Health insurance procedures when moving your rental apartment can be tricky—missing steps can lead to your insurance card becoming invalid or unpaid premiums. This guide explains exactly what you need to do, when, and where for both national health insurance and social insurance.

Reviewed by: Nobuyuki MoriPresident, M-Assets Co., Ltd. / Licensed Real Estate Transaction Specialist (Miyagi #018212)
Comprehensive coverage of address changes not just for your resident registration, but also for pensions, health insurance, driver's license, bank accounts, credit cards, and more. We explain what you must not forget and how to prioritize your tasks.
This article explains the moving procedures for those with a My Number Card. We'll cover address changes when filing your change of address notification, continuous-use procedures, how to use online applications, what happens if you miss deadlines, and more—all with the latest 2026 procedure information.
After moving, you'll need to update your address not just with your resident registration, but also with your bank, credit card company, insurance provider, and various services. We'll explain the checklist and priorities to ensure you don't miss anything.
A residential address change when moving your rental apartment directly affects your health insurance procedures. Simply updating your resident registration is not enough—the necessary procedures vary depending on the type of insurance you have. Neglecting these procedures can result in your insurance card retaining an outdated address or complications when seeking medical care.
Additionally, the procedures differ depending on whether you're moving within the same municipality or across municipalities. Identify which case applies to you before taking action.
There are two main types of health insurance:
| Insurance Type | Primary Beneficiaries |
|---|---|
| Social Insurance (Health Insurance) | Company employees, civil servants, and their dependents |
| National Health Insurance | Self-employed, freelancers, unemployed, students, and others |
If you're enrolled in social insurance, your insurance card is issued through your employer, and the basic procedure for address changes is to notify your company's human resources or administration department. Your company will then report the change to the relevant health insurance organization.
Procedures:
Although your insurance card will usually still work at medical facilities even if the address on it differs from your current address, it's best to update it promptly for proper record management.
National health insurance is managed by municipalities, so if you move to a different municipality, you need to complete both withdrawal and enrollment procedures.
If you have national health insurance and move within the same municipality, your insurance coverage continues.
Required Procedures:
If you move to a different municipality, you need to complete both "withdrawal procedures" at your old address and "enrollment procedures" at your new address.
What to Do at Your Old Address (Before Moving):
What to Do at Your New Address (Within 14 Days of Moving):
The 14-Day Rule:
You must submit your moving-in registration within 14 days of changing your address, or you'll violate the Resident Registration Act. Complete your national health insurance enrollment promptly as well. Although enrollment is possible even if delayed, any medical expenses incurred during the gap period will be your full responsibility.
National health insurance premiums are calculated and settled on a monthly basis.
You won't be double-charged during your moving month, but since calculation methods and payment schedules vary by municipality, we recommend confirming details at your new municipality's office.
If you change jobs, become unemployed, or become self-employed when moving, your income situation changes and your premiums will adjust accordingly. Since premiums are calculated based on the previous year's income, some municipalities allow you to apply for "premium reductions" or "installment payment plans" if your income drops significantly.
If you forget to obtain your Certificate of Loss of Eligibility when returning your old insurance card, enrollment at your new address will be complicated. Always make sure to get this certificate.
If your move happens in two stages (temporary housing → permanent housing), you'll need to complete moving-in registrations and insurance procedures at each stage. If you neglect this thinking "I'll just move again soon," you could end up with a period when your insurance card is unusable.
You need to complete procedures for all household members. Even if one spouse has social insurance while the other has national health insurance, each requires separate procedures.
As of December 2024, the shift to "Mynumber Insurance Cards" (integrating health insurance with your Mynumber card) has been underway. When moving, updating your Mynumber card's address (IC chip update at your municipal office) at the same time will make using your integrated insurance card at medical facilities smoother.
Health insurance procedures when moving are not automatically completed when you submit your moving-in registration. Especially for moves across municipalities, you need both withdrawal procedures at your old address and enrollment procedures at your new address. Always obtain your Certificate of Loss of Eligibility and aim to complete procedures within 14 days. If you're an employee, don't forget to notify your employer's HR department. Amid all the hustle and bustle of moving, early confirmation is key to ensuring there's no gap in your medical coverage.
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