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Illness • Health

 
 

Medical Insurance Schemes

Persons who live in Japan for more than 1 year are required to enroll in a medical insurance scheme.
There are two medical insurance schemes: Social Health Insurance (Shakai-hoken/kenko-hoken) and National Health Insurance (Kokumin-kenko-hoken)
Foreign medical insurance can not be used in Japan.

Social Insurance (Shakai-Hoken)
If employed by a company, you and your family can enroll in the Shakai-hoken scheme. Application and payment can be done at your place of employment. Under this scheme you are only required to pay 20% (percent) of the total medical expenses, however, your family must pay 30%.

Inquiries
Social Insurance Offices
Social Insurance Office

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National Health Insurance

Persons who are studying, self-employed or working part-time etc. (those ineligible for social insurance) must enroll in the National Health Insurance scheme administered by the Kyoto City Government. When you enroll you will receive a health insurance card. Show the card at the hospital or clinic when you go for treatment and you only pay 30% of medical expenses.

Application Procedure
Once you have decided to live in Japan for more than 1 year, apply at the Insurance and Pension Section of the Ward Office in your area. Take your Foreign Residents Registration Card.
* You must apply for insurance from the day you register as a foreign resident in Japan.

Payment of Health Insurance Premium
Insurance premiums are calculated for a one-year period based on your previous years’ income.
The premium is paid in ten monthly installments, from June until March the following year.
Methods of Payment (1)Automatic withdrawal from your bank or post office account.
(2)Take the payment slip and pay directly at the bank, post office, ward or branch office.
*The insurance premium does not chage no matter how many times you receive medical treatment during the year.

Health Insurance Certificate (Card)
Only one health insurance card is issued per family.
When visiting a hospital or clinic, make sure to take this card with you.
When traveling in Japan take your insurance card with you as it can be used at any hospital or clinic. (However, it can not be used overseas)
Health Insurance Certificate (Card)

Cautionary Information
It is against the law and punishable to lend, borrow, buy or sell a health insurance card to/from another person.
When you move residence you must notify the ward or branch office in your new area.
Invalid health insurance cards cannot be used. Pick up a new card from the Ward Office or Branch Ward Office in your area.
If you enroll in social health insurance or move out of Kyoto City, you must return your card to the Ward or Branch office.

National Health Insurance cannot be used in the following instances
Normal pregnancy or childbirth
Termination of pregnancy performed for financial reasons
General health check-ups, cosmetic dentistry and preventative vaccinations
Injury caused by fighting or other willful misconduct

Receiving medical treatment without possession of your insurance card
You will be required to pay the entire amount of the bill. However, you can file for a reimbursement by taking your receipt, attending physician’s statement and your insurance card to the Ward or Branch office. After examining your case, the office will reimburse 70% of the total cost.


Medical Expense Subsidy Scheme
This scheme provides a refund for the portion of your medical expenses that exceed the established limit (kogakuryoyohi). Several months after you receive treatment you will receive a notification from the ward office or branch ward office based on which you can apply for a refund.
*Please make sure not to lose the receipt you receive at the hospital.

Inquiries
For inquiries about National Health Insurance contact
Ward•Branch Office,Welfare•Health Section

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Medical Insurance Subsidy (Schemes)

For Exchange Students

Ryugakusei Kokumin-Kenko-Hoken-Hojo
The Kyoto City International Foundation provides a National Health Insurance subsidy (Ryugakusei-Kokumin-Kenko-Hoken-Hojo) to privately funded foreign students of universities and junior colleges in Kyoto City. The subsidy is a maximum of 1,000 yen per month for health expenses (or the monthly total if less) To be eligible, the student must be a resident of Kyoto City.

Inquiries
•The Foreign Student Section or International Section of the university/junior college that you attend
Low-income Earners Scheme
Persons without an income or with an income below a certain fixed amount may be eligible for a 20%, 50% or 70% “reduced insurance premium”.

Inquiries
The Insurance and Pension Section of the Ward or Branch Office in your area.
Ward•Branch Office,Welfare•Health Section

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In case of Illness

Hospitals and Clinics
Out-patient hours vary, but most hospitals and clinics take patients in the morning from Monday through Saturday. There are no consultations on Sundays or holidays.
Hospitals and Dental Clinics with Foreign Longuage Speaking Doctors
In case of an emergency, call an ambulance as noted in the Emergency Procedures section.
Emergency Procedures
Generally, medicines prescribed by doctors do not have English explanations, so please listen carefully to the instructions when receiving your prescription.

Emergency Hospitals and Clinics
For hospitals and clinics open outside of normal hours and on Sundays and public holidays;
Hospitals Open on Sunday and Public Holidays

Hospitals and Dental Clinics with Foreign Longuage Speaking Doctors
Hospitals and Dental Clinics with Foreign Longuage Speaking Doctors

Medical Treatment Departments
Which department should I go to for what?

Internal medicine (Naika) internal organs
Psychiatry (Shinryonaika) mental illness
Neurology (Sinkeinaika) brain and muscles
Pediatrics (Shonika) children’s illnesses
Surgery (Geka) swelling and injury of internal organs
Orthopedics (Seikeigeka) injury of bones and joints
Neurosurgery (Noshinkeigeka) head injury, brain damage
Dermatology (Hifuka) skin
Urology (Hinyokiga) kidney, bladder and genitalia
Obstetrics/Gynecology (Sanfujinka) pregnancy, childbirth, and women’s illnesses Ophthalmology (Ganka) eye injury
Ophthalmology (Ganka) eye injury
Otolaryngology (Jibiinkoka) injury or illness to ear, nose, or throat
Rehabilitation (Rihabiriteishonka) walking practice etc.
Radiology (Hoshasenka) X-ray testing
Anesthesiology (Masuika) Pain suppressants

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Illness Prevention

1.Vaccinations>
What are vaccinations for?

Vaccinations
*Although not mandatory, it is recommended that children be vaccinated to prevent health risks.>

2.Health Examinations>
For persons over 40 years of age examinations are provided at a discounted rate. >
<•Basic health examination
•Women’s health examination
•Tuberculosis examination
•Lung cancer examination
•Stomach cancer examination
•Large intestine cancer examination
•Breast cancer examination (for women over 30 years old)
•Uterus cancer examination (for women over 30 years old)
•Adult dentistry health consultation >

<Inquiries
>
Ward•Branch Office,Welfare•Health Section

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The Health Department (health center) of the Ward Office/Branch Office

Health consultation (Free)
Receive a Maternity Hand Book
Meternity Pass Book
*When you become pregnant you can receive a Maternity Hand Book
*Pregnancy health consultation is available on specified days. You can also have a public health nurse come to your home (Free)
Health tests
Tests are carried out on your blood, urine, feces etc. to check your state of health (Fee applies)
AIDS tests
AIDS tests are available once a week (free). Anonymity is possible.
Vaccinations and health examinations are also available.

*Since a health center is not a hospital, you cannot receive medical treatment.

For information on other services:
Ward•Branch Office,Welfare•Health Section

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