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National Health Insurance benefits

Medical benefits

You can reduce medical expenses by showing your insurance certificate at the reception before consulting a doctor. You can take the following medical treatments and pay only a part of the total expenses incurred. The rest will be covered by the NHI.

• Examinations
• Treatments
• Medication or injections
• Admission and nursing (excluding diet regimen)
• Home care (home visits by a personal physician) and nursing

Medical expenses

• Total expenses for medical services minus individual payments will be covered by the NHI when an insured got ill during a trip or when he/she made advances of the total expenses for a doctor's consultation, and the said doctor does not deal with the NHI.
• The insurance will, when the need is certified by a doctor, also cover expenses related to orthopedic equipment, minus individual payments.

Lump sum birth allowance

An insured who had a baby (or a stillbirth after 4 months) can receive a lump sum birth allowance.

Lump sum funeral allowance

The person in charge of the funeral of an insured can receive a lump sum funeral allowance.

Major medical expenses

In case the total amount of medical expenses incurred by an individual in one month exceed a certain amount, this exceeded amount will be reimbursed by the NHI after the insured applies to the NHI authority.

When involved in an accident...

It is important to report immediately to the police and the NHI authority when involved in a traffic accident, as the NHI can cover for injuries even when inflicted by a third party. However, this coverage becomes void if the insured has accepted money from the assailant or reached an out-of-court settlement. Please ask the authorities for advice before reaching such kinds of settlement.

For more information, please contact:

National Health Insurance and Pension Department, Benefits Office
(Kokuho Nenkinka, Kyufu Kakari)
City Hall, Main Building, 2nd floor, TEL.: 0848-25-7142