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Q. Why is it important that I apply for National Health Insurance?
A. Subscribers to the National Health Insurance System only need to pay 30% of the total medical fees if the insured receives treatment for an illness or injury.
However, the National Health Insurance does not cover all treatments and there are instances when the insured must pay all the fees. Examples are when the insured is hospitalized in a private room in a hospital and must pay an extra charge for the bed, when the insured has received costly and special treatment that is not covered under National Health Insurance or when the person has received special dental treatment such as gold caps. Childbirth and abortions are also not covered by the National Health Insurance.
You are fundamentally required to join the National Health Insurance System upon your arrival in Japan. If there is a delay in your application, you may be requested to make payments for past insurance fees due.
Q. Is there a special health insurance program for foreign students?
A. Many universities have their own health insurance plan for their students. It differs according to the university, so please confirm at the office for foreign students at your university.
Q. How do I apply for National Health Insurance and what are the costs?
A. Registered aliens should make their application at the National Health Insurance section of the municipal office in their area of residency. You will need to show your alien registration card at that time. Those with the residency status of College Student or Pre-college Student and a period of stay of 1 year can join immediately. However, depending on the municipal office, those with a 6-month Pre-college status of residence may need to show a proof of enrollment that shows a scheduled period of enrollment lasting more than one year.
If you have dependents that reside with you, your family will also be covered under this system. Please make sure that the names of your family members are written on your National Health Insurance certificate.
The fee for the National Health Insurance differs according to your area of residency. In the case of the 23 wards within Tokyo, the monthly fee in fiscal 1998 for those who did not need to pay a metropolitan residents tax was ¥2,175. Those with an annual income less than a stipulated amount can get a 70% or 50% reduction of their insurance fee if they make an application. The reduction is based on the previous year's income, so please make sure to make a residents tax declaration even if you do not have any income to declare.
If you move to a new location, you must have a new insurance certificate issued at the municipal office of your new residency. Please submit your old National Health Insurance certificate at the municipal office of your new residency to receive a new National Health Insurance certificate. You can not receive National Health Insurance if you do not follow these procedures.
Q. What should I do in case of illness?
A. The stress of living in a new environment may cause you to become ill. If you experience any change in your health, be sure to go to a doctor for a checkup or treatment. Please do not forget to take your National Health Insurance certificate with you.
You can find many hospitals and clinics in major cities. They include national general hospitals, prefectural or metropolitan general hospitals, city general hospitals and other public general hospitals as well as private general hospitals. There are also teaching hospitals attached to national, prefectural and private universities as well as small, privately operated hospitals. Please check with the professor in charge of foreign students at your school or your guarantor to find the best hospital for you.
A neighborhood clinic or small hospital is probably sufficient if you are going for treatment of a cold or stomachache. Many people go to be treated at large hospitals, so you normally have a long wait before the doctor can see you. If there is a clinic at your school, you can also go to the clinic for treatment.
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