Enroll in National Health Insurance
Register for Japan's National Health Insurance (NHI) at your local municipal office to cover 70% of your medical costs.
This guide is for planning and preparation. Details may change, so verify current requirements with the official sources before applying, paying fees, or submitting documents.
Review and freshness
This guide has a recorded editorial review date. Always verify final requirements, fees, forms, and appointment rules with official sources before applying.
Estimated timeline
Same day
Estimated fees
¥2,000
Who this is for
Foreign residents staying in Japan for more than 3 months who are not covered by employee health insurance (Shakai Hoken).
Location
Japan
Eligibility
Visa status
Must have a visa valid for more than 3 months (e.g., student, working holiday, dependent).
Required documents checklist
Tap each item as you gather it. This progress stays in your browser for the current page session.
Visual step flow
Scan the process before you start
Use this overview to understand the order, then track each item in the checklist below.
Register your address
First, you must register your residential address at the local ward or city office within 14 days of moving in.
Go to the NHI counter
In the same municipal office, proceed to the National Health Insurance division.
Submit application
Fill out the NHI enrollment form and show your Residence Card.
Receive your NHI card
You will receive your health insurance card (Hokensho) immediately or by mail a few days later.
Step-by-step instructions
Use this as a working checklist from preparation through submission.
Estimated fees
Monthly premium
Premiums are based on your previous year's income in Japan. Students and new arrivals pay the minimum.
Before submitting
Avoid rejected applications and wasted trips
Check these practical points before you pay fees, attend appointments, or hand over original documents.
Common mistakes
- Delaying enrollment past 14 days, which can result in you being billed for back-premiums to the date of your arrival.
- Forgetting to notify the NHI office when moving to a new city, as NHI is administered locally.
- Not carrying the physical Hokensho card when visiting a clinic.
FAQ
What does NHI cover?
It covers 70% of most medical, dental, and prescription costs. You pay the remaining 30% out of pocket.
Is enrollment mandatory?
Yes, it is legally required for all residents not covered by a company health plan.
Source and review
This guide has a recorded editorial review date. Requirements, fees, forms, and timelines can change. Use this guide as preparation support, then verify final details with the official source before submitting anything.