COUNTRY DESCRIPTION: Japan is a stable, highly developed parliamentary democracy with a modern economy. Tourist facilities are widely available, except in coastal areas of Northeast Japan still recovering from the aftermath of the March 11, 2011, earthquake and tsunami. Please read the Department of State’s Background Notes on Japan for additional general information.
SMART TRAVELER ENROLLMENT PROGRAM (STEP) / EMBASSY LOCATION: If you are going to live in or visit Japan, please take the time to tell our Embassy or one of our Consulates in Japan about your trip. If you enroll in the Smart Traveler Enrollment Program, we can keep you up-to-date with important safety and security announcements. It will also help your friends and family get in touch with you in an emergency. In accordance with the Privacy Act, information on your welfare or whereabouts may not be released to inquirers without your expressed written authorization.
Local embassy information is available below and at the Department of State’s list of embassies and consulates.
Find information quickly and easily on consular services for all of Japan, including travel enrollment, passport renewal, legal matters, and safety and security, using the convenient, alphabetized links on the U.S. Embassy’s website. Please see our list of U.S. and Japanese holidays. See maps to all our consular offices in Japan, along with directions on using public transportation to reach us.
U.S. Embassy in Tokyo
1-10-5 Akasaka, Minato-ku, Tokyo 107-8420 Japan
Emergency after-hours telephone: 81-3-3224-5000
U.S. Consulate General in Osaka-Kobe
2-11-5 Nishitenma, Kita-ku, Osaka 530-8543
Emergency after-hours telephone: 81-6-6315-5900
U.S. Consulate General in Naha
2-1-1 Toyama, Urasoe, Okinawa 901-2104
Emergency after-hours telephone:
81-3-3224-5000 (Emergency calls are routed through the Embassy switchboard after hours)
U.S. Consulate General in Sapporo
Kita 1-Jo Nishi 28-chome, Chuo-ku, Sapporo 064-0821
Emergency after-hours telephone: 81-11-641-1115
U.S. Consulate in Fukuoka
2-5-26 Ohori, Chuo-ku, Fukuoka 810-0052
Emergency after-hours telephone:
81-3-3224-5000 (Emergency calls are routed through the Embassy switchboard after hours)
U.S. Consulate in Nagoya
Nagoya International Center Bldg. 6th floor, 1-47-1 Nagono, Nakamura-ku, Nagoya 450-0001
Emergency after-hours telephone: 81-52-581-4501
ENTRY / EXIT REQUIREMENTS FOR U.S. CITIZENS: You must have a valid passport and an onward/return ticket for tourist/business "visa free" stays of up to 90 days. Your passports must be valid for the entire time you are staying in Japan. U.S. citizens cannot work on a 90-day "visa free" entry. As a general rule, "visa free" entry status may not be changed to another visa status without departing and then re-entering Japan with the appropriate visa, such as a spouse, work, or study visa.
For more information about the Japanese visa waiver program for tourists, Japan's rules on work visas, special visas for taking depositions, and other visa issues, you should consult the Consular Section of the Embassy of Japan at 2520 Massachusetts Avenue NW, Washington, DC 20008, tel. (202) 238-6800, or the nearest Japanese consulate. Please visit the Japanese Embassy’s website for location details. The U.S. Embassy and U.S. consulates in Japan cannot assist in obtaining visas for Japan.
All foreign nationals entering Japan, with the exception of certain categories listed below, are required to provide fingerprint scans and to be photographed at the port of entry. This requirement is in addition to any existing visa or passport requirements. Foreign nationals exempt from this requirement include special permanent residents, persons under 16 years of age, holders of diplomatic or official visas, and persons invited by the head of a national administrative organization. U.S. travelers on official business must have a diplomatic or official visa specifying the nature of travel as "As Diplomat," "As Official," or "In Transit" to be exempt from biometric collection. All other visa holders, including those with diplomatic and official visas stating "As Temporary Visitor," are subject to this requirement. Status of Forces Agreement (SOFA) personnel, are exempt from biometrics entry requirements under SOFA Article IX.2.
