By presenting the "certificate of medical treatment for specific diseases" at the window of the medical institution, the maximum copayment for specific diseases will be 10,000 yen per month per medical institution.
If you have newly enrolled in the Medical Care System for the Advanced Elderly (75 years old, recognized as disabled) or have moved from outside of Tokyo, and you have a Certificate of Treatment for Specific Diseases, you will need to apply for continuation.
About new coronavirus infectious disease measures
In order to prevent the spread of the new coronavirus infection, we recommend that you apply by mail.
Please mail the application form and required documents to the Senior Citizens Qualification Section.
Postal address 6-12-1 Toyotama Kita, Nerima-ku 176-8501 Nerima Ward Office Latter-stage Elderly Qualification Section
As a general rule, the counter only accepts applications and omits detailed explanations.
If you have no choice but to come to the counter, please check the congestion status of the counter from the following website and visit the office during an open time. You can check the reception status of the window in real time on the Internet or smartphone.
Nerima-ku real-time window congestion information (external site) 
Target diseases (specified diseases designated by the Minister of Health, Labor and Welfare)
・Chronic renal failure requiring dialysis ・Some congenital blood clotting factor disorders (hemophilia)
- HIV infection resulting from the administration of blood clotting factor products (due to blood products)
About application and procedures
Procedure by mail
Please fill in the required items on the specific disease certification application form, attach the following required documents, and mail it to the person in charge of qualifications for the latter-stage elderly.
Postal address ZIP code 176-8501 6-12-1 Toyotama Kita, Nerima-ku Nerima Ward Office Latter-stage Senior Citizens
Procedure at the window
Please bring the following required documents to the Latter-stage Senior Citizens Qualification Section (Ward Office Main Building 2nd floor "Medical System Counter for the latter-stage elderly") and apply.
Required documents
The required documents are different if you are applying for the first time or if you are applying for a medical insurance system for the latter-stage elderly before joining the system.
| Application category | Required documents |
|---|---|
| First-time applicant |
|
|
continuation application |
|
Download application forms, etc.
[Medical care for the latter-stage elderly] Application for certification of specific diseases
About reissuance of specific illness medical treatment certificate
If you have lost, defaced, or damaged your Certificate of Medical Treatment for Specific Diseases, please apply for reissuance.
In principle, the new Certificate of Medical Treatment for Specific Diseases will be mailed (ordinary mail) to the address on your resident card in about one week from the date of notification.
If you wish to receive same-day issuance, please contact the National Health Insurance and Pension Division Latter-stage Elderly Qualification Section in advance. Telephone: 03-5984-4587 (direct)
For details, please see the page "[Medical care for the elderly] When you lose your health insurance card (application for reissuance)" .
inquiry
Citizens Department, National Health Insurance and Pension Division, Senior Citizen Qualification Section
Phone: 03-5984-4587 (direct) Fax: 03-5984-1212
Send an email to this department