Health Insurance System

Use of an Individual Number Card as a Health Insurance Card

Due to legal revisions, the Individual Number Card and the Health Insurance Card will be integrated, and Health Insurance Cards will no longer be issued after December 2, 2024.

Use of an Individual Number Card as a Health Insurance Card

With the integration of the Individual Number Card and the Health Insurance Card, the Health Insurance Card will be abolished, and you will be able to use your Individual Number Card (Individual Insurance Card) that you have registered as your health insurance card to receive medical care.

Image of Myna-chan 01

Transitional Measures for the Abolition of the Health Insurance Card

Although new Health Insurance Cards will no longer be issued from December 2, 2024, Health Insurance Cards already issued can be used until December 1, 2025, as a transitional measure.
Note that if you lose your health insurance eligibility due to reasons such as retirement, the Health Insurance Card will no longer be usable after the date of loss of eligibility.

How to Apply for an Individual Number Card

You must apply to receive your Individual Number Card.

There are three ways to apply.

  1. Apply online
    You can apply from the “Individual Number Card Issuance Application” website.
  2. Apply by mail
    You can apply by using the application form enclosed with the Individual Number Notice(個人番号通知書) / Notification Card(通知カード).
  3. Apply at a photo booth in town
    You can apply from the “Application for the Individual Number Card” touch panel at a photo booth in town.
    *It may not be possible to apply from some photo booths.
The issuance of the Individual Number Card will be handled by the municipality where you reside. Please check your municipality's website for inquiries regarding application methods.

How to Register your Individual Number Card as a Health Insurance Card

In order to use your Individual Number Card as your health insurance card, you must complete the necessary procedures in advance using the Individual Number Portal, etc.

There are three registration methods.

  • Advance preparations:Have your Individual Number Card and a 4-digit PIN (password) ready
  1. Register from a counter at a medical institution or pharmacy (using a card reader)
    (1)Place your Individual Number Card on the card reader with face recognition
    (2) Select the button to register the Individual Number Card as a health insurance card and follow the instructions on the screen
  2. Register from a Seven Bank ATM
    (1)Press the “Individual Number Card Procedures” button on the ATM screen
    (2)Press the “Application for Use of Individual Number Card as a health insurance Certificate” button
    (3)Follow the instructions on the screen to apply
  3. Register from Individual Number Portal (it will be necessary to install the Individual Number Portal app)
    (1)Start the Individual Number Portal app and log in
    (2)Register to use your health insurance card
Inquiries about Individual Number Cards and Individual Number Portal
Call Center for the Social Security and Tax Number System
0120-0178-26

*Please submit a cancellation application form to the health insurance society if you wish to cancel your registration for using the Individual Number Card as a health insurance card.
The cancellation application form is published on the "Application Forms" page.
Due to the procedures involved, it will take one to two months from the time the cancellation application is received until the registration is canceled. You can check the completion status of the cancellation from "Status of Application for Use of Individual Number Card as health insurance card” in the Individual Number Portal (Myna Portal).

Benefits of using an Individual Number Card as a Health Insurance Card

You can receive medical care based on information about your past medications and health check results

If you consent to providing information about your medications and health check results when you visit a medical institution, you will be able to receive a comprehensive diagnosis based on your own information and appropriate prescriptions that avoid duplicate drug administration from the physician, etc.

You will be exempt from paying more than the ceiling amount under the Benefits for High-Cost Medical Care System at the medical institution counter without having to go through any procedures

Even if high medical expenses are incurred, you will be exempt from paying more than the ceiling amount under the Benefits for High-Cost Medical Care System if you use your Individual Number Card as your health insurance card, so there is no need to go through the application process for an Eligibility Certificate for Ceiling-Amount.

*Individuals must present materials such as those for medical cost subsidies unique to a municipality.

You can easily claim medical expenses deductions for your final tax return on Individual Number Portal

Because it is possible to refer to the records of insured medical care you have received via Individual Number Portal, there is no need to keep or submit receipts, and you can easily apply for medical expenses deductions.

You can continue to use your Individual Number Card as your health insurance card even if you change jobs or find a new job

Even if you change jobs or find a new job, you can continue to use your Individual Number Card as your health insurance card at medical institutions and pharmacies without having to wait for a new health insurance card to be issued.

*Notification of eligibility acquisition or dependent changes is still required.

How to Check Health Insurance Eligibility Information

Issuance of "Eligibility Notification(資格情報のお知らせ)"

The health insurance society will issue an Eligibility Notification so that you can easily check your own health insurance enrollment status, etc.
Please keep this Eligibility Notification in a safe place, as you will need to include your health insurance code and number on any application forms you submit to the health insurance society.

Checking Information from the Individual Number Portal eligibility information screen

If you have a smartphone, you can check your health insurance eligibility information (health insurance code and number, etc.) from the Individual Number Portal eligibility information screen.

*If you have not submitted your Individual Number to the Health Insurance Society, or if the submitted Individual Number is being verified by the Health Insurance Society, you will not be able to check your eligibility information from the Individual Number Portal.

When the card reader at a medical institution or pharmacy is not functioning or when you are receiving medical care at a medical institution or pharmacy that does not support some Individual Number Insurance Cards, you can present your Individual Number Insurance Card along with the Eligibility Notification or the Individual Number Portal eligibility information screen to receive medical care.

