Notification of National Health Insurance Eligibility Confirmation Documents and Eligibility Information to be Sent from August 1

From December 2, 2024, the system has been based on using the My Number Card as a Health Insurance Card, called the My Number Health Insurance Card.

Since the currently issued Health Insurance Cards and qualification confirmation documents will expire between the end of July and the end of September, 2025, qualification information will be sent to those who have a My Number Health Insurance Card, and qualification confirmation documents will be mailed to those who do not, sequentially addressed to the head of the household from mid-July 2025. If there are members in the household who have a My Number Health Insurance Card and those who do not, they will be sent by separate mailings.

From August of Reiwa 7 onwards, please present either the My Number Health Insurance Card or the qualification confirmation document sent by mail this time when visiting medical institutions.

Note: People aged 75 and over are covered by the Late-Stage Elderly Medical Care system (not National Health Insurance).

Validity Period of My Number Health Insurance Card, Paper Health Insurance Card, and Qualification Confirmation Document

The My Number Health Insurance Card does not have an expiration date, so it can be used as is.

The paper Health Insurance Card is valid until September 30, 2025, in principle.

The paper qualification verification document is generally valid until July 31, 2025.

From August 2025 onwards, those who do not have a My Number Health Insurance Card should present the qualification confirmation document sent by mail this time to medical institutions when receiving medical treatment.

Recipients of Qualification Confirmation Documents and Qualification Information Notices

For those who have a My Number Health Insurance Card, a notification of qualification information will be issued.

For those who do not have a My Number Health Insurance Card, a qualification confirmation document will be issued.

Notification of Qualification Information

If the My Number Health Insurance Card cannot be read by the medical institution's card reader, you can receive medical treatment by presenting this along with the My Number Health Insurance Card.

Qualification Confirmation Document

You can receive medical treatment by presenting it at the medical institution's reception desk, just like the current paper Health Insurance Card.

Is the information correct?

The qualification confirmation document and qualification information notice are created based on information as of June 26. Please contact us if there are any discrepancies with the current situation.

Are you enrolled in social insurance or the National Health Insurance Association?

You need to complete the procedure to withdraw from the National Health Insurance. Please proceed as soon as possible.

• Notification in such cases

About the Expiration Date

The expiration date is as stated on the ticket.

• For those whose period of stay expires by July 31, 2027 = Until the period of stay expires
• For those other than the above = Until July 31, 2027

Expired Health Insurance Cards, Qualification Confirmation Documents, and Qualification Information Notices can be discarded by yourself with attention to personal information.

For those aged 70 to 74

For those aged 70 to 74, the co-payment rate will be either 30% or 20% depending on income. Until December 2024, a certificate for older adults indicating the co-payment rate was issued, but with the My Number Health Insurance Card, you can check the co-payment rate online, and the qualification confirmation document includes the co-payment rate. Therefore, when visiting a medical institution from August 2025 onward, please present either the My Number Health Insurance Card or the qualification confirmation document sent to you this time.

Expiration Date (For those aged 70 to 74)

The validity period of the qualification confirmation document and qualification information notice is until July 31, 2027. (For those who will turn 75 years old by July 31, 2027, it is until the day before their birthday.)

If there is a change in the burden ratio before the expiration date, a new qualification confirmation document and qualification information notice will be sent again.

Expired Health Insurance Cards, Qualification Confirmation Documents, and Qualification Information Notices can be discarded by yourself with attention to personal information.

Self-Payment Ratio at Medical Institution Counters

Income and Self-Payment Ratio

Resident Taxable Income for Those Aged 70 and Over (National Health Insurance Members)	Self-Payment Ratio
Less than 1.45 million yen	20%
1.45 million yen or more	30%

• Even for those subject to a 30% burden, if the total income in 2024 of National Health Insurance members aged 70 or older is confirmed by the city to be less than 3.83 million yen for one person, or less than 5.2 million yen for two or more people, the burden will be 20%.
• For National Health Insurance members aged 70 and over, if the total "amount of income after basic deduction" is 2.1 million yen or less, the burden will be 20%.