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건강보험: How Health Insurance Premiums Are Calculated (With Examples)

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Person calculating health insurance premiums with documents and calculator

간단 답변

NHI premiums are based on last year's income and vary by city — expect roughly ¥15,000-¥50,000/month for income of ¥2-5 million. Shakai Hoken is approximately 5% of your monthly salary (your share, employer pays another 5%). New arrivals with no prior income in Japan often start with minimum NHI premiums.

NHI Premium Calculation

Diagram showing the factors that determine NHI premium calculation

NHI premiums have three components, and the exact rates vary by municipality (which is why NHI costs differ between cities):

ComponentHow It WorksTypical Range
Income-based (所得割)Percentage of prior-year income7-10% of taxable income
Per-capita (均等割)Fixed amount per insured person¥30,000-¥55,000/year per person
Flat-rate (平等割)Fixed per household (not all cities)¥0-¥30,000/year

Shakai Hoken Premium Calculation

Shakai Hoken is simpler: your "standard monthly remuneration" (標準報酬月額) determines your premium bracket. The rate is roughly 10% of salary, split 50/50 with your employer.

Premium Examples by Income Level

Bar chart showing approximate monthly premiums at different income levels
Annual IncomeNHI (monthly, Tokyo Shinjuku)Shakai Hoken (your share/month)
¥2,000,000~¥14,000~¥8,300
¥3,000,000~¥22,000~¥12,500
¥4,000,000~¥30,000~¥16,700
¥5,000,000~¥38,000~¥20,800
¥7,000,000~¥50,000~¥29,200
¥10,000,000~¥65,000 (near cap)~¥41,700

* NHI rates based on Shinjuku Ward 2025 rates. Shakai Hoken rates based on Kyokai Kenpo Tokyo branch. Actual amounts vary.

New Arrivals: First-Year NHI

If you have just arrived in Japan with no prior-year income recorded, your NHI premium in the first year may be only the per-capita amount (¥3,000-¥5,000/month). However, the following year's premium will jump based on your first year's earnings — plan accordingly.

⚠️ 면책 조항

Premium rates change annually and differ by municipality and insurer. The examples above are approximations. Contact your city/ward office (NHI) or employer (Shakai Hoken) for exact calculations.

최종 업데이트: April 2026.

※ The information on this site is 참고용. Please confirm procedure details at your local municipal office.

자주 묻는 질문

How much is NHI per month in Japan?

NHI premiums vary by city and income. For a single person earning ¥3,000,000/year in Tokyo, expect approximately ¥22,000/month. New arrivals with no prior Japanese income may pay as little as ¥3,000-¥5,000/month in the first year.

Why is my NHI bill so high in the second year?

NHI premiums are based on the previous year's income. In your first year, you may have had little or no recorded income. Once your first year's earnings are on record, the following year's NHI premium reflects your actual income, often causing a significant jump.

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