If you lose or damage your Health Insurance Eligibility Certificate

[Documents to submit if your Health Insurance Eligibility Certificate is lost or damaged]

• Notification of Loss of Health Insurance Eligibility Certificate
• Sample completed form

• * In the case of damage, attach the damaged Health Insurance Eligibility Certificate.

[Documents to submit when applying for issuance of a Health Insurance Eligibility Certificate]
(In principle, this certificate is not issued to those who have registered their Individual Number Card for use as a Myna health insurance card.)

• Application Form for Issue/Reissue of Health Insurance Eligibility Certificate
• Sample completed form

Documents to submit with an Application Form for Issue/Reissue of Health Insurance Eligibility Certificate

■Those who cannot use their My Number Card as their Health Insurance Certificate due to loss, renewal, return, or other circumstances involving the Individual Number Card

• Copy of an ID that can verify the identity of the insured person
  (e.g., driver’s license, passport, employee ID)
  
  • * Those who have lost their Individual Number Card may submit a copy of a police report/notification instead.

■Those whose Individual Number Card electronic certificate has expired

• One of the following: Mynaportal screen, Expiration Notice (notice of expiration date), or a copy of the Individual Number Card showing the expiration date

■Those who require third-party assistance for hospital visits using a My Number Card as a Health Insurance Certificate

• Documents verifying the circumstances
  (e.g., a copy of a disability certificate or a certificate of admission to a long-term care facility)

■Those applying due to loss or damage of their Health Insurance Eligibility Certificate

• For loss: Copy of an ID that can verify the identity of the insured person, or a copy of a police report/notification
• For damage: The actual damaged Health Insurance Eligibility Certificate

Insured person or dependent whose Health Insurance Eligibility Certificate is lost or damaged

[You can apply for the issuance of a Health Insurance Eligibility Certificate only in the following cases. (In principle, no Health Insurance Eligibility Certificate will be issued in other cases.)]

• Lost Individual Number Card
• In the process of renewing Individual Number Card
• Individual Number Card electronic certificate has expired
  • * Submit the application form on or after the first day of the month following the expiration date.
    You may use your My Number Card as your Health Insurance Certificate at hospitals until the last day of the third month after the expiration date.
• Individual Number Card (My Number Card) issued but not registered for use as a Health Insurance Certificate
• No Individual Number Card issued
• Individual Number Card returned
• Support from a third party (e.g., caregiver) required to receive examinations and treatment with a My Number Card as a Health Insurance Certificate
• Lost or damaged Health Insurance Eligibility Certificate (Not including those who have registered their Individual Number Cards for use as Myna health insurance cards)

• The application is to be made to the employer. (Check Address inquiries to)
  (Voluntarily and Continuously Insured Persons and special-case retired persons should submit the application to the Health Insurance Association.)
• If you find your lost conventional Health Insurance Eligibility Certificate, promptly return it to the Health Insurance Association.
• Someone may use a found (or stolen) Health Insurance Eligibility Certificate, etc. to impersonate its owner and visit a hospital. If you lose your certificate, check your medical care cost information for any medical care costs you do not recognize.

• Notification of Loss of Certificate of Application of Maximum Copayment Amount
• Sample completed form

• If you find your lost Certificate of Application of Maximum Copayment Amount, promptly return it to the Health Insurance Association.
• Submit another Request for issuance of Maximum Co-payment Certificate for Health Insurance if you wish to have the Certificate of Application of Maximum Copayment Amount reissued.

• Application Form for Reissue of Notice of Eligibility Information (Only if issuance is necessary)

• The [medical care insurance eligibility information screen] registered on Mynaportal may be substituted for the Notice of Eligibility Information. (You can also download this in advance.)
• The application is to be made to the employer. (Check Address inquiries to)
  (Voluntarily and Continuously Insured Persons and special-case retired persons should submit the application to the Health Insurance Association.)