*Only presenting the Eligibility Notification or the Individual Number Portal eligibility information screen alone is insufficient for receiving medical care at a medical institution.

Inquiries about Individual Number Cards and Individual Number Portal
Call Center for the Social Security and Tax Number System
0120-0178-26

How to Use Your Individual Number Insurance Card (Procedure at Medical Institutions)

  1. Place your Individual Number Card on the card reader installed at the counter
    *If there is a cover, please remove it.
  2. Select either facial recognition or a 4-digit PIN to confirm your identity
  3. Select whether or not you consent to providing your past medical information, etc.
  4. Remove your card

*The type of card reader and screen display may vary depending on the medical institution or pharmacy.

*You will automatically be applied the high-cost medical expense benefit system, even if you do not choose consent on the screen.

When you Cannot use Your Individual Number Card

When the card reader at a medical institution or pharmacy is not functioning or when you are receiving medical care at a medical institution or pharmacy that does not support Individual Number Insurance Cards, you can present your Individual Number Insurance Card along with the Eligibility Notification or the Individual Number Portal eligibility information screen to receive medical care.

Individual Number Insurance Card & Individual Number Portal eligibility information screen (smartphone)

Log in to the Individual Number Portal app installed on your smartphone, and then press “Health Insurance Certificate” to display your eligibility information.

Individual Number Insurance Card & Eligibility Notification

You can receive medical care by presenting the Eligibility Notification issued by the Health Insurance Society together with your Individual Number Insurance Card.

Eligibility Confirmation Document (資格確認書)

If you do not have an Individual Number Card or have not registered your Individual Number Card for use as a health insurance card, you can receive medical care at a medical institution or pharmacy by presenting the "Eligibility Confirmation Document (資格確認書)" issued by the health insurance society.
Although an "Eligibility Confirmation Document" will be issued without having to apply if you do not have an Individual Number Insurance Card, because it takes a considerable amount of time to confirm the usage status of the Individual Number Insurance Card, please apply for one when you acquire eligibility, etc. if you do not have an Individual Number Insurance Card.

Those who cannot receive online eligibility confirmation* (examples)

  • Those who have not obtained an Individual Number Card, or who have returned their Individual Number Card
  • Those who have an Individual Number Card but have not registered to use it as a health insurance card, have requested cancellation of use registration, or have already canceled use registration
  • Those whose electronic certificate on the Individual Number Card has expired
*Online eligibility confirmation is a system allowing online verification of health insurance eligibility information using the Individual Number Card, etc.

Eligibility Confirmation Document Has an Expiration Date

Please return the "Eligibility Confirmation Document" if you lose eligibility before the expiration date (returning is unnecessary if you lose eligibility after the expiration date).

Handling of Individual Numbers at the Works Applications Group Health Insurance Society

Personal information which includes individual numbers is personally identifiable information and requires even more strict handling than personal information. The law restricts personally identifiable information from being used or disclosed even with the consent of an individual.
Health insurance societies are designated as persons in charge of processes using individual numbers and may only use individual numbers within the administrative scope stipulated by the Act on the Use of Numbers to Identify a Specific Individual in the Administrative Procedure.

The Social Security and Tax Number System

The Social Security and Tax Number System assigns an individual number to every person with a certificate of residence and uses personal information that exists across multiple government agencies to confirm data about an individual in order to efficiently manage data in social security, tax, and disaster recovery matters.

The Japanese government adopted this social security and tax number system with the aim of achieving a fair and just society, enhancing public convenience, and developing administrative efficiency.

Image Illustrating the Purpose of Adopting a Social Security and Tax Number System

(Source: Individual number publicity materials created by the Cabinet Secretariat and Cabinet Office)

Detailed Information on the Social Security and Tax Number System

Inquiries about Individual Numbers and Individual Number Cards
Call Center for the Social Security and Tax Number System
Reception Hours:
English, Chinese, Korean, Spanish, Portuguese, Vietnamese, Thai, Indonesian, Tagalog, Nepali
Weekdays9:30 A.M. to 8:00 P.M.
Saturdays, Sundays and National holidays9:30 A.M. to 5:30 P.M.
*Excluding New Year’s holidays
Temporary suspension of Individual Number Card due to loss or theft of Individual Number Notice, Notification Card, Individual Number Card or smartphone with an Individual Number Card and electronic certificate installed
Reception Hours:
  • English, Chinese, Korean, Spanish, Portuguese
    8:30 A.M. to 8:00 P.M.
  • Thai, Nepali, Indonesian, Vietnamese, Tagalog
    9:00 A.M. to 6:00 P.M.
*Between 8:00 pm and the following day 8:29 am, only calls for the temporary suspension due to loss or theft of smartphone with an Individual Number Card and electronic certificate installed are accepted
Individual Number Card Call Center (nation-wide common Navi-Dial Service)
Reception Hours:
  • English, Chinese, Korean, Spanish, Portuguese
    8:30 A.M. to 8:00 P.M.
  • Thai, Nepali, Indonesian, Vietnamese, Tagalog
    9:00 A.M. to 6:00 P.M.
*Between 8:00 pm and the following day 8:29 am, only calls for the temporary suspension due to loss or theft of smartphone with an Individual Number Card and electronic certificate installed are accepted
*You will be charged for using Navi-Dial Service.
[If dialing the above number doesn’t work by some IP phones]
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