Dell Health Insurance Association

Below are answers to some of the questions frequently asked by enrollees. Please check for your question here first.
If the problem persists, please contact us hereIf the problem persists, please contact us here.

Myna Health Insurance Card, Health Insurance Eligibility Certificate

I lost my Health Insurance Eligibility Certificate（資格確認書）. What should I do?

Please take one of the following:

①Registering your Individual Number Card as a health insurance card
Please refer to “How to Register your Individual Number Card as a health insurance card” under “Use of an Individual Number Card as a health insurance card”.
Even if you switch to Myna Health Insurance Card (MYNA HOKENSHOU), you must still notify your Health Insurance Society if you lose your Health Insurance Eligibility Certificate.
Necessary documents: 資格確認書　高齢受給者証　滅失・破損 再交付申請書

②If you do not have Myna Health Insurance Card and would like to continue to use your Health Insurance Eligibility Certificate to receive medical treatment, please apply for a reissuance of your Health Insurance Eligibility Certificate.
Necessary documents: 資格確認書　高齢受給者証　滅失・破損 再交付申請書

What should I do if I get sick while my Notification of Change of Dependents is under review?

Please pay the relevant costs yourself at that time. After your dependent is certified, please take his/her Myna Health Insurance Card or Health Insurance Eligibility Certificate to the healthcare provider and ask if they can process the refund there first. If the healthcare provider cannot do it, please attach the statement of medical expenses (health insurance claim) and the receipt (original) to the "Medical Expense Benefit Payment Request" and submit them to the Health Insurance Association via the human resources department of your company.

How can I check my health insurance code and number after the current Health Insurance Card has been abolished?

You can confirm your information by one of the following methods:

1. If you have a Myna Health Insurance Card (MYNA HOKENSHOU)
   You can check your health insurance code, number, branch number, and insurer number in the “Eligibility Information” section of the Myna Portal, which is an online service managed by the government.
   For details, please refer to “How to Check Health Insurance Eligibility Information”.
2. If you do not have a Myna Health Insurance Card
   You can confirm your health insurance code, number, branch number, and insurer number on the Health Insurance Eligibility Certificate（資格確認書）.
3. If you have an Eligibility Notification（資格情報のお知らせ）
   You can confirm your health insurance code, number, branch number, and insurer number on the Eligibility Notification issued by your Health Insurance Society after completing procedures such as obtaining eligibility.

When I try to use my Myna Health Insurance Card at a medical institution, the system displays either Invalid Eligibility or No Eligibility Information. What should I do?

If Invalid Eligibility or No Eligibility Information appears when using your Myna Health Insurance Card, it may be because you have not yet provided your Individual Number to your employer, or because you have recently enrolled in a Health Insurance Society and the update process is still in progress.

If you are unable to complete the check-in process with your Myna Health Insurance Card at a medical institution, please confirm your insurance eligibility using one of the following methods:

• Present your Individual Number Card together with the My Number Portal screen (a downloaded PDF is also acceptable), or provide your Eligibility Information Notice.
• Complete a Certificate of Insured Person’s Eligibility Form.

If you have paid the full cost yourself, please submit an Application for Payment of Medical Care Costs to your health insurance society later, together with the medical fee statement and original receipts, to request reimbursement.

Where can I check the registration status of my Myna Health Insurance Card (MYNA HOKENSHOU)?

Log in to your Myna Portal and open the “Health Insurance Certificate” page. If the registration is complete, the status will display “Registered.”

Certification of Dependents

My wife retired because she will give birth. How do I apply for certification of dependents?

The requirement for certification of dependents (annual income of ¥1.3 million or less) is reviewed based on the anticipated income for the period of one year starting on the application date, so your wife will be certified as a dependent as of the date on which she retired.
In the case of individuals who plan to receive payment of employment insurance unemployment benefits after giving birth, please complete the procedures to extend employment insurance benefits and obtain a "Benefit Period Extension Notice" and submit a copy to the human resources department of your company.

To apply, please submit the following documents promptly after retirement.

• Dependent Change Notification
• Separation Notice (copy) or Certificate of Retirement
• Maternal and child health handbook (copy)

If employment insurance benefits began to be received after giving birth, complete procedures to temporarily remove your wife from your dependents, then apply for her certification as a dependent again once the payment period has ended.

My wife has been receiving employment insurance unemployment benefits, but the payment period will end soon. What do I need to do to have her added as my dependent?

When the unemployment benefit payment period ends, the Public Employment Security Office stamps the individual's "Employment Insurance Benefit Eligibility Certificate" indicating that the payment period has ended. Please make a copy of both sides of the Certificate and submit it with a "Dependent Change Notification" to the human resources department of your company.

My child graduated from college, but hasn't gotten a job. Can she continue to be enrolled in the Health Insurance Association as my dependent?

The Dell Health Insurance Association certifies individuals as dependents when they do not have a certain level of income (less than ¥1.3 million per year*), so a local taxation certificate/tax exemption certificate will be required to verify the income.
If the Health Insurance Association requests submittal of the certificate, please submit the documentation promptly.

