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Health insurance benefits
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If you become sick or are injured due to the actions of another party

You can undergo treatment under the health insurance system for sickness or injury due to the actions of another party, as in the case of a traffic accident. However, in such cases submit the Notification of Injury or Sickness due to a Third-party Act as soon as possible.

Be sure to notify the Health Insurance Society

You can undergo treatment under the health insurance system for sickness or injury due to the actions of another party. However, in such cases the Health Insurance Society merely pays up front on a temporary basis, the medical care costs that the party responsible for the accident must pay. The Society will bill that party for these costs later.
For this reason, when using health insurance for treatment in such cases, notify the Health Insurance Society and submit the Notification of Injury or Sickness due to a Third-party Act and other necessary documents as soon as possible.

If you have been in a traffic accident

  1. STEP1
    Remain calm
    In cases of shock, you may lose the ability to make calm judgments. React as calmly as possible.
  2. STEP2
    Check the identity of the party responsible
    Check matters such as the license plate no., driver's license, and vehicle inspection certificate.
  3. STEP3
    Notify the police
    Be sure to notify the police, no matter how small the accident.
    In certain cases, you may not be able to claim damages unless the accident is officially handled as an accident involving injury. For this reason, be sure to notify the police on the spot.
  4. STEP4
    Be cautious about reaching a settlement
    If you waive some of your rights to claim compensation for damages by reaching a settlement with the party responsible, you may be unable to receive the corresponding health insurance benefits. To avoid cases such as inability to use health insurance when you need medical care later for residual effects or other complications, consult with the Health Insurance Society before reaching any settlement.

Injury due to the actions of another party

While most cases of injury due to the actions of another party involve auto accidents, the following cases also are due to the actions of another party:

  • Injury due to defective equipment at a school, supermarket, or other facility
  • Injury caused by another's dog or other type of pet
  • Injury due to inappropriate force or an act of violence
  • Food poisoning at a restaurant or other establishment

If the cause is a workplace accident

If you become sick or are injured due to the actions of another party in the workplace or while commuting, Worker's Accident Compensation Insurance applies instead of health insurance. Check with the person responsible at your establishment for more information.

  • *When even illnesses and injuries on-the-job are not targeted for benefits of the Worker's Accident Compensation Insurance, benefits of the health insurance are provided except the duties as the officer of the corporation (except for a corporation less than five employees).

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