Those who reside in Japan can enroll in the national health insurance. It should lighten the financial burden when you receive medical treatment.
If you work for a company and enroll in employee’s health insurance, you are not qualified for the national health insurance. In such cases, you must bring documents issued by your employer that show the date you joined the workplace health insurance (such as a certificate of eligibility confirmation, notice of eligibility information, or certificate of eligibility acquisition), and go to the city hall or other office to complete the loss of eligibility procedures.
12-1 Foreign residents’ enrollment in the national health insurance
(1) Those who are listed on the Basic Resident registration and granted permission to stay for more than 3 months.
(2) Those who are staying in Japan for less than 3 months, and are permitted to stay for more than 3 months by the document for status of residence specified by the Minister of Health, Labor and Welfare.
Foreign residents should enroll in national insurance system, if they meet (1) or (2) of the above and do not enroll in employee’s health insurance system.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kenko Hoken kakari: tel. 049-252-7112
- Fujimino-shi Hoken-Nenkin-ka Hoken-Nenkin-kakari :
tel.049-262-9020 - Miyoshi-machi Jumin-ka Hoken Nenkin tanto : tel.049-258-0019
12-2 Enrollment procedure
Your resident card, passport and notification card or Individual Number card are required to enroll the national health insurance. Conditions for enrollment are different individually, so please contact the Insurance-Pension Section of Fujimi-shi, the Inurance-Pension Section of Fujimino-shi or Residents Affairs Section of Miyoshi-machi.
If you have enrolled in workplace health insurance, etc., you must bring documents issued by your employer that show the date you joined workplace health insurance (such as a certificate of eligibility confirmation, notice of eligibility information, or certificate of eligibility acquisition) to complete the disqualification procedures.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kenko Hoken kakari: tel. 049-252-7112
- Fujimino-shi Hoken-Nenkin-ka Hoken-Nenkin-kakari :
tel.049-262-9020 - Miyoshi-machi Jumin-ka Hoken Nenkin tanto : tel.049-258-0019
12-3 The premium (national health insurance tax)
When you take out National Health Insurance, National Health Insurance tax is levied on health-related portion based on the income percentage according to the previous year’s income of the member and per capita rate based on the number of the members.
In addition to the support for the later-stage elderly care system (income percent, per-capita rate) that supports the latter-stage elderly health care system, and the long-term care insurance portion that supports the long-term care insurance system for National Health Insurance members aged 40 to 64 (income percent, per-capita rate) are added and taxed as National Health Insurance tax. The National Health Insurance tax is an important resource that supports your National Health Insurance.
There is no exemption from the premium, but some reduction is possible for those who have no income. Be sure to file your tax returns.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kokuhozei kakari: tel. 049-252-7113
- Fujimino-shi Hoken-Nenkin-ka Hokenzei-kakari :
tel.049-262-9039 - Miyoshi-machi Jumin-ka Hoken Nenkin tanto : tel.049-258-0019
12-4 When you go to the hospital
One “Eligibility Confirmation or Notice of Eligibility Information” will be issued to each person. When receiving treatment at a hospital, please present your My Number insurance card. For those who do not have a My Number insurance card, a Letter of Eligibility Confirmation will be issued, so please present the Letter of Eligibility Confirmation. For those who have a My Number insurance card, a Notice of Eligibility Information will be issued. Please show it together with the Notice of Eligibility Information when you cannot use your My Number insurance card.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kenko Hoken kakari: tel. 049-252-7112
- Fujimino-shi Hoken-Nenkin-ka Hoken-Nenkin-kakari :
tel.049-262-9020 - Miyoshi-machi Jumin-ka Hoken Nenkin tanto : tel.049-258-0019
12-5 How to pay at hospital
When you receive medical treatment with your health insurance certificate at a hospital or clinic, you only have to pay 30% of charged medical expenses, 20% or 30% for the elderly of 70 years and over, 20% for pre-school children and the remainders are covered by insurance.
If medical expenses per person per month exceed the ceiling, the amount in excess of the ceiling will be reimbursed later if you report to tax office. If you present to the institution/pharmacy the Certificate of Eligibility for Ceiling-Amount Application Regarding Personally-Borne Medical Expenses (gendogaku tekiyo nintei sho) prior to making payment at an insurance medical institution you do not need to pay any portion that exceeds the ceiling.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kenko Hoken kakari: tel. 049-252-7112
- Fujimino-shi Hoken Nenkin-ka Hoken Nenkin kakari: tel.049-262-9020
- Miyoshi-machi Jumin-ka Hoken Nenkin tanto : tel.049-258-0019
12-6 Special medical examination
Special medical examination is applied for those who are 40 to 74 years old as of April 1, and enrollee of national health insurance system. Examination ticket is sent to eligible people late in May, you are advised to go to medical institution designated by each city or town for a checkup during June to November. Consultation fee is free (from April, 2021). Checkup items are physical measurements (such as height, weight, and waist circumference), blood, urine, electrocardiogram, etc.
Those who are diagnosed as metabolic syndrome or fear to be, have health guidance lecture for improving their life style.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kenko Hoken kakari: tel. 049-252-7112
- Fujimino-shi Hoken-Nenkin-ka Iryou-hi Shikyu-kakari :
tel.049-262-9042 - Miyoshi-machi Jumin-ka Hoken Nenkin tanto : tel.049-258-0019
12-7 Resort facilities and a thorough medical checkup
(1)Resort facilities and subsidies
Several city-(or town) designated resort facilities are provided for residents with subsidies for health maintenance and promotion. For details, please contact the city or town office.
(2) Subsidy for a thorough medical checkup
You should maintain your health by yourself. If you get a thorough medical checkup in the city- (or town) designated hospital or clinic, a part of expenses is covered by subsidy of the city or town. For details, please contact the city or town office.
[Inquiry]
- Fujimi-shi Hoken Nenkin-ka Kenkou Hoken-kakari : tel.049-251-2711
- Fujimino-shi Hoken Nenkin-ka, Iryouhi Shikyuu kakari: tel. 049-262-9042
- Miyoshi-machi Jyumin-ka Hoken Nenkin-tanto : tel.049-258-0019