Medical Care System for the Older Senior Citizen

Under the Medical Care System for the Older Senior Citizen, enrolled members (aged 75 and older) pay premiums according to their income and other factors to cover the costs of illness and other medical expenses. A member that presents his/her Medical Care System for the Older Senior Citizen Insurance Card at a hospital counter will only have to pay for a portion of the treatment. The system pays the rest.
When you turn 75, you will be required to withdraw from National Health Insurance or the employee health insurance program you are enrolled in and join the Medical Care System for the Older Senior Citizen.
For more information about the Medical Care System for the Older Senior Citizen, click here.

For more information about the personally-borne expense, click here.

For more information about insurance benefits, please click here.

Those Who Are Eligible

All registered residents of Shinjuku City aged 75 and above.
Note: Those who are between 65 and 74 years of age and have certain disabilities can voluntarily enroll before reaching the normal eligible age.

However, enrollment is not permitted for some individuals, such as those listed below:
1.If your status of residence is “Diplomat” or for medical purposes or tourism/vacation within “Designated Activities.”
2.Those who stay in Japan beyond the designated period of stay or those whose period of stay stated on the visa (e.g., short-term visa) is three months or less (The latter exclude those who have some form of documentation that verifies their actual period of stay will be longer than three months.)
3.Those who are receiving public financial assistance for everyday living
Please call for more information on enrollment requirements.
Inquiries:
Elderly Health Section, Elderly Health Division
Tel: 03-5273-4562

Acquisition of Eligibility

Eligibility for insurance does not start from the date of application, but instead dates back to the date by which enrollment should have been completed.
1.If you reach 75 years of age (from your 75th birthday)
2.If you are 75 years of age or older and move into Tokyo (enter Japan) from another area (A notification form must be filed.)
3.If you are 65 years of age or older and are confirmed by the Tokyo Metropolitan Association of Medical Care Services for Older Senior Citizens as having a designated level of disability (An application form must be filed.)
4.If other conditions, such as the termination of public financial assistance for everyday living, apply (A notification form must be filed.)

Loss of Eligibility

If you lose your eligibility for membership, you must return your health insurance card.
1.If you move out of Tokyo (leave Japan) or return to your home country (A notification form must be filed.)
2.If a member dies
3.If you are between 65 and 74 years of age and no longer have a designated level of disability or if you request to withdraw your application to have your disability confirmed. (Note: You must submit a withdrawal application form.)
4.If other conditions, such as you start receiving public financial assistance for everyday living, apply (A notification form must be filed.)