Understanding the Health System in Japan
Summary: Gain insight into the health care system in Japan. Explore its accessibility and limitations for expatriates, remote workers, retirees, and others who choose to live in Japan.
Moving to Japan can be an exciting adventure, but finding the right apartment can seem daunting. This guide aims to simplify the process by providing essential information about renting an apartment in Japan, including how to find properties, the role of real estate agents, necessary documents, and other practical tips.
How Do You Find a Rental Property in Japan?
Finding a rental property in Japan typically involves using online property portals, visiting local real estate agencies, or consulting with relocation services. Popular websites like Suumo, Chintai, and Home's allow you to search for properties based on various criteria. Real estate agencies can provide personalized assistance, but their services may come with fees. Additionally, some companies may provide relocation support for their expat employees.
Does Japan Have an MLS Type System?
Japan does not have a centralized Multiple Listing Service (MLS) like the one used in the United States. Instead, real estate information is dispersed across various platforms and agencies. This means you may need to search multiple sources to find the most suitable properties. Some websites may aggregate listings, but they do not cover every available property.
Do Brokers Have Licenses and How Do I Know If They Are Licensed?
Real estate agents in Japan are required to have a license called "Takken" to operate legally. To verify if an agent is licensed, you can ask to see their license or check the Ministry of Land, Infrastructure, Transport, and Tourism's website. Most legitimate real estate agencies will display their license prominently in their office.
Should I Buy or Rent in Japan?
Whether to buy or rent in Japan depends on your personal circumstances, including your budget, length of stay, and future plans. Buying a property can be expensive and complex due to high upfront costs and potential language barriers. Renting is generally more flexible and suitable for expats with shorter-term plans or those who prefer not to commit to a long-term investment.
Is It Difficult to Find Rentals in Japan?
The difficulty of finding rentals in Japan varies depending on the location and type of property. Major cities like Tokyo and Osaka have a high demand for housing, which can make the rental market competitive. However, there are usually plenty of options available, and working with a real estate agent can help streamline the process.
What Documents Are Required When Renting an Apartment in Japan?
To rent an apartment in Japan, you will typically need the following documents: a valid passport or residence card, a certificate of employment or student ID, a Japanese phone number, an emergency contact in Japan, and sometimes a personal seal (inkan). Additionally, you may need to provide a guarantor who lives in Japan, or use a guarantor company for a fee. Some landlords may also require a Japanese language ability certificate or a co-signer.
Do I Need a Lawyer When Renting an Apartment in Japan?
It is not typically necessary to hire a lawyer when renting an apartment in Japan, as real estate agents usually handle the paperwork. However, if you encounter complex legal issues or need assistance negotiating your lease, consulting with a lawyer can be beneficial. Legal fees vary, but you can expect to pay around ¥50,000 to ¥200,000 ($450 to $1,800 USD) or more, depending on the services required.
How Long Is the Typical Lease for in Japan?
The typical lease length in Japan is two years. However, lease terms can vary, and some landlords may offer one-year leases or allow for shorter-term contracts with a higher rent. Renewing a lease is usually possible, but it may come with additional fees.
Do I Have to Pay a Deposit When Renting in Japan?
Yes, when renting an apartment in Japan, you will typically need to pay a deposit called "shikikin," which is usually equivalent to one to three months' rent. This deposit is held until the end of the lease and is used to cover any damages or unpaid rent. If the apartment is in good condition when you move out, the deposit should be refunded, although there may be deductions for cleaning and minor repairs.
What Other Upfront Costs Are There When Renting in Japan?
In addition to the deposit, you may need to pay key money ("reikin"), which is a non-refundable gift to the landlord typically amounting to one to two months' rent. Other upfront costs can include the real estate agent's fee (usually one month's rent), a lock-changing fee, a guarantor company fee (if applicable), and renter's insurance. These costs can add up significantly, so it's essential to budget accordingly.
Are Utilities Included When Renting in Japan?
Utilities are typically not included in the rent in Japan. Tenants are usually responsible for setting up and paying for their own electricity, gas, and water services. These utilities can be relatively expensive compared to other countries, with costs varying depending on usage and the provider. Internet and phone services are also usually the tenant's responsibility.
Are Furnished or Unfurnished Rentals More Popular in Japan?
Unfurnished rentals are more common in Japan, especially for long-term leases. Unfurnished apartments typically include a stove and sometimes a refrigerator, but other appliances and furniture are not provided. Furnished apartments are available, particularly for short-term or serviced accommodations, but they tend to be more expensive. In unfurnished apartments, tenants are usually expected to provide their own lighting fixtures, curtains, and other furnishings.
Insider Tips from Expats in Japan: How to Navigate the Health System
"Research clinics and hospitals online that are English-speaking beforehand. Contact clinics to ask if they perform certain procedures. Learn some common words to ask for specific things if you have to go to a Japanese-speaking clinic or hospital. Hospitals will not coddle you - you must advocate for yourself and be firm if you are having certain issues. Otherwise they may rush you out after a quick once-over," commented one expat living in Tokyo, Japan.
"Healthcare services in Japan are generally of a high quality and are provided by both public and private institutions. The public system is funded by taxes and is available to all citizens and foreign residents. It covers a wide range of services, including preventive care, hospitalization, and long-term care. The quality of public healthcare is generally good, with access to modern medical technology and highly trained medical professionals. Foreign residents are eligible to use the public healthcare system, although they may need to pay a portion of the cost. Expats in Japan can use the public healthcare system by registering with their local municipality and obtaining a health insurance card. This card allows them to access public healthcare services at a discounted rate," mentioned one expat living in Japan.
"I tell them that everyone is under the same health insurance and not to worry about choosing from medical insurance plans. Also, for those with chronic diseases, I would advise them to check if their medicine and care is available in Japan, as a lot of medicine that is available in America is not available in Japan," said an expat in Japan.
"Emergency services are common and can be accessed by calling 119 for a fire or ambulance and 110 for police. I am a 20 minute public transit ride away from several different hospitals, or a 10 minute drive. The best hospitals in the city are The University of Tokyo Hospital and St. Luke's International Hospital. I am unfamiliar with their care as I have not had to visit yet," commented one expat living in Tokyo, Japan.
"You for an ambulance by dialing 119. Tokyo is a huge city so I cannot give a recommendation on the best hospitals, as there are a lot of hospitals to choose from and they vary in their care and speciality. I would advise someone to find a hospital that provides English support if they are not comfortable communicating solely in Japanese," mentioned one expat living in Japan.
"Emergency services in Japan are highly efficient and reliable. In the event of an emergency, the best way to call for an ambulance is to dial the emergency number 119. This number is available 24 hours a day, 7 days a week and is free of charge. When calling, it is important to provide the operator with as much information as possible, such as the exact location of the emergency, the type of emergency, and any other relevant information. The operator will then dispatch an ambulance to the scene as quickly as possible," said an expat in Japan.
About the Author
Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC
Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua 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
- Getting a Driver's License in Japan
- 15 Best Places to Live in Japan
- Understanding the Health System in Japan
- Guide to Residency in Japan
- 2026 Guide to Living in Japan
- Pros and Cons of Living in Japan 2026
- 2026 Guide to Moving to Japan


