Aoba Ward Health Insurance and Pension Division
Tel: 045-978-2335 Fax: 045-978-2417

About these procedures
(If you live in Tsuzuki-ku)

Tsuzuki Ward Health Insurance and Pension Division
Tel: 045-948-2334, 045-948-2335
Fax: 045-948-2339

About these procedures
(If you live in Totsuka-ku)

Totsuka Ward Health Insurance and Pension Division
Tel: 045-866-8449 Fax: 045-871-5809

About these procedures
(If you live in Sakae-ku)

Sakae Ward Health Insurance and Pension Division
Tel: 045-894-8425 Fax: 045-895-0115

About these procedures
(If you live in Izumi-ku)

Izumi Ward Health Insurance and Pension Division
Tel: 045-800-2425, 045-800-2426, 045-800-2427
Fax: 045-800-2512

About these procedures
(If you live in Seya-ku)

Seya Ward Health Insurance and Pension Division
Tel: 045-367-5725, 045-367-5726
Fax: 045-362-2420

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