Frequently Asked Questions (National Health Insurance)

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Page ID 1001899 Updated on December 25, 2025

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QuestionIs the high-cost medical care system applicable to childbirth expenses?

Response

The high-cost medical expense system does not apply in the case of a normal delivery that is not covered by insurance.
In cases where expensive insurance treatments such as cesarean sections are required, the High-Cost Medical Expense System will apply.
In such cases, we recommend preparing your My Number Health Insurance Card or a Certificate of Application of the Maximum Amount (or a Certificate of Application of the Maximum Amount and Reduction of Standard Burden Amount) in advance.
If you need a Certificate of Application of the Maximum Amount or a Certificate of Application of the Maximum Amount and Reduction of Standard Burden Amount, please bring your qualification confirmation document and complete the procedure at the Insurance and Pension Division or a Branch Office (if there are unpaid insurance taxes, you may not be able to complete the procedure). If you complete the procedure at the Insurance and Pension Division, you can receive the certificate on the same day, but if you complete it at a Branch Office, it will be mailed to you later.

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Inquiries about this page

Inagi City Department of Citizen Affairs Insurance and Pension Division
2111 Higashi-Naganuma, Inagi City, Tokyo 206-8601
Phone number: 042-378-2111 Fax number: 042-377-4781
Contact Us at the Department of Citizen Affairs, Insurance and Pension Division, Inagi City