If you are a U.S. citizen entering or transiting Japan, you should ensure that your passport and visa are valid and up to date before you leave the United States. Occasionally, airlines mistakenly board U.S. citizens coming to Japan even though their passports have already expired. The U.S. Embassy and U.S. consulates cannot "vouch for" you without a valid passport, and passport services are not available at the airport. In some prior instances, travelers have been returned immediately to the United States, while in other cases, they have been issued 24-hour "shore passes" and required to return the next day to Japanese Immigration for lengthy processing.
Many Asian countries require you to hold a passport valid for at least six months after you enter the country. Airlines in Japan will deny you boarding for transit if you don’t have the required travel documents for an onward destination in Asia. For the entry requirements of the country you’re traveling to, visit the State Department's Country Specific Information website
Airlines in Japan will deny you boarding for onward flights to China if your passport does not have a valid Chinese visa. U.S. citizen travelers who are not legally resident in Japan have reported difficulties in obtaining a Chinese visa during a short stay in Japan. The U.S. embassy and U.S. consulates in Japan cannot assist in obtaining Chinese visas. More information is available on the Country Specific Information page for China. Entry requirements for Hong Kong are available on this web page as well.
Military/SOFA Travelers: While active-duty U.S. military personnel may enter Japan under the Status of Forces Agreement (SOFA) with proper Department of Defense (DOD) identification and travel orders, all SOFA family members, civilian employees, and contractors must have valid passports and, in some cases, SOFA visas to enter Japan. Military members with non-U.S. citizen family members seeking to have them accompany them to Japan should consult with their command and Japan Immigration for requirements, as entry to Japan may differ depending on nationality. Active-duty military personnel should obtain a tourist passport before leaving the United States to accommodate off-duty travel elsewhere in Asia, as obtaining one in Japan can take several weeks. Personnel whose duties will include official travel should also obtain an Official Passport before coming to Japan to avoid delays of up to two months, as overseas applications for these passports must be referred to a special office in Washington, which increases the processing times. DOD travelers should consult the DOD Foreign Clearance Guide, DOD 4500.54, before leaving the United States.
Long-Term Residency Requirements: Japan amended its Immigration Control and Refugee Recognition Act in 2009, and the changes took effect on July 9, 2012. In addition, under the 2006 revision of the same law, if you are a long-term resident who obtained residence through your Japanese ancestry, you may have to provide evidence that you do not have a criminal record in your home country before you can renew residency status in Japan. As Japanese Immigration regulations are complex and changing, the Embassy recommends that you consult directly with your local immigration office for specific guidance. You can obtain a Proof of no U.S. criminal record through the FBI Identification Record Request..
The current residency system, instituted by the Japanese government on July 9, 2012, impacts the following groups:
PLEASE NOTE: "Long-Term Resident" (teijusha) and "Permanent Resident" (eijusha) are different and therefore are subject to different requirements. The current residency system includes updated residency cards with a maximum stay of five years, a revised re-entry permit system, updated requirements for reporting to the Japanese Immigration Bureau, as well as a regulation requiring legal resident aliens in Japan to report to their local city offices. As part of the current policy, a Residence Card (zairyu kaado) has replaced the previous Alien Registration Certificate (ARC). Resident aliens are also required to register their households in the same manner as Japanese citizens.
The current procedures also updated and changed penalties for those who fail to maintain legal status in Japan or do not comply with current reporting requirements. Both prospective and current resident aliens in Japan should be familiar with updated procedures to ensure compliance with current policies.
As the changes in Japanese immigration and resident registration procedures and the affected groups described above are not a comprehensive listing, please check directly with the Japan Immigration Bureau or the Ministry of Internal Affairs and Communications (MIC). The Japanese government websites below have more information on these changes:
For a renewal of visa status or a change in visa status, you should bring your Japanese health insurance card (social insurance or national health insurance) to immigration offices in addition to your passport. Immigration officials will urge those applicants without a health insurance card to join the Japanese public health insurance system.
