Healthcare Registration

Understanding and registering for healthcare in Japan

Healthcare Options

National Health Insurance (国民健康保険) is mandatory for residents staying in Japan for more than 3 months.

Coverage: 70% of medical costs are covered, you pay the remaining 30%. This includes doctor visits, hospital stays, and prescription medications.
Eligibility: All residents of Japan, including foreign nationals who are staying in the country for over three months, must enroll.
Registration: Registration is done at your local city hall with your Residence Card and My Number. You will need to provide your address and other personal information. After registration, you’ll receive a health insurance card (健康保険証).
Premiums: Insurance premiums are based on your income and are billed monthly. City halls will send you a payment notice.

Employees working 20+ hours per week are typically enrolled in Shakai Hoken (社会保険), which includes health insurance and pension.

Coverage: Similar to National Health Insurance but often includes additional benefits such as maternity leave coverage and more extensive medical treatments.
Enrollment: Enrollment is usually automatic through your employer when you start your job.
Premiums: Premiums are split between employer and employee, deducted directly from salary. This also includes contributions to the pension system.
Additional Benefits: May include annual health check-ups, mental health services, and other wellness programs.

Private medical insurance can supplement national or company insurance.

Coverage: Often used to cover gaps in the national or company insurance plans, such as dental care, international medical coverage, and higher coverage limits for hospital stays.
Popularity: Popular among foreigners for additional coverage, especially for dental care.
Considerations: When choosing a private insurance plan, consider factors like English support, coverage abroad, and pre-existing conditions. It’s also important to check the reputation of the insurance provider.

Health Insurance Card: Once registered, always carry your health insurance card (健康保険証) when visiting a medical facility.
Doctors and Hospitals: Most medical facilities accept National Health Insurance. For specific treatments, you may be referred to specialized hospitals.
Pharmacies: Prescriptions are often filled