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
  • Remaining a member of the Society
  • 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 your health insurance card
  • Indicating whether you intend to be an organ donor
  • Members aged 70 or above receive “elderly benefits cards”

Medical care cost

Medical care cost information

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

  • Medical care cost information

Pharmacy information

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

  • Pharmacy information

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
  • When you cannot use health insurance
  • System for payment of medical care costs

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