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National Health Insurance 国民健康保険

If your employer doesn't insure you, join NHI at your ward office. With the card, you pay 30% at the hospital instead of 100%.

Deadline Within 14 days Cost Premiums based on income Where Your ward office

Last verified 2026-07-10

Who needs this

Residents staying more than 3 months who are not covered by an employer's health insurance — self-employed people, students, job-seekers and their dependents. If your company insures you, this is already handled.

Steps

  1. Check whether your employer already insures you Company employees are usually enrolled in employer health insurance automatically. National Health Insurance is for everyone else.
  2. Go to your ward office within 14 days Within 14 days of moving in or losing other coverage. Enrollment is backdated to the day you became eligible — waiting doesn't avoid premiums.
  3. Show your insurance card at hospitals and pharmacies With the card (or My Number card with the insurance function), you pay 30% of the cost. Without it, you pay 100%.
  4. Pay premiums By invoice, direct debit or pension deduction. The amount is based on your previous year's income plus a per-person amount — students and recent arrivals may qualify for reductions.

Where to go

Enrollment happens at the ward office for your address — often near the same counters as resident registration.

Show this at the counter 国民健康保険に加入したいです。 I would like to enroll in National Health Insurance.
Select your ward above to see your local counter.

Adachi 足立区

Address
1-17-1 Chuo-honcho, Adachi-ku, Tokyo 120-8510 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (also 4th Sun 9:00–16:00)
Phone
03-3880-5111

Help in your language: English, Chinese, Korean — 03-3880-5177

More about Adachi →

Arakawa 荒川区

Address
2-2-3 Arakawa, Arakawa-ku, Tokyo 116-8501 — Open in Google Maps
Hours
Mon–Fri 8:30–17:15
Phone
03-3802-3111

Help in your language: Japanese, English, Chinese, Vietnamese — 03-3802-3798

More about Arakawa →

Bunkyo 文京区

Address
Bunkyo Civic Center, 1-16-21 Kasuga, Bunkyo-ku, Tokyo 112-8555 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed holidays, Dec 29–Jan 3)
Phone
03-3812-7111

Help in your language: English, Chinese (Simplified), Chinese (Traditional), Korean — 03-5803-1132

More about Bunkyo →

Chiyoda 千代田区

Address
1-2-1 Kudan-Minami, Chiyoda-ku, Tokyo 102-8688 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed holidays, Dec 29–Jan 3)
Phone
03-3264-2111

Help in your language: Easy Japanese, English, Chinese, Korean +10 more — 0120-142-142

More about Chiyoda →

Chuo 中央区

Address
1-1-1 Tsukiji, Chuo-ku, Tokyo 104-8404 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (Wed until 19:00 and Sun 9:00–17:00 for some services)
Phone
03-3543-0211

Help in your language: English, Chinese, Korean, Portuguese +9 more — 0570-054222

More about Chuo →

Edogawa 江戸川区

Address
1-4-1 Chuo, Edogawa-ku, Tokyo 132-8501 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed weekends, national holidays, year-end)

Help in your language: Japanese, English, Chinese, Korean +6 more — 03-3877-3851

More about Edogawa →

Itabashi 板橋区

Address
2-66-1 Itabashi, Itabashi-ku, Tokyo 173-8501 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (Tue until 19:00 for some services; 2nd Sun 9:00–17:00)
Phone
03-3964-1111

Help in your language: Japanese, English — 03-3579-2015

More about Itabashi →

Katsushika 葛飾区

Address
5-13-1 Tateishi, Katsushika-ku, Tokyo 124-8555 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (Wed until 19:30 for some services; one Sun per month 9:00–12:00)
Phone
03-3695-1111

Help in your language: Japanese, English, Chinese — 03-5654-8617

More about Katsushika →

Kita 北区

Address
1-15-22 Oji-honcho, Kita-ku, Tokyo 114-8508 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed weekends, holidays, Dec 29–Jan 3)
Phone
03-3908-1111

Help in your language: Chinese — 03-3908-1101

More about Kita →

Koto 江東区

Address
4-11-28 Toyo, Koto-ku, Tokyo 135-8383 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (some counters Wed until 19:00; 2nd Sun 9:00–16:00 except March)
Phone
03-3647-9111

Help in your language: Chinese — 03-3647-4700

More about Koto →

Meguro 目黒区

Address
2-19-15 Kamimeguro, Meguro-ku, Tokyo 153-8573 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed weekends, holidays, Dec 29–Jan 3)
Phone
03-3715-1111

