Osaka City 大阪市

The City of Osaka official website

Menu
A guide for living OSAKA

When You Are Ill

Having an Examination

<Clinical Examination>

Should you feel sick, take your Health Insurance Certificate and some money and go to a hospital that treats the symptoms you are experiencing as soon as possible. Each hospital sets its own office hours of outpatient care for new patients, but they are usually open on weekday mornings, and are closed on Sundays and national holidays (some hospitals are also closed on Saturdays).
At most hospitals other than dental clinics, you can see a doctor on a first-come, first-served basis. You may have a long wait at a large hospital. Sudden illnesses and emergencies on Sundays, holidays, and during the night are handled by emergency clinics.

page top

2 Medical Insurance System

Everyone who lives in Japan is required to enroll in one of the following public health insurance programs: Employee Health Insurance, in which company employees and their dependent family members are enrolled, Medical Care System for the Elderly for those aged 75 years or older (and those aged 65 or older with certain disabilities (by application)), and National Health Insurance for others.

Percentage of medical expenses to be borne by insured persons.

  • Medical Care System for the Elderly: 10% or 30%
  • 70 years old to 74 years old: 20%(10%)※ or 30%
  • 6 years old (from April 1st) to 69 years old: 30%
  • 0 years old to 6 years old, until March 31st: 20%

If you are hospitalized, a fee for meals is additionally required.

※According to the law, the self-pay ratio for people age 70 to 74 (Excluding individuals with incomes above a certain level) is stipulated as 20%. However, under a special measure by the national government, the self-pay ratio for people who were born on or before April 1, 1944 is 10%.

Health Insurance Certificate

You receive a Health Insurance Certificate when your application for Health Insurance is completed and accepted. If you have joined the Medical Care System for the Elderly, you will receive a Health Insurance Certificate when you reach a certain age. This card identifies the insured person, so you should keep it in a safe place. You must present this card when seeking treatment at a hospital or clinic. It is recommended that you carry this card with you when you travel within Japan. For more detailed information, please contact Japan Pension Service - Branch Offices, Health Insurance Association or your local ward office.

1 Employee Health Insurance

Company employees and their dependent family members are enrolled in the Employee Health Insurance Program. The company for which you work handles the application procedures and automatically deducts the premium from your salary.

2 National Health Insurance

Those who have registered as residents of Osaka City, but who are not covered by health insurance at their workplace, are required to join the National Health Insurance Program. For people who have a status of residence of 3 months or less and have an address, if your status is “Entertainer,” “Technical intern training,” “Dependent,” or “Designated activities,” and materials affirm that your stay will exceed 3 months, you cannot register your residency but you can still purchase National Health Insurance.

NOTE
1 In accordance with the U.S.-Japan Social Security Agreement, those persons applicable under the United States Statute for Cost Reimbursement (Gasshukoku Hiyou Futan Horei) and are judged to be adequately insured against costs incurred by receiving medical care in Japan by the Social Security Administration of the United States, will be exempt from National Health Insurance.
(Japan has concluded similar social security agreements with the Kingdom of Belgium, the French Republic, the Kingdom of the Netherlands, the Czech Republic, the Swiss Confederation, and Republic of Hungary.)
2 For those with the status of “Official” registration is not required, but if their stay exceeds 3 months, they must enroll in National Health Insurance.
3 Please note that individuals whose status of residence is “Designated Activities” in which the contents of activities that have been described in the designation form apply to the following items (1) and (2) are not eligible for national health insurance
(1) Individuals whose status of residence is “Designated Activities” for receiving medical care and persons that are designated to assist the daily life of those individuals.
(2) Individuals whose status of residence is “Designated Activities” for engaging in “sightseeing, recreation, or other similar activities” and spouses that have accompanied those individuals.

Application and Payment of Premiums

To enroll in the National Health Insurance Program, apply at your local Ward office. You must present your passport and Residence Card (or Foreign Registration Card) when you apply. If your permitted period of stay in Japan is less than 3 months, please present some form of documentation to prove that you will be staying in Japan for more than 3 months. Please use an automatic transfer service to pay your insurance premiums in Osaka City. If using a payment slip, please pay at your nearest financial institution, post office, Ward office or convenience store. Convenience stores will accept your payment anytime when they are open, at night or holidays.