HIV/AIDS Restrictions: The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors or foreign residents of Japan.
Information about dual nationality or the prevention of international child abductions can be found on our website. For further information about customs regulations, please read our Customs Information page.
THREATS TO SAFETY AND SECURITY: There have been no major terrorist incidents in Japan since 1995. However, you should be aware of the potential risks and take these into consideration when making travel plans.
The Government of Japan maintains heightened security measures at key facilities and ports of entry as antiterrorism precautions. At times, these security measures may increase because of regional tensions with North Korea. The Government of Japan is vigilant in tracking terrorist threat indicators and remains at a high state of alert. You can contact local police substations (koban) and police emergency dispatchers (tel. 110) to report any suspicious activity.
Our offices in Japan communicate threat information through the Smart Traveler Enrollment Program (STEP) and post current threat information on the U.S. Embassy’s American Citizens Services (ACS) web page. If you reside in or visit Japan, we encourage you to enroll in STEP, so that the Embassy can keep you up-to-date with important safety and security announcements.
Stay up to date by:
CRIME: The general crime rate in Japan is well below the U.S. national average. Crimes against U.S. citizens in Japan usually involve personal disputes, theft, or vandalism. Violent crime is rare but does exist. Sexual assaults do not happen often but do occur, and females may be randomly targeted. Hate-related violent crimes rarely occur, though some U.S. citizens have reported being the target of comments or actions because of their nationality or their race. There have been some incidents of pick pocketing of foreigners in crowded shopping areas, on trains, and at airports. Every year, a number of U.S. citizens report their passports lost or stolen at international airports, especially passports that were carried in their pockets.
Some U.S. citizens report that Japanese police procedures appear to be less sensitive and responsive to a victim's concerns compared to the procedures in the United States, particularly in cases of domestic violence or sexual assault, or when both the victim and the perpetrator are foreigners. Few victim's assistance resources or battered women's shelters exist in major urban areas, and they are generally unavailable in rural areas. Investigations of sexual assault crimes are often conducted without female police officers present and police typically ask about the victim's sexual history and previous relationships. The quality of Japanese-English interpretation services can vary, and for some U.S. citizen victims, this has caused a problem.
Don’t buy counterfeit and pirated goods, even if they are widely available. Not only are such goods illegal in the United States, if you purchase them you may also be breaking local law.
Concerns Regarding Roppongi and other Entertainment and Nightlife Districts:
There have been recent reports of U.S. citizens being forcibly taken to ATM machines and robbed, or to withdraw funds after being unable to pay exhorbitant bar tabs. Please be aware that Roppongi and other entertainment and nightlife districts have also been the scenes of violence between criminal syndicates in the past. In 2012, a member of a Japanese criminal organization was beaten to death in a bar in Roppongi by several masked men.
We urge you to keep these incidents in mind and use caution in all entertainment areas and nightlife districts.
VICTIMS OF CRIME: If you or someone you know becomes the victim of a crime abroad, you should contact the local police and the nearest U.S. embassy or consulate. We can:
The local equivalents to the "911" emergency line in Japan are 110 (police) or 119 (ambulance/fire).
Contacting Police, Fire and Ambulance Services: You can reach the police throughout Japan by dialing 110. Fire and ambulance services can be contacted by dialing 119. Note that these numbers may not work from cell phones and English-speaking dispatchers may not be available. Please review advice on how to call for help. If you need assistance, you should be able to describe your address/location in Japanese or find someone who can do so, since few police officers speak English.
Please see our information on victims of crime, including possible victim compensation programs in the United States.
