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NHI

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 accept Japanese National Health Insurance.

Who is this for?

  • Residents enrolled in Japan's National Health Insurance

What should I know?

  • Most patients pay approximately 30% of the medical cost
  • Most clinics can be visited directly without a referral

Common frustrations

  • Finding English-speaking providers
  • Understanding how referrals work

When should I choose this category?

  • You have a Japanese National Health Insurance card

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 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%.

Then what?

Nothing. Coverage is processed automatically at the time of your visit.

What usually causes problems?

Finding English-speaking providers and understanding when a referral letter is needed.

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