Introduction

The “Specified Skilled Worker (SSW)” status of residence is drawing attention as a solution for labor shortages in Japan. A medical checkup is an unavoidable requirement for obtaining this visa. Many potential applicants worry about how being diagnosed with a chronic illness may affect their application or employment status. This post explains, based on official public sources and the latest rules, what happens if a chronic condition is found during the required health check, and how it affects the SSW visa application process.

Legal Framework and the Role of Medical Checkups

Applicants for the SSW visa must undergo a medical checkup and submit the results. The exam must cover all mandatory items specified by public guidelines to ensure the applicant is healthy enough to work safely in Japan. Both employers and applicants must submit these medical documents to immigration authorities as part of the application process.

Mandatory Medical Examination Items

• Medical history and work history assessment
• Body measurement (height, weight, etc.), waist circumference, vision and hearing tests
• Chest X-ray
• Blood pressure, anemia, liver function, and urinalysis
• Additional tests, as needed

If a Chronic Illness Is Found

Finding a chronic illness during the health check does not immediately disqualify the applicant. The key question is whether the applicant is well enough to safely continue working in their proposed job. If the illness is stable, well-managed, and does not interfere with job duties, rejection of the application for health reasons is rare. However, in cases of highly infectious diseases (such as tuberculosis, hepatitis B) or illnesses considered by doctors to severely impede the applicant’s work, the visa may be denied or delayed.

If the Medical Certificate Indicates “Abnormal” or “Needs Further Examination”

If entries such as “abnormal” or “needs further examination” are recorded, the applicant must generally undergo a follow-up examination. As long as the applicant can submit a certificate from a doctor stating they are fit for work, this will not usually hinder the visa process. During repeat tests or further examination, supplemental medical letters or clear explanation are important for a smooth application process.

Case Example

A worker “A” managed hypertension with regular medication and received a doctor’s statement indicating no work limitations. Submitted with the full application, their SSW visa was approved without issue.

After Employment: Ongoing Medical and Workplace Support

Employers are required to conduct regular annual health checks even after visa approval. If health concerns arise, adjusting work tasks or providing sick leave may be necessary to protect the worker’s health.

Summary

Even if a chronic illness is found at the time of the medical check, SSW visa denial for this reason is rare. If the condition is under control and does not affect job performance, approval is possible, provided the application is supported with medical documentation. Employers and support organizations should assist applicants in preparing the necessary information and ensure fair treatment.