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Medical Care & Health

Health Insurance

National Health Insurance

Qualifications and requirements for plan holders

Japan has a public health insurance system that can be used for medical care when a person becomes ill or injured. People who have permission to live in Japan for over three months must enroll in Hiroshima City’s National Health Insurance. To enroll, visit the National Insurance and Pension Division of your local ward or branch office.

However, the following people cannot enroll in National Health Insurance:

  • Those who have come to Japan with a “Designated Activities” visa and are one of the following: a) you have come to Japan for medical care or similar activities, or to care for someone doing this, or b) you have come to Japan for sightseeing or other recreational activities, or you are the spouse of someone doing this who has come with them for the same purpose. Note: If your residence status is “Designated Activities,” you must submit documentation confirming your designated activities when you enroll.
  • Those enrolled in their employer’s public medical insurance
  • Those enrolled in the Medical Care System for Older Seniors
  • Those who receive public assistance (Seikatsu Hogo)
  • Those who receive benefits for Japanese war orphans left in China
  • Those from a country with a social security agreement with Japan that covers healthcare and who have a government-issued certificate of being covered by their country’s social security

Insurance payments

When you enroll in the Hiroshima City National Health Insurance, you will receive an insurance card. Show this card at hospitals and clinics when you receive treatment. If you are covered by this insurance, the percentage of your medical fees which you must pay depends on your situation.

30% is the base amount
20% for children who have not yet started compulsory education
20% for people aged 70 and older (or 30% if your income exceeds a certain amount)

All other expenses during hospitalization, including meals, are the patient’s responsibility.

Money can also be received when a covered person gives birth or dies. For inquiries and requests for payment, contact the National Insurance and Pension Division of your local ward or branch office.

Insurance premiums

The head of the household must pay the insurance premiums of dependent household members. The insurance premiums are made up of a flat-rate charge (byodo-wari), a per-capita charge (kinto-wari), and an income-based charge (shotoku-wari).

Medical Care System for Older Seniors

Eligible residents (insured people)

If you are either of the following, you can use the Medical Care System for Older Seniors (Koki Koreisha Iryo):

  • Those aged 75 or older
  • Those aged 65 to 74 and are certified by the Hiroshima Prefecture Regional Association for Medical Care for Older Seniors as having one or more disabilities from a specific list.

For information regarding application procedures, contact the Longevity and Health Services Division of your local ward office (Welfare Division of the Higashi Ward Office) or branch office.

However, if you are any of the following, you cannot use the Medical Care System for Older Seniors:

  • Those not recorded in the Hiroshima City Basic Resident Register
  • Those whose residency permission is for less than 3 months (unless the Hiroshima Prefecture Regional Association for Medical Care for Older Seniors has recognized that you will stay for more than 3 months)
  • Those receiving public assistance
  • Those receiving benefits for Japanese war orphans left in China

The system is managed by the Hiroshima Prefecture Regional Association for Medical Care for Older Seniors.

Insurance payments

If you are eligible for the Medical Care System for Older Seniors, you must present your health insurance card to receive medical benefits when receiving treatment at a hospital or medical facility. If you are insured, you must pay 10% of medical expenses (or 30% if your income is over a certain amount). You must also pay for meals and other costs during hospitalization. Also, money can be received when a covered person dies. For inquiries and applications for payments, contact the Longevity and Health Services Division of your local ward office (Welfare Division of the Higashi Ward Office) or branch office.

Insurance premiums

Insured people must pay their insurance expenses. The insurance expense is the sum of the fixed-rate expense and income-based expense.

Medical subsidies

If you are enrolled in health insurance and are one or more of the below three, you may be eligible for medical subsidies. These subsidies cover part or all of your co-payments. Contact the Welfare Department of your local ward office (see page 27) for more information.

