About our Health Insurance
From HyogoAJET
Contents |
[edit] National Insurance
We are all enrolled in the national health insurance system of Japan. You will soon receive a salmon-colored card like the one on the right. If ever you need treatment, take it with you, and you will only have to pay 30% of the bill - check beforehand that the hospital in question accepts the insurance, because not everywhere does. Find a Doctor can be a good source to find out this information.
The national health insurance also covers a portion of treatment given abroad, HOWEVER, you may make a claim ONLY if treatment abroad is unavoidable. Also, the amount paid for by the national health insurance is (technically) calculated as 70% of what the same treatment would cost in Japan. The Japanese government employs some ridiculous way of calculating this, however, and the actual amount usually winds up being only 30-40% of expenses.
[edit] Your Insurance Office
The best way to handle detailed questions about your insurance is to call your local insurance office. Your insurance office is written on the bottom right side of your insurance card (on the example card it is the Sannomiya Social Insurance Office, 三宮社会保険事務所). If you don't feel that you'll be able to communicate properly in Japanese, you can have a nearby Japanese speaker (JTE, supervisor) contact the office and help you fill out the forms.
A list of the contact information for the insurance offices in Hyogo is here.
[edit] Dependents
If you have a spouse or child that is "largely living dependent on your salary," they are eligible to be covered under your insurance. A person is considered your dependent if:
- His/her income is less than 1,300,000 yen per year (1,800,000 if he/she is handicapped or over 60 years of age).
- His/her income is less than half of yours.
If your dependent's income is more than half of yours, but still under 1,300,000 yen and less than your income, the insurance office will make a decision based on your individual situation.
[edit] Sompo Japan Insurance
As JETs we are also covered by Sompo Japan Insurance Inc. Sompo covers us for trips we make abroad (covers expenses for the medical treatment of illness or injury sustained in an accident that occurred during the period of coverage). You should have received a blue book in Tokyo entitled "JET Programme Accident Insurance Policy Guide" that explains this insurance. Make sure you hold on to this book.
Sompo's insurance also covers the 30% deductible that we have to pay when we use our national health insurance card. However, dental and certain other types of medical treatment are not covered by the Sompo insurance. Also, it does not cover spouses or anyone other than the insured JET. Please consult the blue book to see what is and is not covered. If you need any assistance while processing a claim call Sompo's English Helpline: 0120-08-1572 or CLAIR's JET Line at 03-3591-5489.
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