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ホーム > 市政情報 > 多文化共生・国際交流 > 外国人住民への情報発信 > 安城市生活ガイドブック > Anjo Resident Guidebook > 3.Medical, Pension, and Welfare
ページID : 27126
更新日：2025年3月13日
ここから本文です。
The National Health Insurance (NHI) system is a public medical system that allows anyone to receive medical care for a modest fee in the event of illness or injury.
The health care expenses that the NHI bears are covered with the financial subsidies from the insurance taxes that everyone pays into and from the federal government, etc.
In addition, assistance from city resources is also provided to ease the financial burden a little for everyone.
Persons who have registered residence in Anjo City (For foreigners, exclude those who have residence status of designated activities such as for medical treatment, tourism, and recreation) and do not have other public health care insurance such as Employee’s Health Insurance must enroll in Anjo City’s National Health Insurance System.
An enrollment procedure is needed in the following cases:
1.When moving in
The enrollment application is made when you submit the appropriate documentation for moving.
2.When you have withdrawn from the Employee’s Health Insurance System
Things to bring
The insurance tax changes every fiscal year, as it is calculated depending on the number of family members and household income from the previous year.
The insurance tax is paid by the head of the household, and the annual amount is divided into 9 installment payments.
Payment methods can be made by cash, bank account transfer, credit card payment, or payment by smartphone.
A bank book and its seal are needed to apply for the bank account transfer.
Generally, the bank account transfer payment method is preferred if you plan to be insured for more than 3 months.
The payments from citizens aged 65 years and above will sometimes be deducted from their pension.
In the event of an illness or injury, if you present your insurance card at the reception desk of the medical institution, the individual should shoulder the 30% (20%) amount of payment for medical expenses, and the NHI will cover the remaining.
If you had no option but to be treated at the medical institution without an insurance card or if you had medical treatment abroad, you must initially pay the whole amount, and the portion will be reimbursed later.
If your total medical payment within one month exceeds a certain amount, the excess amount will be reimbursed later.
When giving birth, 420,000 yen for deliveries is covered by the obstetric medical compensation system.
In other cases, 408,000 yen (404,000 yen for births before January 1, 2022) will be granted.
Please apply for the allowance at the medical institution where the child was born, then the Lump-sum Allowance for childbirth will be paid directly.
If the childbirth expenses are less than the Lump-sum Allowance, you must report the medical cost difference to the National Health Insurance & Pension Department.
In case of the death of an enrollee, a person who conducts a funeral for the deceased shall receive 50,000 yen.
Application for withdrawal from the NHI is necessary in the following cases.
Note: Anjo City’s NHI cannot be used after withdrawing from the National Health Insurance System.
If a person who has withdrawn from the insurance still uses it, please refund the amount shouldered by Anjo City.
| When moving out from Anjo | When enrolled in the company’s employee health insurance system | |
| Things to bring |
National Health Insurance Card Documents that show your My Number |
Health insurance card from the place of employment (All enrollees) National Health Insurance Card Documents that show your My Number |
【For Inquiries】
Kokuho Nenkin-Ka Kokuho-Kakari (National Health Insurance and Pension Department)
Telephone:0566-71-2230
As a general rule, Nursing Care Insurance is mandatory for residents whose address is registered in Anjo City from the age of 40 and above.
Nursing Care Services are available when there are difficulties in daily living because of being bedridden or suffering from dementia that needs nursing care and support.
As a general rule, all people over the age of 40 who live in Japan must pay nursing care insurance regardless of nationality.
The insurance fee paid every fiscal year is divided into 14 levels, and it is calculated depending on the individual income from the previous year.
For those who turn 65 years old or move in during the fiscal year, the insurance fee is calculated on a monthly basis.
The basis for calculation is the Employee’s Health Insurance or National Health Insurance System where you are enrolled, and it will be paid together with the amount of the health insurance fee.
Nursing Care Insurance offers home care service where you can receive care and support at home, as well as facility care service where you can receive care by being admitted to a facility.
To use this service, one must apply and receive authorization.
The application of persons 65 years and above does not require a reason for applying.
However, persons between 40 years old to below 65 years old can only be accepted if the applicant is in need of care and support due to an illness caused by aging.
A request should be made to the In-House Nursing Care Support Center or the Community General Support Center and other Centers based on the desired services that are being authorized.
A caregiving plan (A schedule or plan that indicates when, where, what type of service, and how much assistance is needed) must be drawn up by the care manager to match the mental and physical status of the applicant.
By availing of this nursing care service, you only have to shoulder the 10% (20% or 30% for those aged 65 and over with a certain amount of income) of the service fee.
【For Inquiries】
Elders Welfare Department
Telephone:0566-71-2226
The public Pension System in Japan is mandatory for all citizens between 20 and below 60 years old to facilitate a stable life during old age, disabilities, death, and the like.
The public pension system includes the Employees’ Pension, which enrollment procedures are carried out at the company and the National Pension, where enrollment is done at the city hall.
A fixed insurance premium is paid evenly over 40 years (From 20 to 60 years old) and additional premium payments when you desire to receive a higher amount of pension in the future.
There is a system that allows a person who has difficulty with pension fee payments due to financial deficiencies to be exempted depending on the conditions.
You must pay the pension fee for at least 10 years (Including the authorized exemption period and the applicable enrollment period).
The pension will be paid when the insured person reaches 65 years of age.
If an insured person becomes disabled due to an illness or injury, the pension will be paid to them based on the degree of the disability.
Payment conditions will be applied.
If the insured person dies, the pension will be paid to the spouse with children or to his children.
Payment conditions will be applied.
