How to Enroll in the Public Healthcare System in Japan
Summary: A primer on how to enroll in the public healthcare system in Japan.
If you're planning to enroll in the public system in Japan, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.
- Determine the type of visa you need
- Visit the Ministry of Foreign Affairs of Japan website to understand the different types of visas available, such as work, study, or family-related visas.
- Choose the one that suits your purpose of stay.
- Prepare the necessary documents
- Valid passport.
- Completed visa application form, which can be downloaded from the Ministry of Foreign Affairs website.
- Photo (4cm x 3cm) taken within the last 3 months.
- Certificates or documents that support your purpose of stay, such as employment contract, certificate of eligibility, marriage certificate, etc.
- Apply for a Certificate of Eligibility (COE)
- This is a document issued by a regional immigration authority in Japan, and it's usually applied for by your sponsor (e.g., employer, school, spouse) in Japan.
- Your sponsor can apply for the COE at the Regional Immigration Services Bureau.
- Apply for a visa at the Japanese Embassy or Consulate
- Submit the required documents, including your passport, visa application form, photo, and COE.
- The processing time varies depending on the embassy or consulate, so make sure to check in advance.
- Arrive in Japan and obtain a Landing Permission stamp
- Upon arrival at the airport, present your passport and visa to the immigration officer to receive a Landing Permission stamp.
- Register as a resident at your local municipal office
- Within 14 days of finding a place to live, visit your local municipal office to register your address.
- Bring your passport and residence card (if you have one).
- Apply for a Residence Card (Zairyu Card)
- If you are staying in Japan for more than 3 months, you need to apply for a Residence Card at the Regional Immigration Services Bureau.
- Bring your passport, Landing Permission stamp, and a photo (4cm x 3cm).
- Apply for a Tax Number (MyNumber)
- Visit your local municipal office to apply for a MyNumber, which is a 12-digit individual number issued to all residents of Japan.
- Bring your Residence Card and a document that verifies your address, such as a utility bill.
- Enroll in National health insurance
- Visit your local municipal office to enroll in National Health Insurance, which is mandatory for all residents of Japan.
- Bring your Residence Card and MyNumber.
- Renew your visa (if necessary)
- Before your visa expires, visit the Regional Immigration Services Bureau to apply for a visa renewal.
- Bring your passport, Residence Card, and any documents that support your purpose of stay.
Notes
The process of obtaining residency status in Japan can be complex and time-consuming, so it's important to be organized and patient. Make sure to double-check all required documents and consult with the relevant authorities if you have any questions. Additionally, it's recommended to learn some basic Japanese to facilitate communication and integration into Japanese society.
About the Author
Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC
Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.
Additional Information:
- Japan Guide
- Healthcare & Health Insurance in Japan
- Members Talk about Healthcare & Health Insurance in Japan
- Best Places to Live in Japan
- Real Estate in Japan
- Guide to Real Estate in Japan
- Pros & Cons of Living in Japan
- Cost of Living in Japan
- How to Buy a Home in Japan
- Pros and Cons of Living in Japan
- How to Rent a Home in Japan
- How to Enroll in the Public Healthcare System in Japan
- 2026 Guide to Living in Japan
- Pros and Cons of Living in Japan 2026
- 2026 Guide to Moving to Japan