Help in your language: English, Chinese, Korean, Filipino/Tagalog — 03-5722-9187

More about Meguro →

Minato 港区

Address
1-5-25 Shibakoen, Minato-ku, Tokyo 105-8511 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (Wed until 19:00); closed weekends, national holidays, year-end
Phone
03-3578-2111

Help in your language: Japanese, English, Chinese, Korean +10 more — 03-3578-2046

More about Minato →

Nakano 中野区

Address
4-11-19 Nakano, Nakano-ku, Tokyo 164-8501 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed weekends, holidays, Dec 29–Jan 3)
Phone
03-3389-1111

Help in your language: English, Chinese, Japanese — 03-3228-8929

More about Nakano →

Nerima 練馬区

Address
6-12-1 Toyotama-kita, Nerima-ku, Tokyo 176-8501 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (resident-record counters until 19:00 for some services)
Phone
03-3993-1111

Help in your language: English, Chinese, Korean, Tagalog — 03-5984-4333

More about Nerima →

Ota 大田区

Address
5-13-14 Kamata, Ota-ku, Tokyo 144-8621 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed weekends, holidays, year-end)
Phone
03-5744-1111

Help in your language: English, Chinese, Tagalog, Nepali +9 more — 03-6424-4924

More about Ota →

Setagaya 世田谷区

Address
4-21-27 Setagaya, Setagaya-ku, Tokyo 154-8504 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00; some counters also open Sat 9:00–17:00 (except 3rd Sat)
Phone
03-5432-1111

Help in your language: Japanese, English, Chinese — 03-5432-2892

More about Setagaya →

Shibuya 渋谷区

Address
1-1 Udagawa-cho, Shibuya-ku, Tokyo 150-8010 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (closed weekends, holidays, Dec 29–Jan 3)
Phone
03-3463-1211

Help in your language: English — 03-3463-1211

More about Shibuya →

Shinagawa 品川区

Address
2-1-36 Hiromachi, Shinagawa-ku, Tokyo 140-8715 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (Tue some counters until 19:00; 2nd & 4th Sun for some services)
Phone
03-3777-1111

Help in your language: English, Chinese — 03-3777-2000

More about Shinagawa →

Shinjuku 新宿区

Address
1-4-1 Kabuki-cho, Shinjuku-ku, Tokyo 160-8484 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (Tue until 19:00 for some counters; 4th Sun open for some counters)
Phone
03-3209-1111

Help in your language: Japanese, English, Chinese, Spanish +7 more — 03-3202-5535

More about Shinjuku →

Suginami 杉並区

Address
1-15-1 Asagaya-Minami, Suginami-ku, Tokyo 166-8570 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00; 1st/3rd/5th Sat 9:00–17:00 (citizen affairs counter only)
Phone
03-3312-2111

Help in your language: English, Chinese, Nepali, Korean +2 more — 03-3312-2111

More about Suginami →

Sumida 墨田区

Address
1-23-20 Azumabashi, Sumida-ku, Tokyo 130-8640 — Open in Google Maps
Hours
Mon–Fri 8:30–17:00 (resident-record counters 9:00–16:30; some counters 1st & 3rd Wed until 19:00, 2nd Sun 9:00–16:30)
Phone
03-5608-1111

Help in your language: English, Chinese — 03-5608-1616

More about Sumida →

Taito 台東区

Address
4-5-6 Higashi-Ueno, Taito-ku, Tokyo 110-8615 — Open in Google Maps
Hours
Mon–Fri 8:30–17:15 (some counters Wed until 19:00, 2nd Sun 9:00–17:00)
Phone
03-5246-1111

Help in your language: English, Chinese, Korean — 03-5246-1025

More about Taito →

Toshima 豊島区

Address
2-45-1 Minami-Ikebukuro, Toshima-ku, Tokyo 171-8422 — Open in Google Maps
Hours
Mon–Fri 8:30–17:15 (closed weekends, national holidays, year-end)

Help in your language: English, Chinese, Korean, Portuguese +18 more — 03-3981-1782

More about Toshima →

Official links

Every link below goes to an official source. We show the domain so you can check it yourself.

Common questions

How much do I pay at the hospital?
30% of the cost, when you show your insurance card. Without insurance you are charged the full 100%.
What if I enroll late?
Coverage and premiums are backdated to the day you became eligible, not the day you filed — so enrolling late doesn't save money, it only delays your card.
What documents do I need?
The English pages of most wards don't publish a full checklist — bring your residence card, and check your ward's page or call the counter before you go.

NHI also includes a childbirth lump-sum allowance (出産育児一時金) and funeral benefits. Routine checkups and vaccinations are generally not covered.

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