Japan Health Insurance Market, By Type of Insurance Provider (Public Vs Private), By Type of Coverage (Individual Vs Family), By Mode of Purchase (Insurance Companies, Insurance Agents/Brokers, and Others (Insurtech Companies, Third Party, etc.)), By Premium Type (Regular Premium, Single Premium), By Region, By Company, Forecast & Opportunities, 2018-2028

Published Date: February - 2025 | Publisher: MIR | No of Pages: 320 | Industry: BFSI | Format: Report available in PDF / Excel Format

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Japan Health Insurance Market, By Type of Insurance Provider (Public Vs Private), By Type of Coverage (Individual Vs Family), By Mode of Purchase (Insurance Companies, Insurance Agents/Brokers, and Others (Insurtech Companies, Third Party, etc.)), By Premium Type (Regular Premium, Single Premium), By Region, By Company, Forecast & Opportunities, 2018-2028

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The Japan health insurance market size reached USD 148.6 Billion in 2024. Expected to reach USD 296.3 Billion by 2033, (CAGR) of 8% during 2025-2033.

The Japan Health Insurance Market is expected to be driven by rising demand for health insurance due to increasing medical services costs. The rising number of daycare procedures drives the sustainable growth of health insurance in Japan.

In addition, certain income-based deductions are found at to taxpayers who pay health insurance premiums, long-term care insurance premiums, or individual annuity premiums. These are referred to as health insurance deductions. They minimize the financial burdens of income and residence tax, which has increased market demand over the anticipated period.

The insurer of a health insurance plan pays the policyholder's medical expenses, such as hospitalization, surgeries, and treatments for injuries. A health insurance policy is a contract where the policyholder agrees to pay the premium amount by the insurance plan, and the insurance company promises payment for treatment costs, in the event of future medical concerns. As a result, during the anticipated years, the market for health insurance will be improved by the advantages of health insurance policies.

Moreover, the increased awareness of the advantages of health insurance policies that allow reimbursement claims and cashless coverage is one of the variables that are projected to promote the expansion of the Japan health insurance market growth over the forecast period. When a policyholder obtains medical treatment at one of the insurance company's network hospitals, a cashless benefit is offered. Similarly, in response to the growing consumer demand for an insurance policy, insurance providers are increasing their number of policies. This is expected to further fuel the expansion of the global leather goods industry growth.

Due to the increasing demand for health insurance policies, private health insurance companies now provide quality health insurance for expats and international citizens. For instance, US citizens or expats residing in Japan might prefer a certain plan that is suited to their requirements. The GeoBlue Xplorer plan offers high qualities of benefits, premier service, and a range of options that make it possible to customize coverage to meet individual needs. The plan offers annual coverage in the USA for up to 9 months (compared to other plans that will limit coverage in the US to 3-6 months per year). In case when an individual need to care back in the USA, the Blue Cross/Blue Shield network of hospitals and medical professionals is found at in order to support an individual for the duration of policy term with the medical insurance plan that an individual select. The Xplorer plan offers a premium network of physicians and medical facilities outside of the USA so that individuals be sure to have access to high-quality care wherever in the world. As a result, these factors will contribute to the expansion of profitable business opportunities in the Japan health insurance market during the forecast period.

Japan's over 3,000 insurers are roughly divided into three types of insurance include employer-based health insurance, residence-based National Health Insurance (NHI), and health insurance for people aged 75 and up. Health insurance for people 75 and older is primarily supported by public funds, as well as contributions from employer-based health insurance and NHI.

Government Initiatives to Boost the Market Growth

In Japan, it is mandatory to enroll in health insurance policies. In Japan, residents can choose between two types of health insurance. All residents in the country, both citizens and long-term visa holders are required by law to enroll in either Employee Health Insurance or National Health Insurance. As a result, the advantages of enrolling in health insurance policies improve the market for health insurance during the forecasted years.

In Japan, a national health insurance programme is found at to help with medical expenses. The National Health Insurance programme (NHI) must be subscribed by foreign residents who intend to stay in Japan for three months or more (NHI also known as "Kokuho"). Since, around 70% of the medical expenses are covered by the National Health Insurance system and the remaining 30% of patients' medical expenses will need to be covered by their own pocket.

Similarly, Employee Health Insurance (EHI) is an employment-based health insurance programme in which the employer pays half of the EHI premium. The remaining half is simply deducted from each person's monthly paycheck. The insurance pays for 70% of the medical bills and any of the dependent family members as well.

Growth of Private Health Insurance Sector Will Further Boom the Market Growth

The demand for private health insurance is gradually changing because of epidemiologic shifts, rising demand for cancer treatments which is the major cause of death in Japan, and the expansion of advanced medical care services. As a result, the role of private health insurance is expected to shift in the future, alongside reforms in the public health insurance system. Japan's declining birth rate, aging population, and technological innovations are expected to increase national medical care expenditures, so revisions to public health insurance may result in reduced coverage ranges. However, it is anticipated that the demand for health insurance will rise as these private plans to include medical services, grow.

Moreover, insurance providers give their clients free services. These services range widely, allowing policyholders to consult a specialized physician for a second opinion and manage chronic conditions in daily life, using mobile applications created with artificial intelligence (AI).

Similarly, private insurers provide services for advanced medical care and are becoming more common in private health insurance. Private health insurance primarily serves as a supplement to the public health insurance system, guaranteeing services not covered by public benefits, covering additional costs incurred while ill, and assuring financial stability during extended absences from the workplace.

