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Home›Leaving Japan›National Health Insurance Withdrawal

National Health Insurance Withdrawal

Before leaving Japan, withdraw from National Health Insurance. It is most efficient to handle this on the same day as your overseas move-out notification.

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Documents needed

✓Residence Card
✓National Health Insurance card or Qualification Confirmation Card
✓ID document (passport, etc.)
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Steps

1

Visit your city / ward office (most efficient to do this on the same day as your overseas move-out notification)

2

File the loss of National Health Insurance eligibility (the head of household is the one obliged to file, within 14 days of losing eligibility - NHI Enforcement Regulations, art. 12)

3

Hand your qualification certificate — or insurance card if you still hold one — back at the counter. Article 12 of the NHI Enforcement Regulations covers filing the notification itself; follow the counter's instructions on returning the certificate

4

Confirm any premium adjustments (refund or additional charge) after withdrawal

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Important notes

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National Health Insurance covers people who have an address within a prefecture (NHI Act, art. 5). Once your residence record is deleted by the overseas move-out notification you no longer have one, so eligibility ends. Doing both on the same day avoids paying extra premiums

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If you have already paid annual premiums, a refund may be issued after withdrawal

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If a premium refund applies, your municipality will notify you after withdrawal is processed. A separate application may be required in some cases — confirm at the counter when withdrawing

Official info verified: 2026-09-15 / Source: laws.e-gov.go.jp ↗
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