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Michael188
Joined: 12 Dec 2005 Posts: 16
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Posted: Wed Mar 22, 2006 10:32 pm Post subject: Health Care. Good Insurance Providers or Companies? |
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Hi Everyone,
I need a little advice. I leave for Japan in 2 weeks time. As in most cases my health insurance plan, under the terms of my contract, only covers 70% of my medical expenses. I would like to top it up to 100% by buying the extra coverage. I would like to do it before I go, but I am sure there are some Japanese companies that specialize in coverage for foreigners in Japan, so if I have to do in Japan fine. I am naive when it comes to purchasing health care plans or insurance, so I need some advice on companies that provide good health insurance plans at a reasonable price. I do want to break the bank, but also do not want to get stuck breaking my leg and having poor medical coverage.
I have done a search through the Japan forum, but the keys words bring up so many threads I get lost.
Any help will be greatly appreciated.
Thanks,
Mike |
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PAULH
Joined: 28 Jan 2003 Posts: 4672 Location: Western Japan
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Posted: Thu Mar 23, 2006 12:16 am Post subject: Re: Health Care. Good Insurance Providers or Companies? |
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Michael188 wrote: |
Hi Everyone,
I need a little advice. I leave for Japan in 2 weeks time. As in most cases my health insurance plan, under the terms of my contract, only covers 70% of my medical expenses. I would like to top it up to 100% by buying the extra coverage. I would like to do it before I go, but I am sure there are some Japanese companies that specialize in coverage for foreigners in Japan, so if I have to do in Japan fine. I am naive when it comes to purchasing health care plans or insurance, so I need some advice on companies that provide good health insurance plans at a reasonable price. I do want to break the bank, but also do not want to get stuck breaking my leg and having poor medical coverage.
I have done a search through the Japan forum, but the keys words bring up so many threads I get lost.
Any help will be greatly appreciated.
Thanks,
Mike |
Im not sure of the exact policy, but private insurance companies may have policies against paying out on treatment that is already covered by other forms of insurance. You can take out a private plan, but you risk not being covered if the majority of the medical bill is covered by national insurance. Better check with the provider on their rules for paying out.
The second thing is you will be paying two lots of premiums, one for national health insurance and one for private insurance, PLUS the 30% of the bill you pay for when you go to the doctor. In your second year you will be paying up to 10% of your income in national health insurance.
If you really must decide to get insurance Global health seems to be the most popular insurance package for expats. |
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wangtesol
Joined: 24 May 2005 Posts: 280
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Posted: Thu Mar 23, 2006 12:27 am Post subject: |
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According to Health Insurance Law in Japan, you are to be enrolled into the Japanese government's health insurance scheme (shakai hoken) where you are 100% covered for any visits to the doctor. In this scheme, you pay half and your employer pays half. Employers often try to get out of paying anything by not telling you that you are supposed to be enrolled.
Japan is the only country I know in Asia that consistently lies to migrant workers about their health insurance rights.
So you have been cheated already by your employer. Sorry. When you arrive in Japan you might want to talk to your employer sometime about getting yourself enrolled into shakai hoken. It is a matter of going to the local city hall where you live and registering. |
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PAULH
Joined: 28 Jan 2003 Posts: 4672 Location: Western Japan
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Posted: Thu Mar 23, 2006 12:54 am Post subject: |
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wangtesol wrote: |
According to Health Insurance Law in Japan, you are to be enrolled into the Japanese government's health insurance scheme (shakai hoken) where you are 100% covered for any visits to the doctor. In this scheme, you pay half and your employer pays half. Employers often try to get out of paying anything by not telling you that you are supposed to be enrolled.. |
WangTesol
You seem to be confusing the payment of premiums with the payout by the Shakai Hoken. Under the law the employer pays 50% of the monthly premium, you pay the other 50%. When you go to the doctor you pay 30% of the doctors bill and the government picks up the tab. Your employer is not involved in the payment of the actual hospital bill. This is not clear from your post.
Second, as you know there is now a lot of debate about the Shakai Hoken. yes by law an employee should be covered, but many employees dont like having 20% of income taken out in insurance premiums in health and pension. It costs NOVA over a $1 million a year to pay for insurance premiums on its employees on Shakai Hoken. |
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yamanote senbei

Joined: 28 Jun 2005 Posts: 435
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Posted: Mon Mar 27, 2006 8:22 am Post subject: |
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PaulH, there are companies that pay more than their required 50% of the Shakai Hoken premiums. Companies can pay more if they like. What they aren't allowed to do however is not pay. Considering how much money Nova and most other companies employing foreigners have illegally saved over the decades, it would be a reasonable thing for for foreign teachers to demand that Nova and the others to pay 100% of the premiums to balance things out. |
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PAULH
Joined: 28 Jan 2003 Posts: 4672 Location: Western Japan
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Posted: Mon Mar 27, 2006 9:12 am Post subject: |
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yamanote senbei wrote: |
PaulH, there are companies that pay more than their required 50% of the Shakai Hoken premiums. Companies can pay more if they like. What they aren't allowed to do however is not pay. Considering how much money Nova and most other companies employing foreigners have illegally saved over the decades, it would be a reasonable thing for for foreign teachers to demand that Nova and the others to pay 100% of the premiums to balance things out. |
You can only make companies do what they are required to do by law. In an ideal world it would be great if they paid all your insurance, pension, and your airfare over to Japan. Anything they give you not required by law is icing on the cake, and they are not required to do more than they have to. NOVA pays the premium unwillingly and makes teachers absorb the cost by cutting their salaries by an equivalent amount. Not at all illegal, but not exactly ethical, either. |
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abufletcher
Joined: 14 Sep 2005 Posts: 779 Location: Shikoku Japan (for now)
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Posted: Mon Mar 27, 2006 11:17 am Post subject: |
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Note to original poster: Keep in mind that health care costs in Japan can be a fraction of what they are in the US (for example) so that 30% you'll pay here probably won't be much. As an example a year ago I had a a gall stone which the treatment of which involved a LOT of "expensive" tests and two days of full hospitalization. In the US that would have run upwards of $3,000, maybe even upwards of $5,000. All I paid was 14,000 or about US $120.
Also, here's a curious (and useless) tidibt. Apparently, according to the people at my university's fincance department. I can still put in a bid for compensation for my children's medical expenses IN THE US because they are still officially listed on my insurance card here. The catch? They will pay the usual percent of the costs but only on an estimate of what the equivalent services would cost here in Japan. Once we did the math (or rather the guy from finance did the math) we figured I'd be able to get back something like 1% in exchange for my effort to fill out a stack of paperword (including translations of foreign medical records). |
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