I also like to mention that everyone who is 65 and older must pay the "Kaigo Hoken", this is the health insurance for the elderly. It's based upon ones income. Both you and your spouse pay into it separately. You have to pay it at the bank , but when there, do the paper work for it can be withdrawn automatically every month. The more your make in one year, the higher your premium is. According to the paper work I have, the current highest amount one will pay is "176,400 yen" a year. The smallest amount one will pay is "31,752 yen" a year. And this is all based upon your income.