National Health Insurance

All individuals, except those who are enrolled in their workplace health insurance or are receiving welfare assistance, must join the National Health Insurance.

• For those with a My Number Health Insurance Card, an "Eligibility Information Notice (A4)" is provided. (The insurer information in the My Number Card will be automatically updated the day after the eligibility notification is submitted.)
• For those without a My Number Card or who have not registered it as their health insurance card, an "Eligibility Certificate (Paper Card type)" will be issued.
• When receiving medical treatment, always present your My Number Health Insurance Card or NHI Eligibility Certificate at the medical institution's counter.
• Additionally, individuals aged 75 and older (or those aged 65 and older who are certified as disabled) will receive medical care through the Elderly Medical Care System.

When receiving treatment for illness or injury, 70% or 80% of the medical expenses will be covered according to the burden category (you will be responsible for the remaining 30% or 20%).
Other benefits include medical expenses, high-cost medical treatment benefits, high-level nursing care combined medical expenses, childbirth lump-sum benefits, and funeral expenses.

Please report any changes within 14 days of occurrence.
If you are enrolled in National Health Insurance, please bring your My Number Health Insurance Card or National Health Insurance Eligibility Certificate.
For foreigners, a residence card is also required.

If you are injured in a traffic accident, the responsible party is usually required to pay for your treatment. You can receive treatment under NHI, but the insurance will later claim the costs from the responsible party. If using NHI for treatment, you must report the accident.

• My Number Health Insurance Card or NHI Eligibility Certificate
• Personal seal (Inkan)
• Traffic accident certificate

 If you present an "Eligibility Certificate for Ceiling-Amount" at the medical facility counter, the payment will be limited to the ceiling amounts as listed below. You can apply for the "Eligibility Certificate for Ceiling-Amount" at the Town Hall (Health and Welfare Division, Health Insurance Section). Please bring your My Number Health Insurance Card or NHI Eligibility Certificate, and a personal seal. If you cannot apply for the ceiling amount certification in advance, you will need to pay the costs upfront at the counter, then apply to NHI for reimbursement. Once approved, you will be reimbursed for the high-cost medical expenses.                                    
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• 【A】When there is a NHI insured person (including the fictitious head of household) in the household who is subject to resident tax, and the total gross income after basic deductions of the NHI insured person (excluding the fictitious head of household) in the household exceeds 9.01 million yen
• 【B】 When there is a NHI insured person (including the fictitious head of household) in the household who is subject to resident tax, and the total gross income amount after basic deductions of the NHI insured person in the household (excluding the fictitious head of household) is more than 6 million yen but not more than 9.01 million yen
• 【C】 When all the insured persons in the household (including the fictitious head of household) are subject to resident tax, and the total gross income after basic deductions of the insured persons in the household (excluding the fictitious head of household) is more than 2.1 million yen but less than 6 million yen
• 【D】When all the NHI insured persons in the household (including the fictitious head of household) are subject to resident tax and the total income amount after basic deductions of the insured persons in the household (excluding the fictitious head of household) is 2.1 million yen or less
• 【E】 When all of the NHI insured persons in the household (including the fictitious head of household) are exempt from resident tax

*If there is someone in your household who has not filed an income tax return, the household's income cannot be determined and you will be treated as category "Income Category A."​​Regardless of whether you have an income or not, you must file an income tax return (resident tax return and final tax return).

*If you have received high-cost medical care benefits exceeding the limit four or more times within the past 12 months, you will receive the "multiple times" payment.

• Persons with income comparable to active workers (4): If there are NHI insured persons aged 70-74 with taxable income of 1.45 million yen or more in the household.

However, following cases (1~4) fall under fall under General (3).   

1. A household with one NHI insured person aged 70-74 with an income of less than 3.83 million yen
2. The income is 3.83 million yen or more, but there is someone in the same household who has been transferred to the Medical Care System for the Advanced Elderly and the total income is less than 5.2 million yen.
3. There are two or more NHI insured persons aged 70 to 74 in the household, and the total income is less than 5.2 million yen.
4. A household with NHI insured person who will turn 70 years old after January 2015,  and the total of the gross income after deducting the basic insurance premiums of 70-74 year-old insured (excluding fictitious household head) is less than 2.1 million yen.

• [Low-income earner (2)]

All the NHI insured persons in the household (including the fictitious head of household) are exempt from resident tax.

• [Low-income earner (1)]

When you are a low-income earner (2) and are a NHI insured person between the ages of 70 and 74 (including fictitious heads of household), with individual pension deduction of 800,000 yen, and income of 0 yen.

• [General household (3)] In case that it does not correspond to any of the above income divisions

*If there is someone in your household who has not filed an income tax return, the household's income cannot be determined and you will be treated as category「General (3)」​Regardless of whether you have an income or not, you must file an income tax return (resident tax return and final tax return).

*If you have received high-cost medical care benefits exceeding the limit four or more times within the past 12 months, you will receive the "multiple times" payment.

For details, please see the following page.

For details, please see the following page.

Starting in June 2025, we have launched the health app "kencom" for Niseko Town NHI enrolled persons aged 19 and over.
For more details, please see the following page.

You can download the files from the following link:
(For procedures not listed here, please contact us below.)