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Regarding Japan's Medical Insurance System (Materials)

Ministry of Health, Labour and Welfare

Claims Supported by This Source

  1. Funding sources for Japan's national medical care expenditure (FY2022): insurance premiums 50.0% (insured persons 28.3%, employers 21.7%), public funds 37.9% (national treasury 25.3%, local governments 12.6%), and patient co-payments 11.6%.
  2. The co-payment (out-of-pocket) ratio at the point of service is: 10% for those aged 75 and over (30% for those with incomes comparable to the working population, 20% for others with incomes above a certain level); 20% for those aged 70 to 74 (30% for those with incomes comparable to the working population); 30% for those under 70; and 20% for those under 6 (preschool age).
  3. The High-Cost Medical Expense Benefit System is a mechanism whereby the insurer subsequently reimburses the portion of out-of-pocket expenses that exceeds the monthly limit.

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