IBM Japan Health Insurance Association

IBM Japan Health Insurance Association

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  • japanese
  • English

Health insurance system

If you catch a cold, you go to the hospital, get checked by a doctor, get the medicines prescribed, and pay. Health insurance is the behind-the-scenes system that supports such everyday activities. The following describes these nuts and bolts of the health insurance system.

Membership

Health insurance membership

Describes who can be insured under the health insurance system

  • The employee is covered as “an insured person”
  • Family members are covered as “dependents”

Family membership

Describes matters such as the conditions required to insure family members and applicable income standards

  • Extent of family relationship
  • Income standards
  • If there has been a change in dependents

After you leave your employer

Describes the medical care insurance available after you leave your employer

  • Medical care insurance available after leaving your employer
  • You can receive benefits even after leaving your employer

Health insurance cards

Describes the health insurance card you receive when you join health insurance programs

  • Handling of health insurance cards
  • Members aged 70-74 are issued Elderly Benefits Cards

Medical care cost

Information for medical care cost and the amount of benefits provision

Describes the medical care costs paid when you visit a hospital for a sickness or injury

  • Information for medical care cost and the amount of benefits provision

Pharmacy information

Describes the medical care benefits and the amounts of these benefits provided by health insurance

  • The system of direct examination and payment of detailed prescription statements
  • Pharmacies participating in the system of direct examination and payment of detailed prescription statements

Other systems

Other systems related to health insurance

Describes in detail various systems related to health insurance.

  • The Medical Care System for the Advanced Elderly
  • Medical expenses deductions
  • The long-term care insurance program

Data Health Plans

Describes the medical care benefits and the amounts of these benefits provided by health insurance

  • Objectives of the Data Health Plan
  • Distinguishing features of Data Health Plans
  • Relationship to specified health diagnoses
  • Planning period and announcing and publicizing the plan

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