○About the National Health Insurance Premiums (Tax)☆“Bank Transfer” is useful to pay your national health insurance premiums (tax). Please contact themunicipality designated banks to make an application.

1. Mechanism of National Health Insurance Premiums (Tax)
The sum of national health insurance premiums (tax)
Income Calculated on household’s incomesis calculated by deducting national government
grants and co-payments from the annual medical Assets Calculated on household’s assets
care costs estimated by each municipality. This
Calculated per member in theamount is allocated for the following four factors. Equality
household
Then, national health insurance premiums (tax) perCalculated per householdhousehold are determined by combining these Equityfactors.
※The combination may vary depending on the municipality.
※Those who are aged 40 to 64 shall pay also long-term care insurance premiums at the same time.

２. Notes for national health insurance premiums (tax) payment
・National health insurance premiums (tax) are annually calculated.
・The head of a household shall pay their national health insurance premiums (tax). (Even if the head isa member of his/her workplace health insurance, the head shall in principle pay the national healthinsurance premiums (tax) for other household members who are members of Kokuho.)
・Delay in Kokuho membership application does not exempt you from paying the amount of your national
health insurance premiums (tax) calculated from the month of eligibility.
・If you join in Kokuho in the middle of a fiscal year, you shall pay your national health insurance premiums(tax) from the month you join in Kokuho.
・If you withdraw from Kokuho during a fiscal year, you shall pay your national health insurance premiums(tax) from the first month of the fiscal year to the previous month of your withdrawal.

４. Non-payment of national health insurance premiums (tax)
The following actions are taken for those who have not paid their national health insurance premiums(tax) for no particular reason. Pay your national health insurance premiums (tax) bill before due date.
（１）You will receive a reminder after due date.
（２）Short-Term Health Insurance Certificate will be issued instead of National Health Insurance
Card.
※Short-Term Health Insurance Certificate expires quickly, and renewal is required more often.
（３）If you have not paid for more than a year, you shall return your National Health Insurance
Card and will receive Eligibility Certificate of Insured Person.
※You have to pay all the cost of medical care you receive.
（４）If you have not paid for a year and a half, provision of benefits from Kokuho may beentirely or partly suspended.
（５）Further non-payment may deduct the unpaid tax bill from the suspended benefits.
※Your property may be seized.
※The Eligibility Certificate of Insured Person is only to certify your eligibility for Kokuho
membership and shall not be used as the National Health Insurance Card. When you see adoctor, you have to pay the full amount for the medical services and claim for benefits laterat a Kokuho desk. Provision of benefits from the long-term care insurance for Category 2
Insured Person may also be restricted.

５. Those who don’t understand Japanese
３. How to pay national health insurance premiums (tax)There are two ways: ordinary collection through tax notice or bank transfer and special collection
through pension. Those who satisfy the following requirements are eligible to the special collection:① A person who receives pension exceeding 180,000 yen a year
② A head of household where all household members who join in Kokuho are aged 65 and older andwho is an insured person of Kokuho and a pensioner③ A person eligible to the special collection for long-term care insurance premiums④ A person whose sum of long-term care insurance premiums and national health insurance premiums(tax) is lower than a half of the pension benefits

Foreign language speakers may not be available at city halls or town halls.
Please try to find someone who understands Japanese and ask him/her to come with you for
consultation or application.

Pay your national health insurance
premiums (tax) bill before due date.

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