Changing residence / Moving to a different municipality / Enrolling in a different health insurance scheme

You must complete the proper formalities at your local ward office in your new address within 14 days of the above changes.

<Documents required>

National Health Insurance Certificate, personal seal (if you have one), Residence Card (alien registration certificate is also acceptable), Health Insurance Certificate given by your employer or another Health Insurance Certificate if you are under a health insurance other than National Health Insurance.

※Before departing Japan, please visit your ward office with your National Health Insurance Certificate, personal seal (if you have one), Residence Card (alien registration certificate is also acceptable), and your air ticket.( If you live outside of Japan for 1 year or more, you will lose your qualification for National Health Insurance during that period.)

3 Medical Care System for the Elderly

Those who have reached the age of 75 years old or older (65 years old or older with certain disabilities (by application)) are required to enroll in the Medical care System for the Elderly and be insured under that system. For more details, please refer to your local ward office.

4 Qualifying for Financial Assistance with Medical Bills

If an an elderly person age 65 or older who fulfills certain requirements, a person with severe disabilities, a child up to 18 years old from a single-parent family along with his or her parent or caregiver, or a child up to 15 years old (graduated junior high school) undergoes a medical examination by using health insurance, and the person’s income or his or her family’s income is lower than a certain standard, the person can receive aid for a portion of his or her copayment. If you would like to receive aid, please apply at the health and welfare center of the ward in which you live.

5 Obtaining Refund on Medicine Expenses

There may be times when, for unavoidable reasons, you visited a doctor without bringing your insurance card and you paid the full amount of medical expenses. (This could include emergencies due to sudden illness or injury outside Japan.) In such cases, if you have health insurance, please file an application to your prefectural branch of the Japan Health Insurance Association (p. 99) or to a Society-Managed Health Insurance office. If you have National Health Insurance, apply to your local ward office. When you file the above, please also bring the following items: your insurance card (your personal seal is necessary for National Health Insurance), a bankbook for a Japanese financial institution with an account under the name of the head of the household (or a document identifying that bank account), a detailed statement about the medical treatment, and a receipt. If you wish to use National Health Insurance to cover the cost of emergency medical treatment outside Japan for a sudden illness or injury, bring the following additional items: documents proving that you were traveling abroad, such as your passport, airline tickets, visas, etc., and a letter of consent in which you agree that an insurance agency may inquire about the nature of your medical treatment abroad. After your claim is examined, an amount may be refunded based on a calculation of how much your treatment is covered by your health insurance.

6 High-cost Medical Expense Benefit

Those who have paid large amounts that exceed a certain limit in medical expenses during the same month are eligible for a refund. If you have health insurance, please file an application with your prefectural branch of the Japan Health Insurance Association or with a Society-Managed Health Insurance office. If you are using National Health Insurance, file your application with your local ward office.When you file the above, please bring your insurance card (your personal seal and receipt are necessary for National Health Insurance) and a bankbook from a Japanese financial institution with an account under the name of the head of the household (or a document identifying that bank account).
The portion of your expenses that exceeded the limit will be refunded after examination.
On the other hand, by presenting a certificate of eligibility for reduced co-payments (Gendogaku Tekiyo Ninteisho)), the payment at the medical institution will not exceed the limit amount (not applicable for judo-orthopedics, acupuncture, or Japanese traditional massage). Queries regarding the application process should be directed to your insurance agency.
For National Health Insurance, you need your inkan (personal seal) and a receipt.

Below the age of 70
Classification(※1) Up to three times in the past 12 months,
Self-pay limit
Four times and more in the past 12 months【Multiple visits】
Self-pay limit
Households with incomes over JPY 9.01 million after basic deductions*2 JPY 252,600+ (total medical expenses – JPY 842,000) X 1% 140.100 yen
Households with incomes over JPY 6 million and JPY 9.01 million or less after basic deductions JPY167,400+ (total medical expenses – JPY 558,000) X 1% 93.000 yen
Households with incomes over JPY 2.1 million and JPY 6 million or less after basic deductions JPY80,100+ (total medical expenses – JPY 267,000) X 1% 44.400 yen
Households with incomes over JPY 2.1 million and JPY 6 million or less after basic deductions 57.600 yen 44.400 yen
Household that is exempt from residence tax 35.400 yen 24.600 yen

(※1)Classification is determined based on the incomes of the head of household and all subscribers to the national health insurance in the household in the previous year, and is applied from August. In addition, households with individuals that are unable to confirm income will be classified in Category A. (Upper income earners in case of a medical care received before December 2014).

