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National Health Insurance(NHI)

※Please refer the attached “National Health Insurance Guidebook” for details about the system.

Japan has a healthcare system that alleviates the medical expense paid out of pocket when you fall ill or suffer an injury while pursuing daily activities. The NHI is one of the healthcare system. Foreigners registered as residents in Japan must also enroll in the NHI if they will not enroll in any other public health insurance.

The person enrolled in the NHI must contribute a premium based on his or her income. In return, the enrollee becomes entitled to receive treatment under the insurance when sick or injured.

People who must join NHI

A person who has registered as a resident of Toshima City and for whom none of the 1-5 below applies must enroll. You cannot enroll or terminate membership according to your free will.

※You must enroll in NHI even if you are enrolled in foreign student life insurance, life insurance with health benefits or travel casualty insurance.

  1. Those who have joined another public health insurance system (employees’ health insurance programs or the Japan Health Insurance Association’s health insurance plans)
and any dependents of such person
  2. Those receiving welfare benefit
  3. Those whose period of stay in Japan is three months or less
    ※ Even if your visa is for three months or less, you are eligible to join NHI if you can prove that you will be residing in Japan for more than three months, such as with a school enrollment certificate. Please consult us for your eligibility.
  4. Among those with a “designated activities” visa status, those involved in “activities with medical treatment” or “activities taking care of the person who receives medical treatment in everyday life” and those engaged in “activities for sightseeing, recreation or similar.”
  5. Those who are 75 years old or older. (You will be asked to enroll in the Advanced Elderly Medical Service System instead of NHI.)

Notification of the NHI

Application for enrollment, change and termination of the NHI must be done within 14 days of the reason for commencing such procedure(s).

Procedure for enrollment

Within 14 days of the following, you must complete procedures for enrollment at the NHI Section or the Residents Office. The insurance premium is paid from the month you enrolled in the NHI (the month you moved in). If you do not file the notification on time, you will be asked to pay the unpaid premium for the period you should have been a member for up to two years. While you are uninsured, you must pay the full cost of medical expenses incurred.

When you move to Toshima City

Please bring your residence card, passport, My Number card, or My Number Notification card. Those with a “designated activities” visa status must bring relevant documentation.

Termination of membership in other public health insurance system (employees’ health insurance programs or Japan Health Insurance Association’s health insurance plans)

Please bring a certificate of termination or something that states the date of termination, residence card, passport, My Number card, or My Number Notification card. Those with a “designated activities” visa status must bring relevant documentation.

Birth of a child

Please bring some form of identification of the person who comes to the service counter to complete the procedure such as the NHI certificate.

Application for Termination

Please complete procedures in the following cases.

Moving-out of Toshima City

Please bring the NHI certificate, My Number Card or My Number Notification card for all those enrolled.

※Please complete procedures for enrollment once again in your new municipality.
※ If you fail to file the notification when you leave Japan, insurance premiums continue to be levied on you as long as your resident record is kept.

Joining another public health insurance system

Please bring the Health Insurance certificate of the company, etc., NHI certificate, My Number Card or My Number Notification card of all the people whose procedure you will complete.

Receiving welfare benefit

Please bring the NHI certificate, the notification of welfare security benefit, My Number Card or My Number Notification card.

Procedures for change

If 1-3 applies after making changes to the resident record please come to the NHI Section. When you are filing a notification, please bring your NHI certificate, residence card, My Number Card or My Number Notification card. For those with a “designated activities” visa status, please bring relevant documentation.

  1. There has been a change in address within Toshima City or to an individual’s name
  2. The termination date of the visa changes
  3. A change is made in the household

Procedures for re-issuance

Immediately notify the NHI Section or the Residents Office if you lose the NHI certificate.

Please bring your residence card, My Number Card or My Number Notification card when filing the notification.

After renewing the visa period of stay

Once the visa period of stay has terminated, the eligibility for NHI membership also expires and you can no longer receive treatment using the NHI certificate. Even if you renew your visa period, if the expiry date for the NHI certificate has remained the same, you cannot receive treatment using the NHI. If you renew your visa period of stay at the Immigration Bureau, please complete procedures to renew the NHI certificate at the NHI Section. At that time, please bring your NHI certificate and residence card. However, if your visa status changes to “activities with medical treatment” or “activities taking care of the person who receives medical treatment in everyday life” within the “designated activities” you do not qualify for NHI membership. For those with a “designated activities” visa status, relevant documentation is additionally required.

