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Vince
Joined: 05 May 2003 Posts: 559 Location: U.S.
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Posted: Wed Aug 30, 2006 3:58 am Post subject: |
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| yamanote senbei wrote: |
| JMA and the insurance offered by Banner is no substitute for the government run health insurance that you MUST be enrolled in. It's the law. If you're an employee, you MUST be enrolled by your employer. Most dodgy employers like Nova and Interac offer so-called "alternative" insurance for their "part time" employees, but they don't tell you that you legally must be on Kokumin Kenko Hoken as well if you are "part time". |
You're right about the national plan being legally required (it's a kind of tax), but I get the impression that it isn't strongly enforced for foreigners. A city office worker once asked my wife why I wasn't on the national plan. When she told him I was a foreigner and had private insurance, he didn't press any further.
Banner's insurance covers lots of things that the national policy doesn't. They'll pay for you to go home for treatment of a serious illness, they'll pay for your remains to be repatriated, and I think they'll even pay for you to go home for a terminally ill or dead relative. They'll also pay for certain treatments that the national plan won't cover.
The downside of not joining the national plan is having to pay for emergency treatment on the spot, or deciding to stay in Japan long-term and having to pony up for the years you didn't pay into it. When I go back to Japan, I'll join the national plan and check into joining Banner as a supplement. As I said above, you'll really appreciate having Banner when you get dental treatment. |
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Topo Gigo

Joined: 01 Jun 2006 Posts: 57 Location: Japan
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Posted: Wed Aug 30, 2006 11:03 am Post subject: |
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Kokumin Kenko Hoken, from what i can gather is the National Health insurance for self/un-employed or part timers.
What I've been told is it's based on your previous years earnings so for your first year, your previous earnings are 0, so your premiums should be Y4-5000 (~�20) per month, so long as you don't pay for the pension too. I'm not entirely sure what the law is exactly, some people have said they asked not to pay for the pension and that was fine, others have said they were made to pay it - I don't know how much extra that would be.
I'm only plannnig on staying for a year, so I think this is what I'll do (depending on how the pension bit works out), but if you plan to stay in Japan more than a year, the premiums will go up, possibly triple or more.
Also, I've herad that once you enter the social insurance scheme, it is almost impossible to get out of it unless you leave the country.
Unlike JMA, you don't have to fork out for the whole thing upfront and wait to be reimbursed, but it only covers 70% of your costs, you pay the other 30%.
Obviously, being in the same position as you (not got to Japan yet), I don't know all this from personal experience - it's just what I've picked up from this and other web sites.
I think I'm going to get private travel insurance to cover my first week or 2 before I can sign up for the Kokumin Hoken, then if once I get there, people advise against it, I may just go with the JMA after all.
Vince - do you think it's reallly necessary to get additional coverage eg with Banners for all those other things you mentioned - I'd been wondering about that.
Bloomin eck. Praise the NHS! it has it's problems but at least you don't have to worry about all this insurance cr@p! Us poor Brits aint used to this! |
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Glenski

Joined: 15 Jan 2003 Posts: 12844 Location: Hokkaido, JAPAN
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Posted: Wed Aug 30, 2006 12:07 pm Post subject: |
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| The downside of not joining the national plan is having to pay for emergency treatment on the spot, or deciding to stay in Japan long-term and having to pony up for the years you didn't pay into it. |
Only up to 2 or 3 years' worth.
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| What I've been told is it's based on your previous years earnings so for your first year, your previous earnings are 0, so your premiums should be Y4-5000 (~�20) per month |
No. Closer to 2500 yen/month.
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| Unlike JMA, you don't have to fork out for the whole thing upfront and wait to be reimbursed, but it only covers 70% of your costs, you pay the other 30%. |
And what is the difference in coverage? That is, what does JMA actually cover? Besides, do you really want to pay NOVA for an apartment plus its own insurance? That's what you do when you take JMA. |
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Vince
Joined: 05 May 2003 Posts: 559 Location: U.S.
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Posted: Thu Aug 31, 2006 4:57 am Post subject: |
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| Topo Gigo wrote: |
| Vince - do you think it's reallly necessary to get additional coverage eg with Banners for all those other things you mentioned - I'd been wondering about that. |
It depends on your situation and how much risk you're willing to take. I'd use Banner as a supplement so I have coverage for the kinds of treatment the national plan won't cover, and for having my trip home and treatment there covered if I get seriously sick. I don't know what the national plan will do for you if you need treatment while outside Japan, but I know Banner will cover it. |
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JPrufrock
Joined: 27 Mar 2007 Posts: 22
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Posted: Fri Apr 06, 2007 6:11 am Post subject: |
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I have received a letter of Appointment and Agreement from Nova in which I am urged to sign up for JMA. My question is, can I request the national health system instead (shakai hokken- I know I am mangling spelling)?
Secondly, can Nova revoke their offer of appointment to me for doing so?
I would call Nova and ask, but it's a catch 22. In finding out the answer, I can possibly create problems for myself in getting the final job offer and contract. So, I ask here. |
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bearcat
Joined: 08 May 2004 Posts: 367
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Posted: Fri Apr 06, 2007 7:54 am Post subject: |
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You cannot be forced into JMA and they may not offer you the shakkai hoken if your not on a 40+ hours schedule. Additionally, I don't see why you can immediately quit JMA in writing to them and Nova upon getting the job etc.
Now if you cannot get shakkai hokken, you can still take the basic Japanese health insurance, your first year will be pretty low cost per month as the basic fee for it is based on your previous year's taxable income in Japan. With no record of a previous year's income, you're placed in the low income payment bracket, which should in most parts of Japan amount to 4000 yen a month give or take. As an FYI, this insurance is not just medical but dental, etc as well. |
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GIR

Joined: 12 Apr 2007 Posts: 64
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Posted: Fri Apr 13, 2007 12:35 am Post subject: |
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Hi folks, I'm in a similar situation here. I've been accepted into the Nova program, teaching at the Multimedia Center in Osaka starting in September.
After looking over the information here, I've more or less decided to pass on the JMA deal and go for the National Healthcare. Can anybody advise me on how to do this? Do I need to request information from Nova, or do it once I get to Japan? I haven't sent in my final paperwork yet, but intend to do so very soon. Also, I am currently employed here in the states, and I'm fairly certain I can extend my healthcare coverage from this position for a month or so after my employment with them has finished. So I shouldn't be needing any sort of transitional coverage.
Thanks for any help. |
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