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Daily Life Information for Foreign Residents
※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.
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.
Application for enrollment, change and termination of the NHI must be done within 14 days of the reason for commencing such procedure(s).
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.
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.
Please bring a certificate of termination or something that states the date of termination, residence card, passport, My Number card (if you have one). Those with a “designated activities” visa status must bring relevant documentation.
Please bring some form of identification of the person who comes to the service counter to complete the procedure such as the NHI certificate.
If you have a notification of end of public assistance, residence card, passport, My Number card (if you have one), or a visa status of “designated activities,” please bring a certificate of designation.
Please complete procedures in the following cases.
Please bring the NHI certificate, My Number Card (if you have one) for all those enrolled.
Note: Please complete procedures for enrollment once again in your new municipality.
Note: Even when you are moving overseas, if you fail to file the notification before you leave Japan, insurance premiums continue to be levied on you as long as your resident record is kept.
Please bring the Health Insurance certificate of the company, etc., NHI certificate, My Number Card (if you have one) of all the people whose procedure you will complete.
Please bring the NHI certificate, the notification of welfare security benefit, My Number Card (if you have one).
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 (if you have one). For those with a “designated activities” visa status, please bring relevant documentation.
Immediately notify the NHI Section or the Residents Office if you lose the NHI certificate.
Please bring your residence card, My Number Card (if you have one) when filing the notification.
Once your visa period of stay expires, your eligibility for NHI membership also expires, so you can no longer receive treatment using the NHI certificate. Even if you renew your visa, if the expiry date for your NHI certificate has remained the same, you cannot receive treatment using the NHI. If you renew your visa at the Immigration Services Agency of Japan, please also complete procedures to renew your NHI certificate at the NHI Section. Even if you are in the process of renewing your visa or status or in the departure preparation period, please complete renew your 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” category, you do not qualify for NHI membership. For those with a “designated activities” visa status, additional relevant documentation is required.
If you lose eligibility, you will be responsible for paying all medical fees you incur at hospitals. If you obtain a short-term visa status, you may be able to get a new NHI certificate or receive reimbursement of the personally borne expenses, but you will also be responsible for paying insurance premiums during that period.
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.
Please file a resident’s tax report at the municipal office of the address where you were registered as of January 1, 2020.
If you have just come to Japan, please file a “NHI Premium-related Report” at the NHI Section.
Qualification and Premium Group, NHI Section Tel: 03-4566-2377
Those enrolled in Toshima City’s NHI must pay insurance premiums from the month they become a member (the month they move into Toshima City or switch to NHI from a different health insurance plan). 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.
Everyone in Japan is obliged to enroll in public medical insurance and promptly pay their insurance premiums by the due date. Even if you have no plans to see a doctor, you must pay the insurance. There are no student discounts.
If the premium is not paid by the due date, a reminder notice will be sent. Additionally, you may be reminded in writing, by phone or through visits to your residence.
If you do not pay within a certain period after receiving the reminder notice, documents will be sent to your employer, bank or other organization to inquire about your salary, property and the like, and administrative action (seizure) will be taken.
If you know that your payments will be late, or if you are facing difficulties in making payments, be sure to indicate a payment plan.
At this time, we will confirm your earnings and living situation. If you do not comply with these inquiries, or if you make false claims, you may be subject to punishment.
Please be aware that if you do not pay your National Health Insurance premiums, you may not be able to change your status of residence or renew your visa at the Immigration Services Agency.
In some cases, a National Health Insurance card with a shortened period of validity or a qualifying certificate for the person insured—which obliges the insured member to be temporarily fully responsible for all expenses incurred at medical facilities—may be issued.
Special Filing Group, Filing and Premium Collection Group, NHI Section
Tel: 03-3981-1294/1295
In principle, payment of insurance premiums is made 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.
Bank Transfer Desk, NHI Section Tel: 03-3981-1468
Payment slips are sent out once a year in June if there is no change in the 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.
Refer to the attached “National Health Insurance Guidebook”
Qualification and Premium Group, NHI Section Tel: 03-4566-2377
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 12th grade (up until the first March 31 after their eighteenth birthday) do not have any amount of self-pay due to medical expense support.
General medical checkup, vaccinations, cosmetic surgery, etc., will not be covered by NHI. For details, please refer to the “National Health Insurance Guidebook.”
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 “National Health Insurance Guidebook” for more details.
Benefits Group, NHI Section Tel: 03-3981-1296
Printed Materials for foreign Residents