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Japan Plans Mandatory Tourist Health Insurance to Curb Unpaid Medical Bills

The proposals would feed overseas patients’ unpaid hospital charges into immigration screenings to prevent visitors with outstanding bills from departing Japan.

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People visit a shopping street in Asakusa district near Sensoji Temple, a popular tourist location in Tokyo, during the last day of “Golden Week” holiday on May 6. Photo: AFP

Overview

  • Under proposals for the annual economic and fiscal policy review, all foreign visitors would need to secure private health insurance before traveling to Japan.
  • The Ministry of Health, Labour and Welfare would share records of major unpaid medical debts with the Immigration Services Agency to bolster entry and exit checks.
  • A nationwide survey found that 11,372 foreign nationals received treatment in September 2024, with about 0.8 percent leaving hospitals owing roughly ¥61.35 million.
  • Data from the Japan Tourism Agency show nearly 30 percent of visitors between October 2023 and February 2024 had no medical coverage during their stay.
  • Officials are also considering measures to prevent foreign residents from defaulting on national health insurance premium payments.