  • Those raising a child who has not reached the 3rd grade of junior high school. You are eligible until the March 31 following the child’s 15th birthday
  • Those raising a child alone (applicable until March 31 after the child’s 18th birthday)
  • Those with intellectual disabilities or severe physical disabilities

Long Term Care Insurance

Long Term Care insurance

Long Term Care insurance (Kaigo Hoken) covers the necessary care services for insured people who require constant care because they are bedridden, have dementia, or for other similar reasons. If you are all of the following, you must enroll in the City of Hiroshima’s Long-Term Care insurance:

  • Those living in Hiroshima City
  • Those planning on staying in Japan for over three months, and have the appropriate visa to do so. (However, if you have come to Japan with a “Designated Activities” visa and are one of the following, you are not included: a) you have come to Japan for medical care or similar activities, or to care for someone doing this, or b) you have come to Japan for sightseeing or other recreational activities, or you are the spouse of someone doing this who has come with them for the same purpose)
  • Those aged 40 or older
    If you are aged between 40 and 64 (inclusive) you must also enroll in Japanese Public Health Insurance. If you are 65 years or older, you will be sent a Long Term Care Insurance Card

Applying for Long Term Care certification

To use care services, first apply to be certified as needing long term care at the Longevity and Health Services Division of your local ward office or branch office (Welfare Division of the Higashi Ward Office).

Long Term Care services

Those who have been certified as needing long term care or long term support can use services covered by Long Term Care insurance.

However, available services depend on the level of care needed. When you use Long Term Care services, you must pay 10%, 20%, or 30% of the costs to which Long Term Care insurance applies. Those who pay 20%, or 30% are people with incomes more than a certain amount.

Elderly people who have not been certified as needing long term care, but do fulfill certain requirements, can use home-visit care services and facility-visit care services provided by the Long Term Care Prevention and Comprehensive Daily Life Support Program (Kaigo Yobo Seikatsu Shien Sogo Jigyo).

For more information, contact the Longevity and Health Services Division of your local ward or branch office (Welfare Division of the Higashi Ward Office).

Insurance premiums

Insured people must pay an insurance premium. The insurance premium for people 65 and older is determined by their income for the previous year, and by the municipal residence taxes paid by all members of the household, including the insured person. The insurance premiums for people aged 40 to 64 are calculated as a portion of the insurance premiums of the medical insurance in which they are enrolled.

Medical Care

Hospitals and clinics

If you get sick or injured, find a hospital or clinic with a department that treats your symptoms. Do not forget to bring your health insurance card and some money. Also, since some hospital and clinic staff can only speak Japanese, it may be a good idea to bring along someone who can speak Japanese.

Be aware that outpatient examination hours are different for each hospital and clinic. For emergencies during national holidays or at night, please use the nearest emergency clinic.

Emergency medical care during national holidays and at nighttime

Use the following table to find a nearby medical facility. Times shown are reception times.

These facilities are for emergency medical care. Before you go to one of these facilities, ask yourself: “Can I wait until normal opening times?”

Emergency medical care during national holidays and at nighttime (times shown are reception times)

  • Your regular doctor
    This is a doctor who you see regularly, and who is familiar with your physical condition. As some doctors might be able to see you out of hours, it is best to have a regular doctor.
  • Clinics designated to open on Sundays and national holidays can be found in the day’s newspaper and on the City of Hiroshima website. Look for当番医(とうばんい) (toban-i).,Sundays, Holidays 09:00–17:30
  • Hiroshima Citizens Hospital(7-33 Moto-machi, Naka-ku)
    Tel: 082-221-2291 Fax: 082-223-5514
    Specialism: Internal medicine and others
    Mon to Fri 17:00–08:30 Saturdays, ,Sundays, Holidays 08:30–08:30
  • Funairi Citizens Hospital (14-11 Funairi-saiwai-cho, Naka-ku)【The otorhinolaryngology department is closed on holidays that fall on Saturdays, Aug 14 to 16, and Dec 31 to Jan 3】
    Tel: 082-232-6195 Fax: 082-232-6156
    Specialism: Pediatrics
    Mon to Fri 17:00–08:30 Saturdays, ,Sundays, Holidays 08:30–08:30
    Specialism: Otorhinolaryngology (Ear, nose and throat)
    Saturdays 19:00–22:30
  • Asa Citizens Hospital(2-1-1 Kabe-minami, Asakita-ku)【Closed Aug 6 and Dec 29 to Jan 3】
    Tel: 082-815-5211 Fax: 082-814-1791
    Specialism: Pediatrics
    Sundays 18:00–22:00
  • Aki Citizens Hospital (Managed by the Hiroshima City Medical Association)(2-14-1 Hataka, Aki-ku)【Closed Aug 6, Dec 29 to Jan 3】
    Tel: 082-827-0121 Fax: 082-827-0561
    Specialism: Internal medicine and surgery
    Saturdays 08:30–15:30, 18:00–23:00 Sundays, Holidays 18:00–23:00
  • Hiroshima City Medical Association Senda-machi Nighttime Emergency Medical Center(3-8-6 Senda-machi, Naka-ku)【Closed Dec 31 to Jan 3】
    Tel: 082-504-9990 Fax: 082-504-9991
    Specialism:
    Mon to Sundays, Holidays 19:30–22:30
  • Asa Medical Association Kabe Nighttime Emergency Medical Center(4-11-28 Kabe, Asakita-ku)【Closed Dec 31 to Jan 3】
    Specialism: Internal medicine (15-year-olds or older)
    Tel: 082-814-9910 Fax: 082-814-9909
    Mon to Saturdays 19:00–22:30
  • Hiroshima Oral Health Center(3-2-4 Futabanosato, Higashi-ku)
    Tel: 082-262-2672 Fax: 082-262-2556
    Specialism: Dentistry
    Sundays, Holidays 09:00–15:00

