To have a Health Insurance Eligibility Certificate, etc. issued or reissued
New issue and reissue of health insurance cards ended on December 2, 2024. Use a My Number Card as a Health Insurance Certificate.
- To have a Health Insurance Eligibility Certificate issued
- To have a Health Insurance Eligibility Certificate or reissued
- To have the Notice of Eligibility Information reissued
To have a Health Insurance Eligibility Certificate issued
| Required documents: | |
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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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| Destination: |
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| Notes: | Those who need to renew their Health Insurance Certificate of Eligibility should also submit this application form. |
Excel
PDFTo have a Health Insurance Eligibility Certificate or reissued
| Required documents: | |
|---|---|
| Applies to: | Insured persons and dependents who have lost or damaged their Health Insurance Eligibility Certificate and wish to have one reissued |
| Address inquiries to: |
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| Notes: |
To have the Notice of Eligibility Information reissued
| Required documents: | |
|---|---|
| Applies to: | Insured persons and dependents who wish to have the Notice of Eligibility Information reissued due to loss or damage |
| Address inquiries to: |
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| 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.) |