Health Care System in Japan - Insurance

Insurance

Health insurance is, in general, mandatory for residents of Japan, though there is no penalty on individuals who choose not to comply, and around 10% of the population does not enroll. There are a total of eight health insurance systems in Japan. They can then be divided into two categories, Employees' Health Insurance (健康保険, Kenkō-Hoken?) and National Health Insurance (国民健康保険, Kokumin-Kenkō-Hoken?). Employees’ Health Insurance is broken down to the following systems:

  • Union Managed Health Insurance
  • Government Managed Health Insurance
  • Seaman’s Insurance
  • National Public Workers Mutual Aid Association Insurance
  • Local Public Workers Mutual Aid Association Insurance
  • Private School Teachers’ and Employees’ Mutual Aid Association Insurance

National Health Insurance is generally reserved for self-employed people and students, whereas social insurance is normally for corporate employees. National Health Insurance can be broken down into:

  • National Health Insurance for each city, town or village
  • National Health Insurance Union

Public health insurance covers most citizens/residents and the system pays 70% or more of medical and prescription drug costs with the remainder being covered by the patient (upper limits apply). The monthly insurance premium is paid per household and scaled to annual income. Supplementary private health insurance is available only to cover the co-payments or non-covered costs, and usually makes a fixed payment per days in hospital or per surgery performed, rather than per actual expenditure.

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Famous quotes containing the word insurance:

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