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Insurance Guide

Employee Insurance

Review first-contact guidance, referral expectations, payment flow, and common issues for this insurance situation.

Okinawa International Clinic note

Okinawa International Clinic is a self-pay clinic and does not process Japanese public health insurance.

Who is this for?

  • Employees of Japanese companies
  • OIST employees
  • Many long-term foreign residents

What should I know?

  • Similar access to care as National Health Insurance
  • Most clinics can be visited directly without a referral

Common frustrations

  • Finding English-speaking providers
  • Understanding when a referral letter is needed for hospital specialists

When should I choose this category?

  • You receive health insurance through your employer in Japan

Can I use Japanese clinics?

Yes. Most clinics can be visited directly.

Who should I contact first?

Any clinic.

Do I need a referral?

It depends on the clinic or hospital.

Many Japanese clinics accept new patients without a referral. However, some clinics and many hospital specialists may require a referral letter before accepting an appointment.

In addition, some facilities may have limited English support and may ask patients to bring an interpreter or a Japanese-speaking companion.

Before visiting any clinic or hospital, it is strongly recommended that you contact the facility in advance to confirm:

  • Whether new patients are being accepted
  • Whether a referral is required
  • Whether English support is available
  • Whether an interpreter is needed
  • Whether your Japanese employee health insurance card can be used

Confirming these details beforehand can help avoid delays, unexpected fees, or cancelled appointments.

Who pays?

You pay approximately 30% of the medical cost.

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