Insurance in Japan Whether you’re a local resident or an expatriate living in Japan, understanding the insurance system is crucial for protecting your health, property, and finances. Japan has a highly structured insurance system, offering various types of coverage to meet the diverse needs of its residents. In this guide, we’ll take you through everything you need to know about insurance in Japan, from health insurance to life and home insurance, and how it affects both locals and expats.
1. Health Insurance in Japan
Health insurance is mandatory in Japan, and all residents, including expatriates, must be enrolled in one of the two national health insurance systems.
National Health Insurance (NHI)
- Eligibility: This system is available for residents who are not employed by a company (e.g., freelancers, retirees).
- Cost: Premiums are based on income, and the rates vary by municipality. The premiums usually range from ¥20,000 to ¥60,000 per year, depending on income and family size.
- Coverage: National Health Insurance covers 70% of medical expenses, leaving the insured responsible for the remaining 30%. It also covers doctor visits, hospital stays, and prescribed medications.
Employee Health Insurance (EHI)
- Eligibility: This system is for employees working for companies. The employer covers part of the premium, and the employee is responsible for the rest.
- Cost: The premiums are typically 9–10% of your monthly salary, with half paid by the employer and half deducted from the employee’s paycheck.
- Coverage: Like the NHI, EHI covers 70% of medical expenses and includes regular medical care, dental care, and prescribed medications.
What to Do as an Expat
- As an expatriate, you’ll typically be enrolled in Employee Health Insurance if you’re employed. If not, you must register with the National Health Insurance system at your local municipal office.
- It’s essential to have health insurance in Japan because medical costs can be high for uninsured individuals. Most expats opt for the Employee Health Insurance plan when working, as it provides extensive coverage.
2. Life Insurance in Japan
Life insurance in Japan is a common way to secure your family’s financial future, and it’s available in various forms.
Term Life Insurance
- Coverage: This policy provides coverage for a fixed period, such as 10, 20, or 30 years. It only pays out if the insured person passes away during that term.
- Benefits: Term life insurance is relatively affordable and offers a lump sum payout to your beneficiaries in case of your untimely death.
Whole Life Insurance
- Coverage: This type of insurance covers you for your entire life, with both a death benefit and a savings component that accumulates value over time.
- Benefits: Whole life insurance is more expensive than term life but provides long-term security and can also be used as an investment vehicle.
Endowment Insurance
- Coverage: Endowment insurance provides a payout after a set term, either on the policyholder’s death or at the end of the policy term.
- Benefits: This is often used as a savings plan, and the payout can be used for things like children’s education or retirement.
For Expats
- While life insurance is not mandatory in Japan, expats often choose it as part of their overall financial planning. You may want to explore both local and international life insurance options, depending on your needs and how long you plan to stay in Japan.
3. Automobile Insurance
Car insurance is mandatory in Japan for all vehicle owners. The minimum requirement is Compulsory Automobile Liability Insurance (CALI), which covers injury to others but does not cover your own vehicle or injuries.
Types of Auto Insurance in Japan
- Compulsory Automobile Liability Insurance (CALI): This is the basic insurance required by law and covers third-party injuries.
- Voluntary Auto Insurance: This includes both collision insurance (for damage to your own vehicle) and comprehensive insurance (covering theft, natural disasters, etc.).
What Expats Need to Know
- If you own a car in Japan, you’ll need to have CALI insurance, which is typically included with your car registration.
- Many expats opt for voluntary insurance to protect their own vehicles and cover more extensive damages, especially when driving in urban areas where accidents are more likely.
4. Property Insurance
Whether you’re renting or own a home, property insurance is an essential part of protecting your living space.

Homeowner’s Insurance
- Coverage: This insurance covers damage to your home caused by natural disasters, fire, theft, or vandalism.
- Optional Add-Ons: You can add coverage for things like personal liability, damage caused by earthquakes, or loss of personal belongings.
Renters Insurance
- Coverage: Renters in Japan can purchase insurance to protect their personal property and cover damages to the landlord’s property. Some rental contracts may even require you to have renters’ insurance.
- Natural Disasters: Japan is prone to earthquakes, and many renters opt for additional coverage that includes earthquake damage.
For Expats
- Expats who rent apartments often find renters insurance essential, as many landlords require it. If you own a property, homeowner’s insurance becomes crucial to protect against the high risk of natural disasters like earthquakes and typhoons.
5. Travel Insurance
Travel insurance is important for both residents and visitors to Japan, especially for international trips.
Types of Coverage
- Emergency Medical: Covers medical expenses in case of illness or injury while traveling.
- Trip Cancellation: Provides compensation if your trip is canceled for unforeseen reasons, such as illness or natural disaster.
- Lost Luggage and Theft: Reimburses you for lost or stolen luggage, which can be particularly useful in case of international travel.
For Expats
- Expats traveling frequently within Japan or internationally should consider comprehensive travel insurance to cover medical emergencies, trip interruptions, and lost property.
6. Pet Insurance
Pet insurance is becoming more common in Japan as pet ownership increases.
Types of Coverage
- Accident and Injury Insurance: Covers veterinary bills in case of accidents or illnesses.
- Routine Care Insurance: Covers routine vet visits, vaccinations, and preventive care.
For Expats
- If you have pets, pet insurance is highly recommended, especially given Japan’s high veterinary costs. Be sure to choose a policy that suits the needs of your specific pet, whether it’s a dog, cat, or even exotic animals.
7. Insurance for Expats: Key Considerations
- Language Barrier: Many insurance policies in Japan are written in Japanese, so it may be beneficial to get help from a bilingual agent or use translation services.
- Health Insurance for Expats: If you’re not employed, make sure you’re registered with the National Health Insurance system. If you’re working, ensure that you’re enrolled in Employee Health Insurance.
- International Insurance Options: Some expats opt for international insurance plans that cover them in multiple countries, especially if they plan to travel frequently.
Conclusion
Insurance in Japan is an essential part of life for both locals and expatriates. Understanding the various types of insurance available—such as health, life, automobile, and property insurance—can help you make informed decisions about your financial and personal protection. Whether you’re here for a short stay or planning to settle down, securing the right insurance coverage will ensure peace of mind in your daily life and beyond.