CRIMINAL PENALTIES: While you are traveling in another country, you are subject to its laws even if you are a U.S. citizen. Foreign laws and legal systems can be vastly different than our own. In Japan, you may be taken in for questioning if you don’t have your passport or Japanese residence card to show your identity and visa status. Driving under the influence could also land you immediately in jail. If you violate Japanese law, even unknowingly, you may be arrested, imprisoned, or deported. If you are arrested in Japan, even for a minor offense, you may be held in detention without bail for several months or more during the investigation and legal proceedings. A list of English-speaking lawyers located throughout Japan is available on our website. There are also some things that might be legal in the country you visit, but still illegal in the United States, and you can be prosecuted under U.S. law if you buy pirated goods or purchase child pornography. While you are overseas, U.S. laws don’t apply. If you do something illegal in your host country, you are subject to the laws of the country even though you are a U.S. citizen. It’s very important to know what’s legal and what’s not wherever you go.
Arrest notifications in Japan: Generally, when you are arrested in Japan, the police will ask if you would like the U.S. embassy or consulate to be notified of your arrest. To ensure that the United States is aware of your circumstances, request that the police and prison officials notify the nearest U.S. embassy or consulate as soon as you are arrested or detained overseas.
SPECIAL CIRCUMSTANCES: Customs Regulations: Japan has very strict laws regarding the importation and possession of firearms and other weapons. Persons bringing a firearm or sword into Japan (including target and trophy pistols, air guns, some pocket knives, and even Japanese-origin swords) may have these items confiscated by Japanese customs authorities and may be arrested, prosecuted, and deported or jailed. Some prescription medications, as well as some over-the-counter medications, cannot be imported into Japan. (Please see the "Confiscation of Prescription Drugs and other Medication" section below.) Please contact the Japanese Embassy or nearest Japanese consulate in the United States, or visit the Japanese Customs website for specific information regarding import restrictions and customs requirements.
Japanese customs authorities encourage the use of an Admission Temporaire/Temporary Admission (ATA) Carnet in order to temporarily import professional equipment, commercial samples and/or goods for exhibitions and trade fairs into Japan. The ATA Carnet Headquarters is located at the U.S. Council for International Business (U.S. CIB), 1212 Avenue of the Americas, New York, NY 10036 issues and guarantees the ATA Carnet in the United States. For additional information, please call (212) 354-4480, or email the U.S. CIB for details.
Confiscation of Prescription Drugs and Other Medication: The Japanese government decides which medications may be imported legally into Japan. The Embassy and Consulates of Japan in the United States have limited information available and do not have comprehensive lists of specific medications or ingredients.
You can bring up to a two-month supply of allowable over-the-counter medication and up to a two-month supply of allowable vitamins into Japan duty-free. However, it is illegal to bring some over-the-counter medicines commonly used in the United States, including inhalers and some allergy and sinus medications into Japan. Specifically, products that contain stimulants (medicines that contain pseudoephedrine, such as Actifed, Sudafed, and Vicks inhalers) or codeine are prohibited. You can generally bring up to one month's supply of allowable prescription medicine into Japan. You must bring a copy of your doctor's prescription as well as a letter stating the purpose of the drug. However, some U.S. prescription medications cannot be imported into Japan, even when accompanied by a customs declaration and a copy of the prescription. You should not mail prescription medicines, including insulin and injectors, without obtaining an import certification called “Yakkan-Syoumei” from the Ministry of Health, Labor, and Welfare. Please see more information on importing medicines into Japan.
Japanese physicians can often prescribe similar but not identical substitutes for medicines available in the United States. You can consult a Japanese doctor by phone before you travel to Japan, to find out what medications are available and/or permitted in Japan. See the list of English-speaking medical facilities throughout Japan on our website. Some popular medications that are legal in the United States, such as Prozac and Viagra, are sold illegally in Japan on the black market. You risk arrest and imprisonment if you purchase such drugs illegally while in Japan.
