Gaijin Residents

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Shinjuku CityHealth insurance

Shinjuku: National Health Insurance Enrollment

新宿区:国民健康保険 加入

In short: How Shinjuku City handles national health insurance enrollment.Foreign residents with a resident record must join NHI unless covered by an employer plan etc. Generally excluded: period of stay of 3 months or less (some statuses can join if they prove a stay over 3 months), expired status, Diplomat, and certain medical/tourism Designated Activities.(Source: www.city.shinjuku.lg.jp, verified on 2026-10-15)

Validity: Current as of 2026-10-15 (FY2026 / Reiwa 8); source page live on that date. Verified on 2026-10-15. Official source: https://www.city.shinjuku.lg.jp/hoken/index02_01.html

Who qualifies

  • Foreign residents with a resident record must join NHI unless covered by an employer plan etc. Generally excluded: period of stay of 3 months or less (some statuses can join if they prove a stay over 3 months), expired status, Diplomat, and certain medical/tourism Designated Activities. [official source · verified on 2026-10-15]

Conditions by topic

AgeNot stated in the sources we checked — confirm with the office.
IncomeNot stated in the sources we checked — confirm with the office.
HouseholdNot stated in the sources we checked — confirm with the office.
Child ageNot stated in the sources we checked — confirm with the office.
Residence in JapanNot stated in the sources we checked — confirm with the office.
Residence in Tokyo / municipalityNot stated in the sources we checked — confirm with the office.
Work / insurance typeNot stated in the sources we checked — confirm with the office.
DisabilityNot stated in the sources we checked — confirm with the office.

Residence status

Any status with resident registration (住民登録).

Excluded: Diplomat (外交)

Excluded in general: period of stay 3 months or less (some Entertainer, Technical Intern Training, Dependent, Designated Activities holders can join if they prove a stay over 3 months), expired status, Diplomat, Designated Activities for medical treatment/tourism.

[official source · verified on 2026-10-15]

Where to apply

  • Ward office NHI counter (Shinjuku: 医療保険年金課) or branch offices. [official source · verified on 2026-10-15]

Find addresses in the office finder.

Deadlines

  • File within 14 days of moving in from abroad / another municipality, leaving an employer plan, or a birth. Coverage starts from the date you should have joined, not the filing date. The head of household must file. [official source · verified on 2026-10-15]

Documents

  • When moving from another municipality, bring the moving-out certificate. Someone outside your household needs a letter of authorization. [official source · verified on 2026-10-15]

Phone / counter phrases

すみません、国民健康保険の加入の手続きについて伺いたいのですが、何を持っていけばよいですか。

Sumimasen, kokumin kenkō hoken no kanyū no tetsuzuki ni tsuite ukagaitai no desu ga, nani o motte ikeba yoi desu ka.

Hello. I would like to ask about the procedure for joining National Health Insurance. What documents should I bring?

すみません、もう少しゆっくり話していただけますか。

Sumimasen, mō sukoshi yukkuri hanashite itadakemasu ka.

Sorry, could you please speak a little more slowly?

Generic phrases for practical help, not official wording.