I. International health insurance Japan

I. International health insurance Japan

Do you need an international health insurance in Japan? 

All residents in Japan, including expats, are legally required to join a public health insurance system: either the Employees’ Health Insurance (SHI) or the National Health Insurance (NHI).

However, these schemes often cover only 70% of costs and exclude international care, private rooms, or alternative treatments. 

Japan offers a unique combination of tradition, innovation, and world-class infrastructure.

Its healthcare system is one of the most advanced in the world, but expats quickly discover that navigating local insurance schemes, language barriers, and access limitations can be challenging.

International health insurance in Japan provides global flexibility, premium care access, and peace of mind for those settling or working in Japan.

It also offers:

Full reimbursement without co-payments or deductibles

Access to private hospitals with English-speaking doctors

Protection during travel and temporary relocation

Higher limits for surgery, cancer treatment, and maternity

Our Japan-based advantages 

What our expat clients in Japan value most

No exclusions for pre-existing or chronic conditions

Direct access to private clinics without a referral

Complete support during visa, job, or country transitions

Comprehensive mental health and preventive coverage

Maternity and pediatric care for international families

Destinations covered for Japan residents 

Expats based in Japan often maintain global ties and require coverage across: 

OnlyHealth ensures uninterrupted coverage wherever you reside, travel, or receive care. Benefits work worldwide without any translation needed, offering freedom of choice for the best treatment and respecting your medical care habits. 

What is the average cost of medical care in Japan?

Japan offers affordable care for residents under public schemes. Without insurance or in the private system, costs can escalate quickly: 

Routine medical care 

Private routine care in Japan is efficient and widely accessible, but fees apply in full when not using the public system. International plans offer more direct access without co-pays.  

GP consultation (private):

¥7,000 to ¥15,000

Annual health check-up:

¥20,000 to ¥50,000

Blood tests (basic panel):

¥8,000 to ¥15,000

Dental care

Dental care is not fully covered by national insurance and often excludes cosmetic or complex procedures. Expats frequently turn to private dentists with shorter delays.   

Cleaning:

¥6,000 to ¥12,000

Filling:

¥8,000 to ¥18,000

Dental crown:

¥40,000 to ¥80,000

Dental implant:

¥250,000 to ¥500,000

Optical care

Japan has a large network of optical clinics, but coverage is limited. Most expats cover vision expenses themselves or rely on international plans.    

Glasses (frames + lenses):

¥20,000 to ¥50,000

Contact lenses (monthly):

¥3,000 to ¥6,000

Eye exam:

¥4,000 to ¥8,000

Medical imaging

Imaging services in Japan are high-quality and available through both hospitals and private radiology centers. Prices vary depending on region and urgency.  

MRI scan:

¥40,000 to ¥80,000

Ultrasound:

¥10,000 to ¥25,000

Mammogram:

¥12,000 to ¥25,000

Ct scan:

¥30,000 to ¥60,000

Specialist consultations

Specialists are highly trained, but appointments often require a local referral unless you opt for private clinics. International insurance simplifies access.

Cardiologist:

¥12,000 to ¥25,000

Gynecologist:

¥10,000 to ¥20,000

Psychiatrist:

¥12,000 to ¥25,000

Neurologist:

¥15,000 to ¥30,000

Dermatologist:

¥8,000 to ¥15,000

Hospitalization in Japan

Hospital stays in Japan are efficient but costly without national coverage. International plans allow access to private rooms and specialist surgeries.  

Shared room (per night):

¥30,000 to ¥50,000

Private room (per night):

¥50,000 to ¥100,000

Minor outpatient procedure:

€1,500 to €3,000

Surgery (non-emergency):

¥500,000 to ¥2,000,000

Maternity (natural delivery, 5 days):

¥500,000 to ¥1,000,000

ICU per day:

¥100,000 to ¥200,000

II. What every expat should know before moving to Japan

II. What every expat should know before moving to Japan

Relocating to Japan offers a unique cultural and professional experience, but it also requires careful planning to navigate the country’s administrative systems, housing market, and healthcare structure.

Visa and Japan residence permit

Japan offers work visas, investor visas, and family-sponsored residency. Enrolling in public health insurance is mandatory, but many expats prefer international plans for broader protection, especially for high-income or mobile profiles. 

Accommodation and housing 

Apartments are compact but well-maintained. Tokyo and Osaka are expensive, with monthly rents ranging from ¥150,000 to ¥400,000. Key money and agency fees are standard.

Most expats use relocation agencies to simplify the process. 

Japan has excellent international schools offering British, American, IB, and French programs

Tuition ranges from ¥2,000,000 to ¥3,500,000 per year. Public schools are high quality but primarily in Japanese. 

Japan’s public transport is among the best in the world.

Trains, subways, and buses are punctual, safe, and clean. Taxis are reliable but costly.

Most expats do not need a car unless living outside major cities. 

Japan is moderately expensive. Tokyo and Yokohama lead in cost, particularly for expat housing and schooling.

However, food, public transport, and healthcare remain relatively affordable compared to many Western cities. 

Japanese is essential for everyday life. While healthcare providers in major cities offer English-speaking services, language remains a barrier in many hospitals.

Cultural integration is respectful, formal, and gradual. 

Public insurance is widely used but partial.

International insurance provides enhanced access, no copayments, and worldwide protection.

Ideal for expats who travel, change employers, or require private specialist care. 

Japan offers strong opportunities in technology, finance, education, and consulting.

Work culture is formal and structured.

Entrepreneurs face administrative hurdles but benefit from a stable economy and talent-rich environment. 

III. Health protection that travels with you, in Japan and beyond

III. Health protection that travels with you, in Japan and beyond

In a country where excellence is the standard, your healthcare should reflect the same.

OnlyHealth provides international insurance for expats in Japan who need simplicity, freedom, and superior care, without compromise, wherever life takes them.