How Japanese Health Insurance Premiums Are Calculated (With Real Salary Examples) If you live and work in Japan, health insurance costs can feel confusing and unpredictable. Premiums often change, sometimes sharply, and frequently do not match your current salary. This is not an error — it is how the Japanese system is designed. This article explains how Japanese health insurance premiums are actually calculated , why many foreign residents are surprised by higher bills in their second year, and how costs differ depending on whether you are an employee or self-employed. Realistic salary examples are included to help you estimate your own situation. The Two Health Insurance Systems in Japan Japan has two main public health insurance systems. Which one you are enrolled in determines how your premiums are calculated. Employee Health Insurance (Shakai Hoken) This applies if you are a full-time employee — or a qualifying part-time employee — at a company. You are enroll...
Practical guides for living in Japan. Clear explanations of renting, healthcare, taxes, daily life, and cost of living for foreign residents. Expert advice for navigating Japanese systems with confidence.