* ¥1.5 million for individuals aged 19 to 23 on December 31 of that year (excluding the spouse of the insured person)
Please see “Procedures > Adding a family member” for more details.

Physical Examinations

How to receive the Dell Health Insurance physical examination and comprehensive medical examination

1. As a rule, there are two types of physical examination: Adult physical examination (lifestyle disease examination) for people under age 35 and a comprehensive medical examination for people age 35 or older. Appointments for comprehensive medical examinations, etc., must be made online or by phone.
2. When you make an appointment, the Health Insurance Association will send you a "Physical Examination Approval Form" by e-mail, postal mail, or fax. (Choose your desired method.)
3. On the day of your appointment, please take your Myna Health Insurance Card or Health Insurance Eligibility Certificate for identification and the "Physical Examination Approval Form."

I would like to receive a gastroendoscopy instead of stomach x-rays as part of the comprehensive medical examination.

From the perspective of health insurance, there is not a significant difference in cost, and many people undergo a gastroendoscopy as a second examination as a result of stomach x-rays, so it will be allowed instead of stomach x-rays as part of the first examination if the healthcare provider is able to accommodate.
However, it will not be allowed if the healthcare provider requires fees for both x-rays and the gastroendoscopy in such cases. Please keep this in mind.

Post-retirement Health Insurance

I would like to continue optional enrollment after retirement. How much will my premium be? Also, which saves me more money, this coverage or National Health Insurance coverage?

The premium for optional continued enrollment is calculated by multiplying your standard monthly compensation at the time of your retirement, or the average standard monthly compensation of all individuals insured by the Society (see the notice from the Health Insurance Association), whichever is lower, by the insurance premium rate.
National Health Insurance premiums are calculated based on your income for the previous year. However, the calculation method is different for each municipality, so please contact your local National Health Insurance counter for specific details.

The Health Insurance Association's health insurance has healthcare programs and added benefits systems not available from National Health Insurance, so be sure to make your decision based not only on premiums, but on all aspects.

How do I pay premiums for optional continued enrollment?

After the application for eligibility for optional continued insurance has been received, the Health Insurance Association will send you an insurance premium payment slip. Please transfer payment to the Health Insurance Association's account from the teller's counter of your financial institution, or from an ATM, etc., by the payment deadline.
Please note that you will be responsible for any fees required for the transfer.

I'm retiring at the end of March. How do I pay insurance premiums?

Premiums can be paid monthly, or prepaid for six months at a time (from April through September and from October through March of the following year) or for the entire year (from April through March of the following year). If you select prepayment, you will receive a discount on your premium. Please contact the Health Insurance Association for the amount and other details.
The amount for the first month is not applicable, but the prepayment will be the amount for the next month through March of the following year.

Can I withdraw from enrollment in optional continued coverage early?

Please be aware that once you have enrolled, you cannot withdraw (forfeit eligibility) except in the following cases. Individuals who would like to prepay should pay particular attention.

1. The enrollment period has reached two years.
2. The individual has enrolled in other health insurance due to new employment. (National Health Insurance is not included.)
3. The premium has not been paid by the payment deadline.
4. The individual has died.
5. The individual is now covered under latter-stage elderly healthcare insurance.

Can I continue to use my Myna Health Insurance Card after I retire?

If you have already registered your Individual Number Card for use as a health insurance card, you do not need to re-register it when you change jobs or retire.
However, you must still notify your new insurer, such as a health insurance society or mutual aid association. If you are enrolled in the National Health Insurance program, please notify your local municipal office.

Personal Information Protection

Is personal information ever provided to third parties without the consent of the individual?

Personal information is not provided to third parties without the consent of the individual except in the following cases.

• Matters that legally do not require consent and matters that do not apply to third parties
  1. When sending health insurance claims to examining organizations and other cases based on laws and regulations
  2. Cases of emergencies, disasters, etc., in which it is required to protect human life, physical health, or property, and in which it is difficult to obtain the consent of the individual
  3. Cases in which it is necessary for public health or the wholesome development of children, and in which it is difficult to obtain the consent of the individual
  4. Cases in which it is necessary to provide cooperation to national governmental bodies or local public entities, to perform work stipulated by laws and regulations, and in which obtaining the consent of the individual may hinder the performance of the applicable work
  5. Subsidy projects related to payment of high medical expenses conducted jointly with Kenporen
• Comprehensive consent items
  Notification to an entire household in the case of medical expense statements and notification of insurance benefit payment decisions

I'm absent from work due to illness. If my supervisor asks the Health Insurance Association for the name of my illness, etc., will it be provided?

As a rule, personal information will not be provided to third parties without the consent of the individual. In such cases as well, the name of the illness or injury will not be disclosed without the consent of the individual.

Other

May I dispose of my current Health Insurance Card after December 2, 2025?

After December 2, 2025, your current Health Insurance Card will no longer be accepted at medical institutions, so you may dispose of it yourself.