Foreign nationals who have paid insurance premiums for six months or more and left Japan without receiving a pension will receive the Lump-sum Withdrawal Payment if they request it within two years of their departure.
For those who have contributed to the Old Age Pension for more than 10 years, you are not entitled to Lump-sum Withdrawal Payments but will receive the Japan Old Age Pension in the future.
If you have redeemed your Lump-sum Withdrawal Payments, the period you were enrolled in Japan Pension will not be considered for future pension calculations.
For more detailed information, please inquire at Kariya Japan Pension Office.
【For Inquiries】
Kokumin Nenkin-Ka Nenkin-Kakari (National Pension Department)
Telephone:0566-71-2231
Kariya Pension Office
Telephone:0566-21-2110
Persons enrolled in Health Insurance are eligible to receive a subsidy for health care expenses.
When you apply for and receive a Medical Care Certificate (Jukyushasho) and visit a medical institution, you will be subsidized for your medical expenses covered by the insurance if you present your health insurance card and Medical Care Certificate.
Note: For medical institutions and other centers outside Aichi Prefecture, you must show only your Health Insurance Card and pay the amount you should shoulder. If you request it to the City Hall, a reimbursement will be provided at a later date.
Please contact us for more information.
1.Medical Benefits for Children
Children from birth to 15 years old (After reaching 15 years old, until the first March 31) going to the hospital for treatment and hospitalization will have their fees subsidized.
Only the hospitalization fee will be subsidized for the subsequent years until the children are 18 years old (After reaching 18 years old, until the first March 31).
2.Medical Benefits for Persons with Mental or Physical Disabilities
Medical expenses are subsidized for persons with class 1-3 physical disability certificates, class 4 kidney dysfunction, class 4-6 progressive muscular atrophy, persons with A or B rehabilitation certificates, and persons diagnosed with autistic disorder.
3.Medical Benefits for Persons with Mental Disabilities
Medical expenses are subsidized for persons who have mental disabilities (Persons with a class 1 or 2 mental disability certificate).
Half of the amount paid for medical expenses while hospitalized is subsidized later on for persons diagnosed with mental disabilities.
Expenses for going to the hospital (Designated hospitals) for treatment will be subsidized later on under medical services and support programs for persons who have been diagnosed with mental disabilities.
4.Medical Benefits for Single-Parent Families
For single-mother and single-father families, medical expenses are subsidized until the end of the fiscal year when the child turns 18 (When they reach 18 years old, until the first March 31).
Note: there are no subsidies when the guardian’s income exceeds a certain amount.
Please contact us for more details about the eligibility requirements.
5.Medical Welfare System for the Elderly aged 75 and above
Medical expenses for persons who are insured in a Late-Stage Medical Care System for the Elderly and fall under any of the following conditions will be subsidized.
Those who fall under items 2, 3, 4 (The same subsidy as those in items 2, 3, 4 in this section will be provided), Those who have war injury and sickness certifications, Those who are hospitalized under the Mental Health and Welfare Act, Those who are hospitalized under orders to prevent infectious diseases, Those who are exempt from the residence tax and meet the requirements of living alone, bedridden, or with dementia who are not dependents under the tax law.
You will lose eligibility to receive benefits when leaving Japan, moving out, or losing your health insurance eligibility.
In any of these cases, please return the Medical Care Certificate if you receive a subsidy using an expired Medical Care Certificate and return all the amount given by Anjo City as a subsidy.
【For Inquiries】
Kokumin Nenkin-Ka Iryo-Kakari
Telephone:0566-71-2232
It is a system of subsidizing a part of medical expenses with public funds by presenting a Nurture Medical Care Certificate issued by the city hall to medical institutions for infants born prematurely and diagnosed as requiring hospital care.
【For Inquiries】
Kokumin Nenkin-Ka Iryo-Kakari
Telephone:0566-71-2232
Those who are 75 years old and above (65 years old for a person with a disability certified by the Ministry of Health, Labor and Welfare) are supposed to withdraw from their previous health insurance and enroll in this system to receive medical benefits.
The insurance card will be issued to each subscriber, and the insurance fee should be paid separately by each subscriber.
The shouldered medical expenses will be 10% or 30% depending on your income previous year (Second previous year for January to July) (10-30% from October 1, 2022).
The total amount will be the sum of the “Per capita rate amount” and “Income percent amount” calculated according to your income amount.
You can pay at financial institutions, agricultural cooperatives of adjacent cities, post offices, or city hall/branch office, by payment slip, bank account transfer, or by deducting from the pension payment.
【For Inquiries】
Kokumin Nenkin-Ka Iryo-Kakari
Telephone:0566-71-2232
Inside the city, there are 8 different Elderly Welfare Centers that provide various consultations, recreation, and health improvement opportunities for 60 years old and above residents
【For Inquiries】
Shakai Fukushi-Ka (Social Welfare Department)
Telephone:0566-71-2262
Inside the city, there are eight various Area Comprehensive Support Centers（外部リンク） where elderly people can consult about necessary nursing care services and health and welfare services in their own neighborhoods.
【For Inquiries】
Korei Fukushi-Ka (Elderly Welfare Department)
Telephone:0566-71-2264
“Disabled Person’s Certificate” are for people with disabilities, “Rehabilitation Certificate” are for people who are retarded in Intellectual Development, and “Mentally Disabled Certificate” are for people with mental illnesses and restrictions on performing daily social living will be issued.
When you bring these certificates, you will be receiving medical treatment aids, aids for purchase of supporting device and repairs and other various welfare services and allowances.
For more details, please inquire.
【For Inquiries】
Shougai Fukushi-Ka (Disability Welfare Department)
Telephone:0566-71-2225