Health Insurance in Japan
Summary: As you plan your move to Japan, a key decision awaits: selecting the right health insurance. Should you go with local or expat coverage? This article explores the options and includes experiences shared by expats in Japan, offering a glimpse into what might work best for you.
Moving to Japan offers a unique blend of cultural experiences and modern conveniences. However, navigating the system, particularly health insurance, is crucial for a smooth transition to life in Japan.
Health Insurance Companies in Japan
Some of the most popular health insurers in Japan include Japan Post Insurance, Prudential Life Insurance, and Sompo Himawari Life Insurance. These companies are well-established and offer a variety of plans tailored to different needs. Expats are generally eligible to purchase health insurance from these companies, provided they meet the necessary criteria such as having a valid residence status. Japan Post Insurance is known for its comprehensive coverage and accessibility, while Prudential Life Insurance offers a range of plans that cater to different lifestyles. Sompo Himawari Life Insurance is popular for its customizable plans and extensive network of medical facilities.
Expat Health Insurance in Japan
Some expats living in Japan opt to buy specialized expat health insurance designed for those living abroad. These plans often provide coverage that is more tailored to the needs of expats, such as emergency evacuation, repatriation, and coverage in multiple countries. Additionally, expat health insurance plans may offer English-language support and customer service, making it easier for foreigners to navigate the healthcare system.
Local Health Insurance vs. Expat Health Insurance
The choice between local health insurance and specialized expat health insurance depends on individual preferences and circumstances. While some expats and digital nomads opt for local health insurance due to its comprehensive coverage and lower costs, others prefer expat health insurance for its international coverage, English-language support, and additional benefits like emergency evacuation. Local health insurance often requires a basic understanding of Japanese, which can be a barrier for some expats.
Considerations When Choosing Health Insurance Overseas
When deciding about health insurance while living overseas, there are several factors to consider. One key aspect is understanding the payment process. Some insurers may pay the hospital directly, while others may require you to pay upfront and submit claims for reimbursement later. Additionally, consider the extent of coverage, including whether it covers pre-existing conditions, maternity care, and other specific needs. Network coverage, or the range of hospitals and clinics where the insurance is accepted, is another crucial factor to consider. Lastly, evaluate the level of support and customer service provided by the insurer, especially if language barriers are a concern.
Expats talk about Health Insurance in Japan
"I have Social Health Insurance that my job helped set up for me. It's accepted pretty much everywhere as it's a public insurance. I have only needed to do something preventative, though, so I have only paid for medical service in its entirely before," commented one expat living in Tokyo, Japan.
"My experience is that the national health insurance is great and easy to enroll in and easy to use. The insurance is reasonably priced and covers 70% of most medical needs. I have not had a problem with the healthcare system yet. I make sure to find an establishment that provides English support and everything is much smoother for me," mentioned one expat living in Japan.
About the Author
Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International
and Mass Market Marketing. She graduated from Ohio Wesleyan University
with a BA in International Business and German.
Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.
Additional Information:
- Japan Guide
- Healthcare & Health Insurance in Japan
- Members Talk about Healthcare & Health Insurance in Japan
- Best Places to Live in Japan
- Real Estate in Japan
- Guide to Real Estate in Japan
- Pros & Cons of Living in Japan
- Cost of Living in Japan
- Understanding the Health System in Japan
- Guide to Residency in Japan
- Moving to Japan
- 2026 Guide to Living in Japan
- Pros and Cons of Living in Japan 2026
- 2026 Guide to Moving to Japan