(※2) Gross income refers to pension, salary, and business income, and income from transfer of assets filed under separate taxation, income from dividends, income from transfer of assets such as land, and forestry income.

(Note): The term “total medical expenses” in the table is the amount for medical expenses (100%) paid for inpatient or outpatient care that is subject to high-cost medical care benefits.

Above the age of 70
Classification Limit for outpatient care
(for individuals)
Limit for the sum of inpatient and outpatient care (for households)
Individuals with an income level that is equivalent to persons of working age (if even one individual aged 70 to 74 has taxable income of JPY 1.45 million or more) 44.400 yen JPY 80,100+ (total medical expenses – JPY267,000) X 1%
【Multiple visits 44.400 yen】
Standard 12.000 yen 44.400 yen
Household that is exempt from residence tax, Classification Ⅱ 8.000 yen 24.600 yen
Household that is exempt from residence tax, Classification Ⅰ
(For households where all members have no income.)
8.000 yen 15.000 yen

For persons age 70 and older using National Health Insurance for in-patient or out-patient services, by showing your Old-Age National Health Insurance card, the amount that you pay out of your own pocket shall be no more than the upper limit under the High-Cost Medical Expense Benefit system.
In the case of households that are exempt from municipal tax, an eligibility certificate is required to apply for a ceiling amount. When applying to your ward office, bring your insurance card, your certification for the Late-Stage Medical Care System for the Elderly, and your personal seal.

7 Refund for Excessive Medical Care and Nursing Care Payments

For persons age 70 and older using National Health Insurance for in-patient or out-patient services, by showing your Old-Age National Health Insurance card, the amount that you pay out of your own pocket shall be no more than the upper limit under the High-Cost Medical Expense Benefit system.
Bringing your insurance card, your personal seal, a bankbook from a Japanese financial institution with an account under the name of the head of the household (or a document identifying that bank account), please file an application with the medical insurance provider to which you are enrolled as of July 31. (In the case of health insurance, your local prefectural branch of the Japan Health Insurance Association or a Society-Managed Health Insurance office. For those enrolled in National Health Insurance or in the Late-Stage Medical Care System for the Elderly, apply to your local ward office.

8 Lump Sum Birth Allowance

If a policyholder bears a child—this includes stillbirths and miscarriages—a lump-sum benefit for childbirth will be provided in line with the regulations outlined in your health insurance policy. For information about application procedures, provision requirements, and monetary amounts, etc. please refer to your insurer.

9 Allowance for Funeral Expenses

If a policyholder dies, funeral expenses and certain associated costs will be covered in line with the regulations outlined in your health insurance policy. Queries regarding the application procedure and qualifying conditions should be directed to your insurance agency.

10 Cases Where the Medical Insurance is not Applicable

Health Insurance does not cover the following cases:

  • Medical treatment and drugs that are not covered by Health Insurance
  • Extra charges incurred by a private patient’s room or non-essential dental treatment.
  • Normal pregnancy and child birth.
  • Medical checkups, inoculation and vaccination
  • Cosmetic Surgery
  • Straightening of teeth

page top

Services For Health

Public Health and Welfare Centers in Osaka City offer various services that contribute to citizens’ health.

1 Health Counseling

Counseling on health and dietary habits.

2 Maternal and Child Health

Free services such as counseling on maternal and child health, issuing of the Maternal and Child Health Handbook, prenatal classes along with vaccinations and checkups for the baby.

3 Tuberculosis (TB) Prevention

Tuberculosis (TB) examinations are provided free of charge for persons 15 years old and over who have not received a health checkup at their school or workplace. There is also a system to bear the medical public expenses patients who are hospitalized or receiving outpatient treatment for tuberculosis.

