Japan is recognized for having one of the most efficient healthcare systems in the world, combining cutting-edge technology with quality medical care. All residents, including expats with work visas, are required to subscribe to a public health insurance plan (SHIS). This system provides broad coverage, but co-payments can be high, and some specialties or more advanced treatments are only available in the private sector. Expat health insurance is recommended to cover the cost differences and access high-quality care at the country’s most prestigious private institutions.
The Basics of the Health System in Japan
Recognized worldwide for its high quality, Japan’s healthcare system is among the best in its category. Accessible, it’s based on a health insurance model that’s partly similar to the French model!
In fact, every person residing primarily in Japan , including expatriates staying for more than three months , is required to register with one of the two main insurance systems:
Employee Health Insurance (Shakai Hoken) for all employees of companies.
Like the CPAM (Health Insurance Fund) in France, this system guarantees fairly broad coverage at a relatively affordable cost (which is a percentage of the person’s income), with coverage of 70% to 80% of medical expenses. The remaining 20 to 30% is then the patient’s responsibility, except in special cases: children or the elderly, for example.
Compared to the French healthcare system, which is also universal but mainly funded by the state, Japan adopts an approach based on cost-sharing between the government, employers, and individuals.
Since registration with one of the two basic health systems is mandatory for permanent residents, you should, if you are in this situation, make sure to register quickly upon arrival.
The Japanese system is also known for offering not only classical medical treatments, but also services for certain recognized alternative medicines , such as acupuncture or moxibustion, a particularity which distinguishes this system.
In Japanese hospitals, the language barrier can be an obstacle for expats, despite the growing presence of English-speaking staff and doctors, particularly outside major cities like Tokyo and Osaka.
Standards of care are exceptionally high, thanks to cutting-edge technology and highly qualified medical staff.
The overall health situation in Japan is excellent.
Japan has an excellent overall health situation , renowned for its modern infrastructure and advanced healthcare system. Medical facilities, whether public or private, are often well-equipped, and doctors are highly qualified.
Tap water in Japan is generally safe to drink and meets strict quality standards. Although, as is common in many foreign countries, some expats and visitors prefer bottled water, or even water filters, especially upon arrival, while they adjust to the local taste. This is more a matter of preference than necessity.