If you travel to Japan carrying prescription and non-prescription medications, you should consult the Japanese Embassy or a Japanese consulate in the United States before leaving the United States to confirm whether or not you will be allowed to bring the particular medication into Japan.
Pets: The Japanese Animal Quarantine Service (AQS) sets procedures for importing pets. At a minimum, the process will take 7-8 months, though the process can take up to a year before a pet may enter Japan. Advance planning is critical. You can find more information about importing a pet into Japan or information about exporting a pet from Japan on our embassy website.
Consular Access: You must carry your U.S. passport or Japanese Residence Card (Zairyu Ka-d%u014D) with you at all times so that if questioned by local officials, you can prove your identity, citizenship, and immigration status. Under Japanese law, the police may stop any person on the street at any time and demand to see identification. If you do not have with you either a passport or valid Japanese Residence Card, you are subject to arrest. In accordance with the U.S.-Japan Consular Convention, U.S. consular officers are generally notified within 24 hours of the arrest of a U.S. citizen, if the U.S. citizen requests consular notification.
Conditions at Prisons and Detention Facilities: Japanese prisons and detention facilities maintain internal order through a regime of very strict discipline. U.S. citizen prisoners often complain of stark, austere living conditions and psychological isolation. No one arrested in Japan is allowed access to personal medication of any type, often causing problems and health risks to those arrested with medical conditions, as substitute medication provided by prison medical officials is seldom the same in effect or strength. As a prisoner, you can become eligible for parole only after serving about 60-70% of your sentence. Early parole is not allowed for any reason -- humanitarian, medical, or otherwise. Access to interpreters is not always required under Japanese criminal law. Additional information on arrests in Japan is available on our embassy website. Japan acceded to the Council of Europe Convention on the Transfer of Sentenced Persons on June 1, 2003. Please see our information on Prisoner Transfer Treaties.
Employment Issues: U.S. citizens should not come to Japan to work without having the proper employment visa arranged ahead of time, or in the hopes of earning a large salary. Teaching English, even privately, and serving as hosts/hostesses are both considered "work" in Japan and are illegal without the proper visa.
Some U.S.-based employment agencies and Japanese employers do not fully discuss or correctly represent the true nature of employment terms and conditions. U.S. consular officers in Japan receive numerous complaints from U.S. citizens who come to Japan to work as English teachers, carpenters, models, actors, entertainers, exotic dancers, and bar hosts/hostesses. The complaints include contract violations, non-payment of salary for months at a time, sexual harassment, intimidation, and threats of arrest, deportation, and physical assault.
A minimum requirement for effectively seeking the protection of Japanese labor law is a written and signed work contract. Without a signed contract, Japanese authorities do not get involved on behalf of foreign workers. If you’re coming to Japan to work, carefully review your contracts and the history and reputation of your Japanese employer before traveling to Japan. We cannot confirm information about prospective Japanese employers although we may be familiar with organizations or have received complaints in the past. If you are asked to do something you find troubling, you should reconsider being in Japan and think about terminating your employment and returning to the United States. Complaints against U.S.-based employment agencies or recruiters may be directed to the Better Business Bureau or the Office of the Attorney General in that particular state.
Living and Travel Expenses: Japan's cost of living is one of the highest in the world. The use of credit/debit cards is not widespread, particularly outside major cities. While there are ATMs in Japan, most are not open 24 hours a day, and only a very limited number accept U.S.-issued cards. ATMs at major airports, foreign bank branches, Japanese post offices, 7-11 stores and some convenience stores are more likely to accept foreign cards than are those at other locations. You should make sure that you have access to sufficient funds through credit cards, debit cards, or cash to carry out your travel, and know how to contact your banking or credit card establishments in an emergency.
In summer 2010, Western Union resumed service in Japan, offering cash-to-cash transfers across 200 countries and territories to and from some areas in Japan. Western Union money transfer service is available at the following Travelex offices.
Please see our website for additional information on financial arrangements in Japan.
