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Japanese National Healthcare

 
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Generasian X



Joined: 06 May 2003
Posts: 50

PostPosted: Tue Mar 30, 2004 11:50 am    Post subject: Japanese National Healthcare Reply with quote

Okay, what is the deal with this(Japanese National Healthcare)...
and how much should it cost if your making 300,000yen a month?

My company has a private healthcare system that supposedly
ALSO pays into the pension system...does that sound right?

My premiums are about 29,000yen per month... wouldn't it be cheaper to just get the
National Healthcare system? 3 man a month seems high, especially with companies like
Global Healthcare out there that cost only $626 US per year.
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Mtnkiwi



Joined: 27 Mar 2004
Posts: 67
Location: Osaka

PostPosted: Tue Mar 30, 2004 1:55 pm    Post subject: National health Reply with quote

Is it your first year of work in Japan? If so then the first year of National Health is very cheap (less than 1man/month).

I am paying 17,000/month based on the salary I earned when last in Japan (full time teacher).

Coverage is 70% of nearly everything, including dental. If you have another overseas health deal you may be able to get back the 30% that you do have to pay. The benefit is immediate, go to the doctor, show your certificate and pay 30% of whatever the bill comes to.

Some people warn against the scheme because it is reputedly hard to quit. May be worth doing a search on this topic.
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Iwantmyrightsnow



Joined: 12 Feb 2004
Posts: 202

PostPosted: Tue Mar 30, 2004 2:50 pm    Post subject: Re: Japanese National Healthcare Reply with quote

Generasian X wrote:
Okay, what is the deal with this(Japanese National Healthcare)...
and how much should it cost if your making 300,000yen a month?

My company has a private healthcare system that supposedly
ALSO pays into the pension system...does that sound right?

My premiums are about 29,000yen per month... wouldn't it be cheaper to just get the
National Healthcare system? 3 man a month seems high, especially with companies like
Global Healthcare out there that cost only $626 US per year.


Your company is legally obliged to enroll in the scheme. The National Healthcare scheme is meant for self-employed or those not covered in their jobs. Do you know that you will be entitled to claim back some of your pension payments? After 3 years of paying into the system, on leaving the country, you are entitled to claim 2.4 x your average monthly salary. This is the maximum.
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shmooj



Joined: 11 Sep 2003
Posts: 1758
Location: Seoul, ROK

PostPosted: Wed Mar 31, 2004 11:56 am    Post subject: Reply with quote

Somewhere around you, perhaps your local city hall, there should be an English guide to the health system. I had one. Try asking there for
Kokuminhoken no eigo setsumeisho
or something along those lines.
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Glenski



Joined: 15 Jan 2003
Posts: 12844
Location: Hokkaido, JAPAN

PostPosted: Wed Mar 31, 2004 9:58 pm    Post subject: Reply with quote

National Health Insurance (NHI) costs about 2500 yen/month for the first year. Then, it goes up drastically. It may be ten times that amount or more, depending on your income in the first year, your marital status, and your location. (Granted, you only have to pay this 10 times a year for 12 months coverage.)

If you have another type of insurance your first year, then decide to switch to NHI, you will have to pay all of the money for that first year for NHI !! Yup, 10 x 2500 = 25,000, and then you begin payments based on your previous year's income.

Here's a good bilingual link that describes NHI benefits.
www.pref.osaka.jp/osaka-pref/iryo/medicalinfo/insurance.htm

other related info
http://www.japanfile.com/living_in_japan/life_in_japan/Health_insurance-1.shtml
http://www.japan-zone.com/new/welfare.shtml
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G Cthulhu



Joined: 07 Feb 2003
Posts: 1373
Location: Way, way off course.

PostPosted: Sun Apr 04, 2004 1:45 am    Post subject: Re: Japanese National Healthcare Reply with quote

Iwantmyrightsnow wrote:


Your company is legally obliged to enroll in the scheme. The National Healthcare scheme is meant for self-employed or those not covered in their jobs.



Not entirely. Companies are rquired to offer *a* scheme. They can make it a condition of employment that you join the company scheme, but they don't have to require it. Lots of companies offer the choice of the company scheme or one of the two national health schemes.


Quote:

Do you know that you will be entitled to claim back some of your pension payments? After 3 years of paying into the system, on leaving the country, you are entitled to claim 2.4 x your average monthly salary. This is the maximum.



Only if you're paying into the National Pension Scheme. If you work for a company they may also/only have a private scheme in place. What you pay in and what you get back from private schemes, if anything, is completely variable.

The National Scheme allows you to claim back a percentage (equiv. to three months pay, maximum) based on the number of months you've been paying into it *uninteruptedly*.
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Iwantmyrightsnow



Joined: 12 Feb 2004
Posts: 202

PostPosted: Wed Apr 07, 2004 6:15 am    Post subject: Reply with quote

When we say "National Health Insurance" what exactly are we talking about.
?

Shakai Hoken = Employer based health/pension
Kokumin Hoken= National Health Insurance (thru the ward office)

There are a few exceptions but basically, employers are required by law to enroll all full-time employees (and those working 75% of f/time) in Shakai Hoken.
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