To have a Health Insurance Eligibility Certificate, etc. issued or reissued
Health insurance cards are no longer newly issued or reissued since December 2, 2024. Use your My Number Card as your Health Insurance Certificate.
- To have a Health Insurance Eligibility Certificate issued or reissued
- To have the Notice of Eligibility Information reissued
Please fill in the application form clearly and correctly. If it is not legible, we will return the application form.
To have a Health Insurance Eligibility Certificate issued or reissued
| Required documents: |
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[Documents to attach]
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| Applies to: |
Insured persons and dependents who wish to have a Health Insurance Eligibility Certificate issued (reissued) for the following reasons:
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| Address inquiries to: | Health Insurance Association |
| Notes: |
To have the Notice of Eligibility Information reissued
| Required
documents: |
Application Form for Reissuance of Notification of eligibility information |
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| Applies to: | Insured persons and dependents who wish to have the Notice of Eligibility Information reissued due to loss or damage |
| Address inquiries to: | Health Insurance Association |
| Notes: | 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.) |