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Japan Sets Grace Period for Expiring Health Insurance Cards as My Number Transition Nears

The health ministry directs patients to present My Number insurance or an eligibility certificate starting December 2.

Overview

  • Employer and public-employee health insurance cards expire on December 1 as the country shifts to My Number-based verification.
  • Expired cards will still be accepted at medical desks through March 31, 2026 under a temporary measure to prevent disruptions.
  • Patients who bring only an expired card during the grace period will pay their normal copayment rather than the full cost.
  • The expiring cards cover about 28 million in health insurance societies, roughly 40 million in Kyokai Kenpo, and about 10 million in mutual aid associations.
  • Many self-employed people and most residents aged 75 and older already saw cards lapse in July, and the same acceptance policy applies.