Health and Welfare

Welfare offices and health centers

Ward offices provide comprehensive health and welfare services by combining Health Centers with welfare-related offices. Health Centers offer advice about the health of, infants, children, adults, pregnant women, the elderly, and people with mental disabilities. The welfare offices provide advice and help with financial troubles, physical and mental disabilities, and the welfare of children, the elderly, single-parent families, and other matters.

Each ward office has a Public Welfare Department which is split into three divisions. Each division and its services are shown in the following table:

Family and Health Services Division
 Advice for those with financial problems
 Public assistance etc.

Longevity and Health Services Division
①Advice about medical care and welfare for the elderly
  Medical Care System for Older Seniors, retirement homes, prevention of elderly abuse, etc.
 ②Medical consultation and examinations for adults and the elderly
  Advice about health problems such as obesity and high blood pressure, dental health advice, HIV testing and advice, examinations for tuberculosis and cancer, etc.
③Advice about immunization
  Children’s vaccinations, flu vaccinations for the elderly, etc.
 ④Advice about Long Term Care Insurance
  Certification of needing long term care, payment of insurance premiums

Health Services and Welfare Division
 ①Advice about children’s welfare
  Preschool facilities, medical subsidies for children, Child Allowances, support for childrearing, etc.
 ②Advice about welfare for single-parent families
  Medical expense subsidies for single-parent families, Childrearing Allowance, etc.
 ③Advice about welfare for those with physical and/or mental disabilities
  Physical disability certificates, medical subsidies for severely disabled people, placement in facilities, allowances, etc.
 ④Advice about pregnancy, babies, and child rearing
  Maternal and Child Health Handbooks, infant health examinations, parenting classes, etc.
 ⑤Advice about mental health-related welfare
  Certificate of Health and Welfare for People with Mental Disorders, support for independence, medical care (mental health clinic visits), etc.

The Public Welfare Department of the Higashi Ward Office consists of three different divisions shown in the following table:

Communal Mutual Support Division
 ①General advice
  Health, medical care, welfare, etc.
 ②Health advice and health examinations for adults and the elderly
  Advice about health problems such as obesity and high blood pressure, dental health advice, HIV testing and advice, examinations for tuberculosis and cancer, etc.
 ③Advice about pregnancy, babies, and child rearing
  Maternal and Child Health Handbooks, infant health examinations, parenting classes, etc.
 ④Juvenile advice
  Family relations, school absenteeism, delinquency, mental or physical development, abuse, etc.
 ⑤Advice about immunization
  Children’s vaccinations, flu vaccinations for the elderly, etc.
 ⑥Advice about mental health welfare
  Mental health

Welfare Division
 ①Advice about medical care and welfare for the elderly
  Medical Care System for Older Seniors, placement in retirement homes, etc.
 ②Advice about long-term care insurance
  Certification of needed long-term care, imposition of insurance fees
 ③Advice about children’s welfare
  Entrance into preschool facilities, medical subsidies for children etc., child allowances, support for child rearing, etc.
 ④Advice about welfare for single-parent families
  Medical expense subsidies for single-parent families, Childrearing Allowance, etc.
 ⑤Advice about welfare for those with physical or mental disabilities
  Certificates of Physical Disability, Certificates of Intellectual Disability, Certificates of Mental Disorders, Independence Support Treatment (ambulant medical care, rehabilitation, treatment for children with potential disabilities), allowances, etc.

Family and Health Services Division
 Advice for those with financial troubles
 Public assistance etc.