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Best Health Insurance in Japan

10 insurers ranked and reviewed · Updated May 2026

Sources:Oricon Customer Satisfaction RankingsJ.D. Power JapanRating & Investment Information (R&I)Japan Credit Rating Agency (JCR)

Healthcare System Overview

Japan has universal mandatory health insurance. All residents must enroll in either Employees' Health Insurance (employer-based, premiums split between employer and employee) or National Health Insurance (NHI, for self-employed, students, and retirees, administered by municipalities). The public system covers approximately 70% of medical costs, with patients paying 10-30% copays depending on age and income. Private supplementary insurance is widely purchased to cover copayments, hospitalization costs, and non-covered services such as cancer insurance and medical/surgical lump-sum payments.

#1

Aflac Japan (Aflac Life Insurance Japan)

アフラック生命保険

private24.0M members
89Score
Oricon: Top Cancer Insurance(2025)S&P: A+ / AM Best: A+ (Superior)(2025)
4.3satisfactionFinancial strength: A+ (S&P); A+ (AM Best)

Policies In Force

~24 million

Market Focus

Cancer & medical (third-sector)

Distribution Network

~19,300 agencies + Japan Post

  • Market-leading cancer insurance with fixed per-day/per-event benefits
  • Medical insurance covering hospitalization and surgery lump-sum payments
  • Distribution through Japan Post's nationwide network
  • Fixed-benefit model (pays per-day/per-event, not reimbursement)
#2

Tokio Marine Holdings

東京海上ホールディングス

private10.0M members
86.5Score
S&P: A+ / AM Best: A++ (Superior)(2025)J.D. Power: Strong Insurer(2025)
4.0satisfactionFinancial strength: A+ (S&P); A++ (AM Best)

Revenue

JPY 5,863.7 billion (FY2022)

Net Income

JPY 420.4 billion (FY2022)

Global Presence

38 countries

  • Highest financial strength ratings among Japanese insurers
  • Life and medical insurance via Tokio Marine Nichido Life
  • Global operations across 38 countries
  • Pioneer insurer with 145+ years of history
#3

Nippon Life Insurance

日本生命保険

private15.0M members
86Score
Oricon: Top-Tier Life Insurance(2025)S&P: A+ / Moody's: A1(2025)
4.0satisfactionFinancial strength: A+ (S&P); A1 (Moody's)

Total Assets

~JPY 70 trillion

Structure

Mutual (policyholder-owned)

Operating History

130+ years

  • Comprehensive life, medical, and health insurance products
  • Mutual structure ensures policyholder-focused governance
  • Over 130 years of continuous operations
  • Nationwide agent network for in-person support
#4

Dai-ichi Life Holdings

第一生命ホールディングス

private8.6M members
82.5Score
S&P: A+(2025)Oricon: Mid-Tier Life Insurance(2025)
3.8satisfactionFinancial strength: A+ (S&P)

Solvency Margin Ratio

~1,095%

Total Assets

~US$346.9 billion

Structure

Publicly listed (TSE)

  • Comprehensive life and medical insurance products
  • First Japanese life insurer to demutualize and list on TSE
  • International diversification (Protective Life in US)
  • High solvency margin ratio (~1,095%)
#5

MS&AD Insurance Group

MS&ADインシュアランスグループ

private15.0M members
81Score
S&P: A+ Range(2025)Oricon: Mid-Tier(2025)
3.7satisfactionFinancial strength: A+ (S&P)

Revenue

JPY 5,132 billion (FY2022)

Net Income

JPY 262.7 billion (FY2022)

Toyota Stake

8.88% ownership

  • Life insurance via Mitsui Sumitomo Aioi Life and MSI Primary Life
  • Backed by Mitsui/Sumitomo keiretsu relationships
  • Toyota holds 8.88% ownership stake
  • Comprehensive P&C and life product suite
#6

Sompo Holdings

SOMPOホールディングス

private10.0M members
81Score
S&P: A+(2025)Oricon: Moderate Satisfaction(2025)
3.7satisfactionFinancial strength: A+ (S&P)

Revenue

JPY 4,167.4 billion (FY2022)

Market Share

19.3% (P&C)

Global Presence

28 countries

  • Health-focused life insurance via Sompo Himawari Life
  • Innovative health/nursing care integration strategy
  • Second-largest P&C insurer in Japan
  • Operations in 28 countries
#7

Japan Post Insurance (Kampo)

かんぽ生命保険

hybrid24.0M members
77.5Score
Government-Heritage Trust(2025)Oricon: High Brand Trust(2025)
3.5satisfaction

Policies In Force

~24 million

Distribution Points

~24,000 post offices

Listing

TSE: 7181

  • Largest life insurer in Japan by policies in force
  • Distribution via ~24,000 post offices nationwide
  • Simple, accessible products for mass market
  • Government-backed trust and brand recognition
#8

Meiji Yasuda Life Insurance

明治安田生命保険

private8.5M members
76.5Score
Oricon: Moderate Life Insurance(2025)Strong Domestic Ratings(2025)
3.8satisfaction

Total Assets

~JPY 36.3 trillion

Structure

Mutual (policyholder-owned)

Keiretsu

Mitsubishi Group

  • Comprehensive product range covering life, medical, and health insurance
  • Backed by Mitsubishi keiretsu group
  • One of the oldest insurance companies in Japan (1881)
  • Merger of two major historical insurers (Meiji Life + Yasuda Life)
#9

Sumitomo Life Insurance

住友生命保険

private6.5M members
76Score
Strong Domestic Ratings(2025)Oricon: Mid-Tier(2025)
3.7satisfaction

Employees

42,000+

Structure

Mutual (policyholder-owned)

Keiretsu

Sumitomo Group

  • Comprehensive savings + health product combinations
  • Part of the Sumitomo keiretsu (major conglomerate)
  • Strong medical/health insurance riders on life policies
  • International expansion in China and Vietnam
#10

T&D Holdings (Taiyo Life / Daido Life)

T&Dホールディングス

private5.0M members
75.5Score
Oricon: Strong Medical Insurance (Taiyo Life)(2025)Nikkei 225 Component(2025)
3.8satisfaction

Total Assets

~US$123.7 billion

Structure

Publicly listed (TSE)

Taiyo Life Focus

Individual medical/health insurance

  • Taiyo Life: specialized individual medical/health insurance for households
  • Daido Life: specialized SME group insurance
  • Nikkei 225 and TOPIX 100 component
  • Niche medical insurance expertise

About Health Insurance in Japan

Japan has universal mandatory health insurance. All residents must enroll in either Employees' Health Insurance (employer-based, premiums split between employer and employee) or National Health Insurance (NHI, for self-employed, students, and retirees, administered by municipalities). The public system covers approximately 70% of medical costs, with patients paying 10-30% copays depending on age and income. Private supplementary insurance is widely purchased to cover copayments, hospitalization costs, and non-covered services such as cancer insurance and medical/surgical lump-sum payments.

Our editorial team has evaluated and ranked the top 10 health insurers in Japan based on editorial ratings from trusted sources, customer satisfaction, financial strength, and coverage quality. Rankings are updated regularly to reflect the latest market changes.

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