본문 바로가기
카테고리 없음

Health Insurance

by adnanatal 2024. 1. 14.
반응형

Health Insurance

Employee Health Insurance Program (shakai hoken)

Shakai Hoken is a public insurance program for employees and their families to receive medical benefits or allowances when needed, e.g. in cases that they are injured or sick outside of work. Employers will pay a portion of the insurance program fee. Ask your employer for your application.

 

National Health Insurance (kokuho)

The National Health Insurance (PSP) provides insurance to get immediate treatment during a sudden illness or injury. This is the medical insurance system where the member gives an initial contribution as a cooperation to all.

 

How Foreign Residents Can Join PSP in Hamamatsu

A person who is registered as a resident of Hamamatsu will go to the National Health Insurance of Hamamatsu. But, the next person is different. :

Those with workplace health insurance. Dependents of that person.

PSP insurance companies.

This person is included in the Medical Care System for the elderly.

Recipients of assistance under the Daily Living Protection Act

Foreigners who are not registered as residents in Hamamatsu.

Unsupported and institutionalized children under the Child Welfare Act.

 

Necessary Procedures

 

1. When joining the PSP

Once you move to Hamamatsu

When a PSP insured gives birth

When you leave Employee Health Insurance or have a family member who ceases to be a dependent

When you stop receiving public assistance

PSP premiums must be paid from the month you become eligible for PSP and not the month you apply, even if you apply late. Medical bills incurred during payment delays are not covered by insurance.

 

2.When resigning from PSP

When you leave Japan

When you move away from Hamamatsu

In case of death

When you are enrolled in Employer Health Care or a family member becomes a dependent

When you start receiving public assistance

3.Other Occasions Requiring Submission of Documents

When you move residence within Hamamatsu

When the head of the household changes

When a household separates or merges

When lost, soiled or torn it can no longer be used

 

Items needed

In order to apply for National Health Insurance, the residence card and individual number are required.If there is a member of your family who belongs to PSP please bring their insurance card. Call to find out the necessary documents for other procedures.

Contact

Division of Insurance for Senior Citizens

 

Premium Payment Policy

The cost is calculated from the total revenue, and so on.Insurance premiums paid by individuals are an important source of financial funding, supplementing national cash assistance to provide PSP benefits for medical bills or a lump sum for maternity allowance.

*Premiums must be paid by the due date.

*If it is difficult to pay by the deadline, please contact the Longevity Insurance Division or National Health Insurance and Pension Division of each ward office immediately. 

 

Method of Payment

 

1.Account Transfer Payment

Premiums can be paid through automatic transfers from designated accounts. Apply to the financial institutions where you have an account.

Items needed

Bankbook, Personal seal used to open an account, Insurance card



Items needed

Bankbook, Personal seal used to open an account, Insurance card

2.How to pay with payment slip if 

You will receive a paper (payment slip) to pay the insurance premium. Please pay at a bank / post office or convenience store in Hamamatsu city. 

* You can pay with a credit card, internet banking, or some electronic money using the smartphone app. 

You must pay the insurance premium before the deadline 

If you fail to pay by the deadline, you will receive a reminder or warning. 

Please make sure to pay before the deadline written on the dunning notice or notification form.

You have to pay them till the due date otherwise pay more than this or there is interest.

If you do not pay by the last day of the dunning notice period, you may be subject to seizure of property such as salary and deposits. 

You may have a short-term insurance card or you may need to return your insurance card. It can also be a certificate of qualification (if you have paid all the medical expenses for a doctor and apply for it, you will get the money minus the amount you will pay). 



National Health Insurance Benefits

1. Medical Benefits

You can receive discounted treatments when you show your insurance card at the receptionist's desk of the hospital you went to when you were injured or sick. The difference will be covered by PSP (Hamamatsu city).

Examinations

Treatments

Medicines and injections

Hospitalization and nursing care

House call or treatment from your doctor or nurse at home* National Health Insurance can also be used when you are injured by someone else such as a traffic accident.If you have a traffic accident, please contact the police and National Health Insurance immediately. (If you received money for treatment or received a settlement from the person who caused the accident (perpetrator), you cannot use National Health Insurance. Please consult before settlement.) 



2. Medical bills

PSP will pay your expenses, minus your share, when you get sick while traveling, receive treatment at a hospital not affiliated with PSP or when you pay the full cost of medical treatment.

The PSP will cover the cost, less your share, of therapeutic devices, such as a course, if it is found to be necessary by a doctor.

3.Lump Sum Maternity Allowance

When a person has National Health Insurance and gives birth (including a miscarriage of more than four 4 months of pregnancy), a lump-sum birth allowance will be given. 



4. Funeral Allowance

When a person with National Health Insurance dies, the person who conducts the funeral will receive money for the funeral expenses. 

 

5. Major Medical Bills

When the medical bill in a month exceeds the assigned fee, everything in excess of the assigned fee will be refunded. Receive a notification from the National Health Insurance and Pension Division and apply for a refund at the counter of the National Health Insurance office.

 

6. High cost of long term care combined medical expenses

If the total amount of National Health Insurance and long-term care insurance money you paid in one year is more than the fixed amount, you can apply using the application form sent by National Health Insurance, and the amount you paid by big will be returned. (High cost of long-term care combined medical expenses) 

 

7.Particular health examination *

People between the ages of 40 and 74 who are on National Health Insurance can undergo a specific health check once a year. Take it every year to avoid developing lifestyle related diseases. The consultation ticket (ticket for receiving a specific health check-up) will be sent to the target person at the beginning of April. If you join the National Health Insurance in the middle of the year, please contact the Longevity Insurance Division or the National Health Insurance Pension Division of each ward office to obtain a medical examination ticket.≪Cost (written on the consultation ticket) ≫Free for people aged 40 and 50, 1,500yen for people aged 41 to 49 and 51 to 69, and 500yen for people aged 70 and over .* Specific health examination = Check for diseases related to lifestyle (diabetes, hypertension, dyslipidemia, etc.) 

반응형