What is Social Insurance in Japan? The Complete Guide for Foreigners and Residents

Did you know that every worker in Japanโ€”including foreignersโ€”must pay into social insurance? Whether you’re a full-time employee, freelancer, or even a part-time worker, understanding Japan’s social insurance system is crucial to avoid fines and access essential benefits.

But what exactly does it cover? How much does it cost? And what happens if you donโ€™t pay?

In this guide, weโ€™ll break down:
โœ… The 5 key types of social insurance in Japan
โœ… Who has to pay (and who can skip it)
โœ… How much youโ€™ll pay (with real examples)
โœ… How to enroll and claim benefits

By the end, youโ€™ll know exactly how the system worksโ€”and how to make it work for you.


Japanโ€™s Social Insurance System Explained

Japanโ€™s social insurance (็คพไผšไฟ้™บ, Shakai Hoken) is a mandatory system that provides:

  • Healthcareย (when youโ€™re sick)
  • Pensionsย (when you retire)
  • Unemployment supportย (if you lose your job)
  • Workerโ€™s compensationย (for job injuries)
  • Long-term careย (for elderly support)

Unlike some countries, Japanโ€™s system is not optional for most workers. Employers and employees split the costs, and failing to pay can lead to visa problems or fines.


The 5 Types of Social Insurance in Japan

1. Health Insurance (ๅฅๅบทไฟ้™บ, Kenkล Hoken)

  • Covers:ย Doctor visits, hospital stays, prescriptions (70% off)
  • Who Pays:ย Employees (5-10% of salary) + Employers (match contribution)
  • Key Benefit:ย Maximum monthly medical bills are capped (based on income)

2. Pension Insurance (ๅนด้‡‘, Nenkin)

  • Covers:ย Monthly payments after age 65
  • Who Pays:ย Employees + Employers (split 50/50)
  • Key Rule:ย Must pay forย 10+ yearsย to qualify

3. Employment Insurance (้›‡็”จไฟ้™บ, Koyล Hoken)

  • Covers:ย Unemployment benefits (up to 90% of salary for 3-12 months)
  • Who Pays:ย Small % of salary (about ยฅ500-ยฅ2,000/month)

4. Workerโ€™s Accident Insurance (ๅŠด็ฝไฟ้™บ, Rลsai Hoken)

  • Covers:ย Medical costs + lost wages if injured at work
  • Who Pays:ย Employers only

5. Long-Term Care Insurance (ไป‹่ญทไฟ้™บ, Kaigo Hoken)

  • Covers:ย Nursing homes, in-home care (for ages 40+)
  • Who Pays:ย Employees + Employers (after age 40)

Who Must Join? (Full-Time, Part-Time, Freelancers)

Work StatusMust Join?Notes
Full-Time Employeeโœ… YesAutomatic enrollment
Part-Time (20+ hrs/week)โœ… OftenDepends on company size
Freelancer/Self-EmployedโŒ No (but must pay National Health & Pension)More expensive
Student (Working Part-Time)โŒ Usually noCheck with employer

โš ๏ธ Important: Some companies try to avoid enrolling part-timersโ€”but this is illegal if you work over 20 hours/week.


How Much Will You Pay? (2024 Rates)

Example for a ยฅ300,000/month salary:

  • Health Insurance:ย ~ยฅ15,000 (ยฅ7,500 paid by you)
  • Pension:ย ~ยฅ27,000 (ยฅ13,500 paid by you)
  • Employment Insurance:ย ~ยฅ1,000
  • Total Monthly Cost:ย ~ยฅ22,000

๐Ÿ’ก Good News: Premiums are tax-deductible!


How to Enroll & Check Your Status

If Youโ€™re Employed:

  1. Your companyย automatically enrollsย you
  2. Check yourย pay slipย for deductions
  3. Get yourย insurance cardย within 2 weeks

If Youโ€™re Self-Employed:

  1. Visit yourย local city office (ๅŒบๅฝนๆ‰€)
  2. Sign up forย National Health & Pension (ๅ›ฝๆฐ‘ๅฅๅบทไฟ้™บ, Kokumin Kenkล Hoken)
  3. Pay monthly bills atย convenience stores

What Happens If You Donโ€™t Pay?

  • Visa Renewal Problemsย (immigration checks payments)
  • No Healthcare Accessย (full medical bills if sick)
  • Pension Cutsย (smaller retirement payments)

FAQ: Japanโ€™s Social Insurance System

1. Can I opt out of social insurance?

Noโ€”if youโ€™re eligible, itโ€™s mandatory.

2. Do foreigners have to pay?

Yes, if you work in Japan (even on a work visa).

3. Can I get my pension money back when leaving Japan?

Yes! File for a lump-sum withdrawal (up to ยฅ500,000 max).

4. What if my company wonโ€™t enroll me?

Report them to the Labour Bureauโ€”theyโ€™re breaking the law.

5. Is social insurance better than National Health Insurance?

Yes! Itโ€™s cheaper and covers more (like unemployment).

6. How do I check my pension payments?

Get a Nenkin Net account (https://www.nenkin.go.jp)

Leave a Comment