Medical care for the elderly is to provide necessary benefits in relation to the illness, injury, or death of an elderly person.

A Municipality, in order to administer affairs concerning Old-Old Healthcare (excluding affairs concerning the collection of insurance premiums and affairs specified by a Cabinet Order as contributing to the promotion of the benefits of the insured), is to establish, for each area of a prefecture, a cross-regional federation to which all Municipalities within the relevant area belong (hereinafter referred to as a "Association of Medical Care Systems for the Elderly Aged 75 and older").

A Association of Medical Care Systems for the Elderly Aged 75 and older and a municipality, pursuant to the provisions of a Cabinet Order, must establish a special account for revenue and expenses related to medical care for the elderly.

A person who falls under any of the following items is to be an insured for medical care for the elderly provided by the Association of Medical Care Systems for the Elderly Aged 75 and older:

Notwithstanding the provisions of the preceding Article, a person who falls under any of the following items is not eligible to be an insured for medical care for the elderly provided by the Association of Medical Care Systems for the Elderly Aged 75 and older:

A insured for medical care for the elderly provided by a Association of Medical Care Systems for the Elderly Aged 75 and older acquires eligibility from the day on which the person comes to fall under any of the following items or the day on which the person no longer falls under any of the items of the preceding Article:

①A insured for medical care for the elderly provided by a Association of Medical Care Systems for the Elderly Aged 75 and older loses eligibility from the day following the day on which the person no longer has domicile in the area of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older, no longer falls under the condition set forth in Article 50, item (ii), or comes to fall under the person set forth in Article 51, item (ii); provided, however, that if the person comes to have domicile in the area of another Association of Medical Care Systems for the Elderly Aged 75 and older on the day on which the person no longer has domicile in the area of the relevant Association of Medical Care Systems for the Elderly Aged 75 and older, the person loses eligibility from that day.

②A insured for medical care for the elderly provided by a Association of Medical Care Systems for the Elderly Aged 75 and older loses eligibility as such from the day on which the person comes to fall under the category of a person provided for in Article 51, item (i).

①A insured, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, must notify the Association of Medical Care Systems for the Elderly Aged 75 and older of particulars concerning the acquisition and forfeiture of status as a insured and other necessary particulars.

②The householder of a household to which an insured belongs may make a notification under the provisions of the preceding paragraph pertaining to the insured on behalf of the insured belonging to the household.

③When an insured is in a situation where the insured cannot receive the electronic eligibility confirmation prescribed in Article 64, paragraph (3), the insured may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, request the Association of Medical Care Systems for the Elderly Aged 75 and older to deliver a document stating the matters specified by Order of the Ministry of Health, Labour and Welfare as information pertaining to the status of the insured in that situation, or to provide those matters by electronic or magnetic means (meaning a method using an electronic data processing system or any other method using information and communications technology, as specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this paragraph through paragraph (5)). In this case, the Association, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, is to promptly deliver the document to an insured who has requested the delivery of the document, and is to provide those matters by electronic or magnetic means to an insured who has requested the provision by electronic or magnetic means.

④An insured who has received delivery of the document referred to in the preceding paragraph pursuant to that paragraph, or provision by electronic or magnetic means of the matters specified by Order of the Ministry of Health, Labour and Welfare referred to in that paragraph, may receive the confirmation under Article 64, paragraph (3), main clause (including as applied mutatis mutandis in Article 74, paragraph (10), Article 75, paragraph (7), Article 76, paragraph (6) and Article 82, paragraph (6)) or Article 78, paragraph (3) (including as applied mutatis mutandis in Article 82, paragraph (6)) by presenting that document or those matters displayed by a method specified by Order of the Ministry of Health, Labour and Welfare.

⑤An insured may, for the confirmation of the facts pertaining to the qualifications of the insured, request the Association of Medical Care Systems for the Elderly Aged 75 and older, as specified by Order of the Ministry of Health, Labour and Welfare, to deliver a document stating those facts or to provide, by electronic or magnetic means, the matters to be stated in that document. In this case, the Association is to, as specified by Order of the Ministry of Health, Labour and Welfare, deliver that document to an insured who has requested delivery of the document, and provide the matters to be stated in the document by electronic or magnetic means to an insured who has requested provision by electronic or magnetic means.

⑥If a notification under Articles 22 through 24, Article 25, Article 30-46, or Article 30-47 of the Act for Basic Register of Residents (Act No. 81 of 1967) has been filed (but only if a supplementary note under Article 28-2 of that Act has been added to a document connected with that notification), the notification under paragraph (1) is deemed to have been filed based on the same grounds as the notification.

⑦Beyond what is provided for in the preceding paragraphs, matters necessary for notification concerning insured and confirmation concerning the qualifications of insured are specified by Order of the Ministry of Health, Labour and Welfare.

①An insured who is found to have changed the insured's address to the place where a hospital, clinic or facility prescribed in the following items (hereinafter in this Article referred to as the "hospital, etc.") is located as a result of the hospitalization, admission or occupancy listed in the following items (hereinafter in this Article referred to as "hospitalization, etc.") (excluding a person who is deemed to be an insured for old-old medical care provided by the Association of Medical Care Systems for the Elderly Aged 75 and older of the previous domicile prescribed in paragraph (1) of the following Article pursuant to the provisions of that paragraph), and who is found to have had an address within the area of another Association of Medical Care Systems for the Elderly Aged 75 and older (meaning an Association of Medical Care Systems for the Elderly Aged 75 and older other than the Association of Medical Care Systems for the Elderly Aged 75 and older in whose area the hospital, etc. is located) at the time of the hospitalization, etc. in the hospital, etc., is, notwithstanding the provisions of Article 50, to be an insured for old-old medical care provided by that other Association of Medical Care Systems for the Elderly Aged 75 and older; provided, however, that this does not apply to an insured who is continuously hospitalized, etc. in two or more hospitals, etc. and who is found, as a result of being hospitalized, etc. in both the hospital, etc. in which the insured is currently hospitalized, etc. (hereinafter in this Article referred to as the "current hospital, etc.") and the hospital, etc. in which the insured was hospitalized, etc. immediately before being hospitalized, etc. in the current hospital, etc. (hereinafter in this paragraph referred to as the "last hospital, etc."), to have sequentially changed the insured's address to the places where the last hospital, etc. and the current hospital, etc. are respectively located (referred to as a "specified continuously hospitalized insured person" in the following paragraph).

②Notwithstanding the provisions of Article 50, an insured for specified continuous hospitalization, etc. that is set forth in each of the following items is an insured for late-stage elderly medical care provided by a Association of Medical Care Systems for the Elderly Aged 75 and older specified in each of the following items:

③Hospitals, etc. in which an insured to which the provisions of the preceding two paragraphs are applied is Hospitalized, etc. must provide necessary cooperation to the Association of Medical Care Systems for the Elderly Aged 75 and older where the Hospitals, etc. are located and the Association of Medical Care Systems for the Elderly Aged 75 and older which provides Old-Old Healthcare to the insured.