4 AIDS Prevention

HIV (AIDS) Antibody Testing (free, anonymous, no appointment necessary)

HIV (AIDS) Antibody Testing at the Public and Welfare Health Centers
Syphilis and Chlamydia checks are also offered at the Public and Welfare Health Centers.
※Except National holidays and Year-end/New Year holidays)
  • Kita Ward Public Health and Welfare Center:
    Monday, Tuesday, Thursday, and Friday, 9:30 - 11:00
    Wednesday, 14:00 - 15:30
    TEL 06-6313-9882
  • Chuo Ward Public Health and Welfare Center:
    Tuesday–Thursday, 9:30–11:00
    First Friday of each month, 14:00–15:00 (same-day test)
    TEL 06-6267-9882
    Note: Only HIV (AIDS) test on Friday at Chuo Ward.
  • Yodogawa Ward Public Health and Welfare Center:
    Monday 14:00 - 15:30, Tuesday 9:30 - 11:00
    TEL 06-6308-9882
Venue for HIV Antibody Testing
Tuesday Night HIV Antibody Testing (Capacity 50 people)(free, anonymous, no appointment necessary)
  • Syphilis and Hepatitis B checks are also offered.
    <Date> Every Tuesday
    (except National holidays and Year-end/New Year holidays)
    <Time> 18:00-20:00
  • Thursday Night HIV Antibody Testing (Capacity 50 people)
    (free, anonymous, no appointment necessary)
    Syphilis and Hepatitis B checks are also offered.
    <Date> Every Thursday
    (except National holidays and Year-end/New Year holidays)
    <Time> 18:00-20:00
  • Saturday Quick HIV (AIDS) Antibody Testing (Capacity 50 people)
    (free, anonymous, no appointment necessary)
    Hepatitis B checks are also offered.
    <Date> Every Saturday (except Year-end/New Year holidays)
    <Time> 14:00 - ※Tickets will be given from 13:30
  • Sunday Quick HIV (AIDS) Antibody Testing (Capacity 50 people)
    (free, anonymous, no appointment necessary)
    Hepatitis B checks are offered.
    <Date> Every Sunday (except Year-end/New Year holidays)
    <Time> 14:00 - ※Tickets will be given from 13:30
(Address/TEL)

Advance reservation system:
Using the reservation website, you can make a reservation any time starting from 12:00 a.m. six days prior to the test up until noon of the day of the test. <http://www.npo-jhc.com/namba-kensa/>.
Ichiei Sogo Building (3F) “chot cast Namba”
☎ 06-6632-0632 (Tuesday, Thursday, Saturday)
☎ 06-4256-8681 (Sunday)
1-6-8 Nambanaka, Naniwa-ku (Subway Namba Station, Exit 6)
chot cast Namba TEL 06-6632-0632 (Inquiries can only be made during the times testing is conducted.)
Osaka City Public Health Center, Infectious Diseases Prevention Department
TEL 06-6647-0656 (9:00-17:30 Excludes Sat/Sun, National holidays, Year-end/New Year holidays).

Counseling
  • AIDS Consultation
    Public Health and Welfare Center of your local Ward
    Monday to Friday 9:00 - 17:30 (except National holidays and Year-end/New Year holidays)
  • AIDS Counseling
    Kita Ward Public Health and Welfare Center
    <Date> First and Third Wednesday
    <Time> 14:00 - 16:00 TEL 06-6313-9968
    Chuo Ward Public Health and Welfare Center
    <Date> Second and Fourth Friday
    <Time> 9:30 - 11:30 TEL 06-6267-9968
  • AIDS telephone consultation in foreign languages
    <Date> Tuesday: English, Spanish, Portuegese
    Wednesday: Thai
    Thursday: English, Tagalog
    <Time> 16:00 - 20:00
    (except Year-end/New Year holidays)
    <Inquiries> NPO “Charm” TEL 06-6354-5901
  • Inquiries and consultation about AIDS (trio-phone)
    English, Chinese, Korean … Mon - Fri 9:00 - 17:30
    TEL 06-6647-1019
    (Except national holidays, and December 29–January 3)

4 Medical Consultation

Name Adress / Tel. Language / Time
AMDA International Medical Information Center Kansai
AMDA International Medical Information Center Kansai website
TEL 050-3598-7574 English, Chinese, Spanish: Mon. - Fri.9:00 - 17:30

page top

5 Osaka City Hospitals

Osaka City General Hospital

TEL 06-6929-1221
2-13-22 Miyakojima-hondori, Miyakojima-ku
Languages: Japanese and English, Chinese, Korean, Spanish