Please file a tax report

NHI fees are calculated based on the total income amount. Resident taxes are the basis by which to calculate the amount of insurance premium or to judge the reduction amount for the flat rate so we ask that even those without an income or with little income file resident taxes.

The tax report should be filed at the tax section of the municipality office of the address where you were registered on January 1 of the filing year.

If you came to Japan on or before January 1, 2016

Please file a resident’s tax report at the municipal office of the address where you were registered as of January 1, 2016.

If you came to Japan on or after January 2, 2016

 If you have just come to Japan, please file a “NHI Premium-related Report” at the NHI Section.

Inquiries

Qualification and Premium Group, NHI Section Tel: 03-4566-2377

Premiums

Those who enrolled in Toshima City’s NHI must pay an insurance premium. This is calculated per household unit based on last year’s income amount and the number of people in the household. Head of the household pays the total amount for the household.

The premium must be paid starting from the portion of the month you became insured (the month you moved in or the month you changed to the NHI from another health insurance).

If you don’t pay the premium

In Japan, everyone is obliged to enroll in some public medical insurance and has an obligation to pay insurance premiums. You are not permitted to not pay for the premium because you never see a doctor. Please pay the premium by the due date.

If the premium is not paid by the due date, a reminder notice will be sent. If premiums are left unpaid, you will be reminded in writing, by phone, and by being visited at your residence.

If premiums are still not paid after reminder notices are sent, your property will be investigated according to law and disposition for failure to pay will be executed (seizure). NHI certificates with shorter periods of validity or a “qualifying certificate for insured person” which obliges the insured to pay all expenses incurred at hospitals, etc. may be issued.

Inquiries

Special Filing Group, Filing and Premium Collection Group, NHI Section

Tel: 03-3981-1294/1295

Paying for insurance premiums

Please pay the premium by bank transfer. You may enroll in bank transfer if you bring the applicable financial institution’s cash card to the NHI Section or the Residents’ Office. Alternatively, you may fill out and sign/seal a bank transfer request form and mail it to the Financial Accounts Desk, NHI Section. If you do not have a bank transfer request form, please let us know.

The transfer date is the last day of each month. However, when that day is a bank holiday, it will be the following business day. Please deposit the money in the account by the previous day.

Inquiries

Bank Transfer Desk, NHI Section Tel: 03-3981-1468

Other ways to pay

Paying using a payment slip

Payment slips are sent out three times a year in June, September, and December if there is no change in the annual insurance premium. Please pay this at the near-by financial institution, convenience store, public money payment receipt counter at main building 3rd floor in Toshima City Office, or the Residents’ Office by the end of each month. Payment slips will not be sent to households that make payments by automatic debit.

Paying by credit card

You can pay the premium by credit card using your personal computer or cell phone. The procedure should be completed from the public money payment page on “Yahoo! Japan”.

※Payment slips whose deadline of payment has expired cannot be processed.

Deduction from the pension, or using the Mobile Register service

Refer to the attached “Foreign-language Guidebook on the NHI”

Inquiries

Qualification and Premium Group, NHI SectionTel: 03-4566-2377

Disbursement of Insurance benefits

When you are ill or injured, you can receive the necessary treatment at a medical institution by presenting your NHI certificate. When you receive treatment, pay 30% of the medical expenses (20% for those up to six years old until the first March 31 after their sixth birthday, and 20% or 30%* for those 70 years old and older) at the medical institutions. The remaining expenses will be paid by Toshima City.

If you receive treatment without presenting your NHI certificate you will have to pay for the full amount of the treatment.

If you use a NHI certificate even though you have moved out of the city or lost your eligibility due to visa expiration, etc., you will be charged by Toshima City for all expenses the city covered on your behalf. Furthermore, using someone else’s NHI certificate will be reported to the police.

※Children until 9th grade (up until the first March 31 after their fifteenth birthday) do not have any amount of self-pay due to medical expense support.

Treatments not covered by NHI (All amount self-pay)

General medical checkup, vaccinations, cosmetic surgery, etc., will not be covered by NHI. For details, please refer to the “Foreign-language Guidebook on the NHI.”

Other benefits

There are several different types of benefits for when you pay a high amount of medical expenses and when you give birth. Please look at these on the attached “Foreign-language Guidebook on the NHI” for more details.

Inquiries

Benefits Group, NHI SectionTel: 03-3981-1296

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更新日:2016年10月28日