Guides · 保険加入 · hoken kanyū

Joining Japanese Health Insurance — The 14-Day Rule and What You'll Pay

General information, not medical advice. This article explains how the Japanese healthcare system works. It cannot account for your individual circumstances — see a doctor for those.

If you live in Japan on a visa longer than three months, enrolment in public health insurance is not optional — and, unusually for a compulsory system, it is a genuinely good deal. This guide covers how you get in, what it costs, and the traps.

Which system you belong to (you don't choose)

There are two doors, and your employment status decides which one is yours.

Employee Health Insurance (健康保険, kenkō hoken / "Shakai Hoken") — if you work for a company roughly 20+ hours a week, your employer must enrol you. Everything is handled through payroll: the premium is deducted from salary, your employer pays half, and enrolment happens with your first paycheck. You receive your insurance credentials without visiting any office. If this is you, your only real task is to confirm it happened.

National Health Insurance (国民健康保険, kokumin kenkō hoken / "NHI") — for everyone else: freelancers, language students, business owners, part-timers under the threshold, the unemployed, and dependents of NHI members. Enrolment is your responsibility, at the city office, within 14 days of taking up residence (or leaving an employer's scheme).

Both systems buy the same medical care: 30% co-pay, the same high-cost expense cap, the same childbirth lump sum. The differences are in premiums and dependents.

What it costs

Employee insurance: roughly 10% of salary for health insurance (plus pension, separately), but you pay only half — about 5% of gross salary, pre-deducted. Simple.

NHI premiums are calculated from your previous year's income in Japan. This single fact explains most of the surprises people experience:

If your income falls — you lose work, your business shrinks — NHI has reduction and exemption programs (減免), but they are applied for, not automatic. If a premium bill is genuinely beyond you, go to the city office counter and say so before skipping payments; unpaid premiums can be back-billed up to two years when you eventually enrol, so "I'll join when I'm sick" is a strategy that costs more, not less.

Dependents: the big structural difference

Employee insurance covers dependents (扶養) at no extra premium — a non-working spouse and children ride on one worker's enrolment for free, subject to income limits (a dependent must earn under roughly ¥1.3 million/year).

NHI has no dependent concept — every household member is a member, and the household premium is the sum of its parts. A family of four on NHI pays more than a family of four on employee insurance, sometimes much more. This is one reason a job offer with 社会保険完備 ("full social insurance") is worth real money beyond the salary line.

Your proof of insurance

Japan has shifted to the My Number card as the standard health-insurance credential (マイナ保険証). Register the linkage once — at a pharmacy terminal, via the Mynaportal app, or at a convenience-store kiosk — and clinics can verify your coverage electronically, including your high-cost cap bracket, which spares you a paper certificate before big treatments. If you do not have a My Number card, insurers issue a paper eligibility confirmation certificate (資格確認書) that works like the old insurance card. Either way, carry your credential to every clinic visit; without it you pay 100% and claim back later.

Common situations, quickly

General information, not individual advice — municipal premiums, thresholds and procedures vary and change each fiscal year. Your city office's NHI counter (many have interpretation service) is the authoritative source for your own numbers.

🩺
Dr. Masa

Written under a pen name by a physician licensed by Japan's Ministry of Health, Labour and Welfare (厚生労働省), currently in clinical practice in Japan. Writes Japan Health Compass to make Japanese healthcare legible to the people using it.

Keep reading