Clinical Departments
General Medicine, Endocrinology, Diabetes, Kidney and High Blood Pressure, Psychiatry/Neurology, Neurology, Dermatology, Cardiovascular Medicine, , Respiratory Medicine, Gastroenterological Medicine, Liver Medicine,Infectious diseases, Medical oncology, Hematology, Palliative Medicine, Surgery,Orthopedics,Urology,Ophthalmology, Otolaryngology, Gynecology, Plastic Surgery, Oral Surgery, Neurosurgery, Neuroendovascular therapy, Cardiovascular Surgery, Respiratory Surgery, Gastroenterological Surgery, Hepato-biliary & Pancreatic Surgery, Mammary Gland Surgery,Obstetrics, Neonatology,Pediatrics,Pediatric Metabolism & Endocrinology ,Pediatric Neurology , Pediatric Cardiology , Pediatric Arrhythmia, Pediatric Hematology, Youth Psychiatry, Pediatric Surgery, Pediatric Orthopedics, Pediatric Urology, Pediatric Ophthalmology, Pediatric Otolaryngology, Pediatric Plastic Surgery, Pediatric Neurosurgery, Pediatric Cardiovascular Surgery, Pediatric Speech & Language, Pediatric Emergency Care, Anesthesiology, Diagnostic Radiology, Radiation Oncology, Diagnostic Pathology, and Physical Therapy.

Osaka City Juso Hospital

TEL 06-6150-8000
2-12-27 Nonaka-kita, Yodogawa-ku
Languages: Japanese and English

Clinical Departments
Internal Medicine, Diabetes Internal Medicine, Cardiovascular Medicine, Respiratory Medicine, Pediatrics, Gastroenterological Medicine, General Surgery, Orthopedics, Dermatology, Urology, Gynecology, Ophthalmology, Otolaryngology, Anesthesiology, Radiology, Physical Therapy

Osaka City Sumiyoshi Hospital

TEL 06-6681-1000
1-2-16 Higashi-kagaya, Suminoe-ku
Languages: Japanese and English

Clinical Departments
Pediatrics, Pediatric Neurology, Pediatric Surgery, Gynecology, Anesthesiology, Radiology

Osaka City University Hospital

TEL 06-6645-2121
1-5-7 Asahi-cho, Abeno-ku
Languages: Japanese and English

Clinical Departments
Center for General Medicine,Cardiovascular Medicine, Respiratory Medicine, Collagen Diseases, Center for Diabetes & Lifestyle Diseases, Nephrology, Rheumatology, Gastroenterological Medicine, Hepatology & Pancreatic Medicine, Pediatrics & Neonatology, Neuropsychiatry, Dermatology, Radiology, Radiation Oncology, Nuclear Medicine, Gastroenterological Surgery, Mammary Gland & Endocrine Surgery, Cardiovascular Surgery, Respiratory Surgery, Pediatric Surgery, Neurosurgery, Orthopedics, Urology, Women’s Medicine (obstetrics, reproductive endocrinology, pelvic floor medicine), Women’s Medicine (gynecological tumors), Ophthalmology, Otolaryngology, Anesthesiology & Pain Clinic, Plastic Surgery, Hematology and hematopoietic stem cell transplantation, neurology, dentistry and oral surgery

Emergency Clinics

Emergency Clinics

page top

Hospitals in Osaka City where English/Other Languages are Spoken

Please visit the website of Osaka Prefecture.
※Information about hospitals where foreign languages are spoken is also available at AMDA (International Medical Information Center Kansai).

page top

Multilingual medical interview sheet

Medical Questionnaires can be downloaded from: Multilingual medical interview sheet website
Clinical Departments available: ophthalmology, surgery, maternity & gynaecology, dentistry, otolaryngology, pediatrics, orthopedics, internal medicine, neurosurgery, dermatology, and Psychiatry.
Languages available are: Indonesian, English, Cambodian, Spanish, Thai, Tagalog, Chinese, Korean, Vietnamese, Persian, Portuguese, Laotian, Russian, French, Nepalese, German, Arabic, and Croatian.

page top