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Shinjuku City Official Website > Foreign Language Top Page > Insurance, Health Maintenance and Welfare > Be Sure to Pay Your National Health Insurance Premiums

Be Sure to Pay Your National Health Insurance Premiums

National Health Insurance premiums are an important financial resource used to pay medical expenses when a member is ill or injured. After you pay the personally borne portion at the medical institution’s service counter, the national government covers half of the remaining expenses, and the pool of everyone’s insurance premiums covers the other half.
National Health Insurance members can receive medical treatment just by paying the designated portion of costs. At the same time, members are responsible for paying their insurance premiums. When people fail to pay their insurance premiums, operating the National Health Insurance program becomes difficult. Please pay your premiums before the deadline.

If You Fail to Pay Your Insurance Premiums
Measures are taken according to the how long you have failed to pay your premiums. If you have special circumstances, please call for advice as soon as possible. You can also take advantage of the holiday payment consultation services available on the fourth Sunday of the month.

  • If you do not pay your premiums even after receiving reminders and notifications, you will be issued a health insurance card with a shorter period of validity (short-term membership card) than the regular health insurance card, or a certificate of eligibility. The certificate verifies that you are a member of National Health Insurance. When you show this card before receiving medical treatment at a hospital or clinic, it is handled in the same manner as a health insurance card. However, your personally borne expense will be 100 percent of the cost, instead of the standard 30 percent. After you receive counseling about leaving your insurance premiums unpaid and are reinstated, you can apply for a refund for the personally borne amount you overpaid.
  • In some cases, some or all of the high medical expense benefit may be applied to the balance due on your unpaid insurance premiums. In addition, a certificate of limited liability cannot be issued to those who are behind in payment of insurance premiums.
  • If your insurance premiums remained unpaid, in some cases your assets—such as savings, salary and life insurance—may be seized according to law.

A new postponement system—postponement of conversion by application—will begin.
You can apply to postpone the seizure of your assets and their conversion into cash, such as their sale. Please call for consultation.

Inquiries Payment Consultation Section, Medical Insurance and Pension Division (Shinjuku City Office Main Bldg. 4F)
Tel: 03-5273-3873 or 03-5273-4530, Fax: 03-3209-1436 (in Japanese)