Healthcare

Social Insurance for Foreigners: Enrollment & Premiums Guide

Published 2026.06.04 ・ Updated 2026.07.02 | MRI Co., Ltd. — Zainichi Life Navi Editorial Team
📌 Key points
  • Foreigners employed by a company enroll in social insurance (health insurance, employees' pension, etc.).
  • It offers broader coverage than National Health Insurance.
  • Premiums are split evenly with your employer and deducted from your salary (see the article for the estimated employee's share).
  • When you leave your job, you need to switch to National Health Insurance and National Pension.

Foreigners employed by a company enroll in social insurance (health insurance and employees' pension), which offers broader coverage than National Health Insurance.

① The Four Types of Social Insurance

  • Health Insurance: You pay only 30% of medical costs
  • Employees' Pension: Old-age, disability, and survivor benefits
  • Employment Insurance: Income support when unemployed
  • Workers' Accident Insurance: Compensation for work-related injury or illness

② Enrollment Requirements

If you meet the conditions below, foreigners are required to enroll just like Japanese nationals.

  • Working 20+ hours per week
  • Monthly income of ¥88,000 or more (from 2024)
  • Expected to work 2 months or longer

③ Premium Estimates (monthly, employee's share)

Monthly salaryHealth Ins.PensionTotal
¥200,000~¥9,900~¥18,300~¥28,200
¥300,000~¥14,800~¥27,450~¥42,250
¥400,000~¥19,700~¥36,600~¥56,300
💡 Your employer pays halfPremiums are split evenly between you and your employer. The figures above are the employee's share only.

④ Procedures When Leaving a Job

You lose social insurance coverage the day after you leave. Within 14 days, choose one of the following.

  • Enroll in National Health Insurance: Apply at your city office
  • Voluntary continuation: Keep your former health insurance for up to 20 months (apply within 20 days of leaving)

After leaving a job, you may be able to receive unemployment benefit (basic allowance) from employment insurance.

Health-insurance members can receive the Childbirth Lump-sum Grant when they have a baby.

If you paid into the Employees' Pension and leave Japan, you may be able to claim the lump-sum withdrawal payment.

You can see how your monthly social insurance premiums are deducted on your payslip. Our sister site Zainichi Money Navi breaks down social insurance, taxes and take-home pay in How to read your Japanese payslip (social insurance & taxes).

FAQ

Q: Can part-time workers join social insurance?Part-timers working 20+ hours a week and earning ¥88,000+ monthly may be required to enroll depending on company size (companies with 51+ employees from 2024).
Q: What is the difference from National Health Insurance?Social insurance has lower premiums and includes sickness and maternity allowances. National Health Insurance has no sickness allowance.
Q: Can foreigners receive unemployment benefits?Yes. If you are enrolled in employment insurance, you can claim benefits at Hello Work after leaving your job, provided your residence status is valid.

Sources

※Rules may change. Please check the official sites for the latest information.

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