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Within 14 days

Health Insurance for Baby (National Health Insurance Enrollment)

If your household is enrolled in National Health Insurance (NHI / Kokumin Kenko Hoken), you need to register the newborn as a new NHI member within 14 days of birth. Visit your municipal office on the same day as birth registration if possible.

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Documents needed

Guardian's National Health Insurance card or Certificate of Qualification (資格確認書)
Guardian's ID
Proof of birth (copy of Maternal and Child Health Handbook, or resident certificate extract)
Guardian's Residence Card
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Steps

1

On the same day as birth registration (or within 14 days), go to the NHI counter at your municipal office

2

Submit the 'National Health Insurance Enrollment Form' (被保険者資格取得届)

3

Receive the baby's NHI card or Certificate of Qualification (資格確認書) (usually issued immediately or within a few days)

4

Once you have the card or Certificate of Qualification, apply for the Child Medical Expense Subsidy (医療証) at the same or nearby counter

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Important notes

Many municipal offices allow you to handle this together with birth registration on the same visit

If your spouse is enrolled in employer social insurance, you also have the option to add the baby as a dependent under their workplace plan — which involves no extra premium. Ask your spouse's HR department

Registering after 14 days is still accepted, but the unregistered period may be treated as uninsured

The baby's NHI premium is added to your household's existing NHI premium (no separate bill — your household premium increases)

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