Are you National Health Insurance (NHI, “Kokuho”) card holder?

 Changes to National Health Insurance Premiums and Sending of New Insurance Cards(City of Sapporo Information)

NHI card (in Japanese):

The National Health Insurance premiums for the year 2021 have been decided.

Please check the insurance premiums in the payment notice sent to you.

A new insurance card will be sent in late July. Please cut your current insurance card into smaller pieces and destroy it after Sunday, August 1st.

Contact: City of Sapporo Call Center


Sapporo Multilingual News

Refer to: How to find a hospital at SEMI Sapporo website :

Please bring your new insurance card starting Aug. 1st 2021, when you go to a hospital.

If you visit a doctor without a current valid insurance card, you must pay medical costs in full upfront. To apply for a reimbursement, you need to visit the insurance and pension section in your ward office and submit documents as well as medical receipt and invoice. Upon approval, approximately 70% of your medical expenses will be reimbursed.

 For more information visit the site: If you visit a doctor without a current valid insurance card (in Japanese):

Be aware that Child Medicare Card called a pink card expires each year at the end of July too. Be sure to get your new pink card before it expires.

Additional information: Deduction about Insurance Premiums for low income household by Sapporo city (in Japanese)

Last reviewed on July 14, 2021