■Where to Apply: Registration at your local City/Ward Office
All those with “College Student” status of residence (more than 3 months) must enroll into the National Health Insurance system. Please make an application for the insurance system when you register yourself at your local City/Ward office within 14 days of moving in your new residence.
Premiums depend on the municipality that you are registered. International students who claim no income tax can receive reasonable rates for their insurance premiums.
■What are the benefits of this insurance?
70% of medical fees will be reduced. So, if you show your insurance card at the time of receiving medical treatment/prescription medicines, you will only need to pay 30% of the medical fees.
■High-Cost Medical Expense Benefit
Assistance will be provided for high cost medical treatment. (However, some medical treatments that are not covered by the insurance system are not included.)
Childbirth Lump-sum is an allowance for childbirth and childcare (420,000 yen as of 2011) . Depending on the area you live, you may be able to receive an additional support from your municipality.
■Medical Expenses Incurred Abroad
The medical expenses you paid abroad while you are temporarily visiting your home country or staying overseas may be reimbursed upon completing the application procedure and satisfying the conditions. Only the medical treatments that are covered by the National Health Insurance in Japan are applicable. For further details, please check the website of National Health Insurance at your local ward office. There are documents to be submitted in Japan when applying that you need to have filled in at the medical institution abroad. You can download some forms from the website.
Bunkyo-ku 国保年金課国保給付係 (Kokuho Nenkin Ka Kokuho Kyufu Kakari)
Meguro-ku (Kokuho Nenkin Kyufu Kakari)
※In case you go abroad to attend an international conference, etc., it is highly recommended to buy traveler’s insurance.
International students are able to use the University of Tokyo Health Service Center.
In addition, there are many health instutions ranging from large hospitals to small clinics which all have their own distinct characteristics.
Usually, to receive medical treatment at a large hospital, you need to have a letter of introduction. If you go to a large hospital (one with over 200 beds) without a letter of introduction, you will be asked to pay a special medical fee(This fee depends on the individual hospital.) For example, in the case of the University of Tokyo Hospital, without a letter of introduction, you will have to pay an extra fee of 8,250 yen besides your fees for treatment.
Smaller hospitals usaully have shorter wait times and if you are not having severe symptoms, it may be preferable to seek treatment at the University Health Service Center or at a smaller local hospital.
Check-ups at University
In Japan it is obligatory for students to have a medical check-up every year, and is stipulated by Japanese law. The medical check-up plays a major role in preserving everyone’s health. The purpose of these exams is to protect the health of individual students and the university community as whole. The University Health Service’s goal is to provide the support required by students to effectively continue their academic work, so please make sure to have check-up. The check-up for international students are divided into two types: new-student check-up and periodic check-up (for second years and higher), and are provided free of charge. New – student check-ups are held in spring (or autumn for students entering in autumn).
From their second year at the University, all students must take the periodic check-ups, which are normally held from April through June. The schedule for the check-ups are posted on the bulletin boards of faculties/graduate schools and on the website of each of the main campus’ Health Service Center.
Another reason to have the check-ups is that medical examination certificates, which are necessary for many application procedures (scholarships, entrance exams, and job huntings ) are issued only to students who have had the check-ups. Please note that the check-ups are not offered outside the designated periods.
How to Find a Hopital or Clinic
■IMAS: Inbound Medical Assistance Service for International Students at UTokyo
The University of Tokyo (UTokyo) provides the titled service: IMAS (Inbound Medical Assistance Service) through a specialist organization (EAJ – Emergency Assistance Japan ) for international students. You need to register to use the service (Free of charge).
■Local Medical Association Websites
The following is a collection of local medical association websites which provide information on the days of service of the doctor who is resposible on certain days at various medical facilities located in that area.
・Tokyo Medical ASsociation：
・Kanagawa Medical Information System：http://www.pref.kanagawa.jp/cnt/f534442/ (Japanese)
・Saitama Medical Association：http://www.saitama.med.or.jp/shisetsu/gunshi/index.html (Japanese)
・Chiba Medical Association：http://www.chiba.med.or.jp/general/index.html (Japanese)
・Chiba QQ Medical Emergancy Network：https://www.qq.pref.chiba.lg.jp/qq12/WP0101/RP010101BL.do
■Telphone Service for Various Languages AMDA International Medical Infrormation Center
Introduces medical facilities where treatement in various language is possible and introduces aspects of the Japanese medical system in various languages
■Tokyo Medical Information Service "Himawari"(Emergency Interpretation Service Available）
■Japan Travel Agency "Guide for when you are feeling ill" https://www.jnto.go.jp/emergency/eng/mi_guide.html
■Symptoms Chart in Various Languages
It can sometimes be difficult to explain how your feel or the amount or type of pain you are feeling to a doctor in Japanese. This is especially true in emergency sitautions or in the case of the injury/sickness of a family member.
You can download a symptoms chart online which will make it easier to explain your symptoms to a doctor. You can prepare the chart ahead of time and bring it with you to your appointment.
神奈川県国際交流財団 Kanagawa International Foundation
■Medical Interview Sheet Translation System
■Counseling by Phone
・Tokyo Inochi no Denwa：http://www.indt.jp/
・Tokyo English lifeline：http://www.telljp.com/
・Yokohama Inochi no Denwa: http://www.yind.jp/(Japanese)
http://www.lal-yokohama.org/ (Spanish Portuguese)
■Test for STDs/AIDS
HIV Test and Sexually Transmitted Infections Foreign Language Consultation (AIDS Prevention)
Tokyo Fire Dept Phone
#7119（24 hours a day, every day）