Rising Medical Services’ Cost to Boost the Market Growth

Rising costs for high-quality healthcare and a rise in daycare procedures have increased the need for health insurance. Among other things, the cost of surgery, doctor appointments, hospital stays, ER visits, and diagnostic tests are included in the cost of medical services. Therefore, the rising cost of medical services has made it necessary for consumers to purchase health insurance to improve coverage and support the market for health insurance. For instance, according to the Ministry of Health, Labor, And Welfare’s Healthcare Expenditure Trends report, healthcare expenditures paid to medical institutions are expected to reach a record USD320 billion in fiscal 2021, which is an increase of USD15 billion, or 4.6%, over the 2020. The value of hospitalization increased by 2.8% to USD130 billion. Meanwhile, expenditure on prescription medicines and dental services increased by 2.7% and 4.8%, respectively in 2021.

Market Segmentation

The global health insurance market is segmented based on the type of insurance provider, type of coverage, mode of purchase, and premium types. Based on the type of insurance provider, the market is fragmented into public vs. private. Based on the type of coverage, the market is divided into individual vs. family. Based on the mode of purchase, the market is divided into insurance companies, insurance agents/brokers, and others (insurance companies, third parties, etc.)). The market is divided into regular premium and single premium, based on premium type.


MIR Segment1

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Company Profiles

AXA Life Insurance Co., Ltd., MetLife Insurance Co., Ltd., Aetna Inc., AIG General Insurance Co., Ltd., Meiji Yasuda Life Insurance Company, MS&AD Insurance Group Holdings, Inc., National Mutual Insurance Federal Agricultural Cooperation, Nippon Life Insurance Company, Pacific Prime Insurance Brokers Limited (PPIB), Sumitomo Life Insurance Company, Tokio Marine Holdings, Inc. are among the major market players in the platform that lead the market growth of the Japan Health Insurance market.

Attribute

Details

Base Year

2022

Historical Years

2018 – 2021

Estimated Year

2023

Forecast Period

2024 – 2028

Quantitative Units

Revenue in USD Billion, and CAGR for 2018-2022 and 2023-2028

Report Coverage

Revenue forecast, company share, competitive landscape, growth factors, and trends

Segments Covered

·         Type of Insurance Provider

·         Type of Coverage

·         Mode of Purchase

·         Premium Type

·         Region

Regional Scope

Hokkaido & Tohoku, Chubu, Chugoku, Kyushu, and Rest of Japan.

Key Companies Profiled

AXA Life Insurance Co., Ltd., MetLife Insurance Co., Ltd., Aetna Inc., AIG General Insurance Co., Ltd., Meiji Yasuda Life Insurance Company, MS&AD Insurance Group Holdings, Inc., National Mutual Insurance Federal Agricultural Cooperation, Nippon Life Insurance Company, Pacific Prime Insurance Brokers Limited (PPIB), Sumitomo Life Insurance Company, Tokio Marine Holdings, Inc.

Customization Scope

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Delivery Format

PDF and Excel through Email (We can also provide the editable version of the report in PPT/pdf format on special request)

Table of Content

Certainly! Here’s a suggested table of contents (TOC) for a report or paper on the Japan Health Insurance Market:


Table of Contents

  1. Executive Summary

    • Overview of the Japanese Health Insurance Market
    • Key Findings and Insights
  2. Introduction

    • Importance of Health Insurance in Japan
    • Purpose and Scope of the Report
    • Methodology
  3. Market Overview

    • General Overview of the Japanese Healthcare System
    • Role of Health Insurance in Healthcare Access
    • Historical Development of Health Insurance in Japan
  4. Types of Health Insurance in Japan

    • Public Health Insurance
      • Employee Health Insurance (EHI) System
      • National Health Insurance (NHI) System
    • Private Health Insurance
      • Voluntary Insurance Plans
      • Supplemental Health Insurance
  5. Regulatory Framework

    • Government Regulations and Oversight
    • The Role of the Ministry of Health, Labour, and Welfare (MHLW)
    • Key Policies Impacting the Health Insurance Market
  6. Market Size and Growth Trends

    • Market Size and Segmentation
    • Growth Rate and Key Drivers of Market Expansion
    • Demographics and Impact on Health Insurance
  7. Key Players and Competitive Landscape

    • Leading Health Insurance Providers in Japan
    • Market Share Analysis
    • Strategic Initiatives by Key Companies
  8. Consumer Behavior and Preferences

    • Consumer Awareness and Attitudes Towards Health Insurance
    • Trends in Coverage Preferences
    • Factors Influencing Consumer Choice in Health Insurance Plans
  9. Technological Innovations in Health Insurance

    • Role of Technology in Health Insurance Administration
    • Digital Health Platforms and Mobile Apps
    • The Future of Telemedicine and Remote Health Insurance
  10. Challenges and Opportunities

    • Aging Population and Its Impact on the Health Insurance System
    • Rising Healthcare Costs
    • Opportunities for Expansion in the Private Health Insurance Market
  11. Future Outlook

    • Projections for the Health Insurance Market
    • Emerging Trends and Innovations
    • Potential Policy Changes and Their Impact on the Market
  12. Conclusion

    • Summary of Key Insights
    • Recommendations for Stakeholders in the Market
  13. Appendices

    • Data Tables and Charts
    • Glossary of Key Terms
    • References

 

 

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