Updated：January 18, 2023
Latter-Stage Elderly Healthcare System
Individuals aged 75 and older—and individuals 65 and older confirmed by the Tokyo Metropolitan Association of Medical Care Services for Older Senior Citizens as having a designated level of disability upon application—join the latter-stage elderly healthcare system rather than public health insurance such as NHI. This applies to everyone from the day they turn 75 years of age, regardless of the health insurance plan they have been enrolled in until that time.
In this system, out-of-pocket expenses when a patient receives medical care at a hospital or other medical facility total 10% of the medical expenses incurred (30% for those whose income exceeds a certain amount).
* Please note that the system maybe revised and changed.
Those Who are Ineligible for the Latter-Stage Elderly Healthcare System
- Those who have not completed resident registration in Chuo City
- Those who receive public assistance
- Anyone in Japan under the visa status of designated activities for one of the purposes below:
- Receiving medical treatment (including anyone providing daily support for the patient)
- Living in Japan for one year or less for sightseeing, rest or other similar activities (including accompanying spouses)
When Notifications are Necessary
If any of the events below occur, or if one of the following situations applies to you, complete the necessary procedures within 14 days at the Health Insurance and Pension Section of the City Office
- Completing your resident registration at Chuo City
- Moving out of Chuo City or leaving Japan
- Changing your address
- Passing away
- Starting to receive public assistance
- Reissuance of your insurance card due to loss or other reasons
- If you are between the ages of 65 and 74 with qualifying disabilities (voluntary enrollment)
Inquiries:
Qualification Subsection, Health Insurance and Pension Section (Chuo City Office)
Tel:03-3546-5362
Insurance Premiums under the Latter-Stage Elderly Healthcare System
Those who have joined the latter-stage elderly healthcare system become insured, and each must pay an insurance premium. If you receive a pension that exceeds a certain amount, the insurance premium is deducted from your pension.
Inquiries:
Receiving Subsection, Health Insurance and Pension Section (Chuo City Office)
Tel:03-3546-5365
Benefit Payments, Etc.
Reimbursements for high medical expenses, funeral fees, and summer facilities are the same as for National Health Insurance.
Inquiries:
Benefits Subsection, Health Insurance and Pension Section (Chuo City Office)
Tel:03-3546-5360
Let us know your opinions for a better website.
中央区トップページ > Multilingual > Chuo City Living Guide > About the health and Welfare System > Latter-Stage Elderly Healthcare System