Taxi fares from airports to downtown Osaka and Tokyo can cost hundreds of dollars; bus fare can run US$40 or more. The airport departure fee is generally included in the ticket prices for flights departing from international airports in Japan. Bus fare between Narita (Tokyo) International Airport and Haneda Airport in Tokyo is approximately $40 and takes from 90 to 120 minutes.
English Help and Information Lines: As a tourist or foreign resident in Japan, you can have access to valuable information, including professional counseling, through help and information telephone hotlines. The Tokyo English Lifeline (“TELL”) provides English-speaking counseling and referrals at 03-5774-0992. The Japan Help Line provides similar assistance nationwide at 0570-000-911 (domestic), 813-3435-8017 (international).
Disaster Preparedness: Japan is faced with the ever-present danger of deadly earthquakes, tsunamis, and typhoons. Japan is one of the most seismically active locations in the world; minor tremors are felt regularly throughout the islands. On March 11, 2011, an earthquake registering 9.0 on the Richter scale struck the northeastern coast of Japan and triggered tsunami waves that caused extensive damage to life and property and severely damaged the Fukushima Daiichi Nuclear Power Plant. Additional information on the aftermath of the March 11 earthquake is available on the U.S. Embassy’s American Citizens Services (ACS) web page. While responsibility for caring for disaster victims, including foreigners, rests with the Japanese authorities, one of the first things you should do upon arriving in Japan is to learn about earthquake and disaster preparedness from hotel or local government officials. Self-preparedness information is available on the on the U.S. Embassy’s American Citizens Services (ACS) web page and on the U.S. Federal Emergency Management Agency (FEMA) home page.
Radiation: Fukushima Daiichi Nuclear Power Plant: The Government of Japan and agencies of the U.S. government continue to work together to monitor the conditions at and around the Fukushima Daiichi Nuclear Power Plant. In addition, on September 19, 2012, Japan established an independent organization to oversee the safety of its atomic reactors, the Nuclear Regulation Authority.
Areas We Recommend U.S. Citizens Avoid: Based on current data from Japan, we recommend that U.S. citizens avoid all unnecessary travel to areas described by the Japanese government on the following map (Japanese version map ). In addition, U.S. citizens should avoid all unnecessary travel to the area northwest of the Plant that the Government of Japan has designated the “Deliberate Evacuation Area” that includes Iitate-mura, the Yamagiya district of Kawamata-machi, Katsurao-mura, Namie-machi and parts of Minamisoma. For a more detailed description of the differences in travel restrictions between the variouszones click here. Out of an abundance of caution, we recommend that those considering travel to affected areas in Fukushima Prefecture consult with local authorities to receive current guidance on expected levels of radiation and recommendations for reducing exposure to radiation in these areas.
Areas We Recommend Caution for Long Term Residence by U.S. Citizens: Out of an abundance of caution, we recommend that U.S. citizens who choose to reside for more than one year within 80 kilometers of the Fukushima Daiichi Nuclear Power Plant, and especially within the current Deliberate Evacuation Area, consult with local authorities to receive current guidance on expected levels of radiation and recommendations for reducing exposure to radiation.
Additional information about radiation and its effects on human health may be found at the following websites:
Please note that many of the coastal areas in the Fukushima, Iwate, and Miyaga Prefectures affected by the earthquake/tsunami/nuclear disaster in 2011 are still undergoing significant reconstruction. If you wish to travel to these areas, you should exercise caution as you may experience disruption in travel or infrastructure. We recommend that you contact local authorities, or travel/accommodation service providers in advance.
Accessibility: While in Japan, individuals with disabilities may find accessibility and accommodation very different from what they are in the United States. Although Japan’s accessibility laws mandate that new construction projects for public use include provisions for persons with disabilities, older buildings are not likely to have been retrofitted for accessibility. At major train stations, airports, and hotels, travelers with disabilities should encounter few accessibility problems. Accessibility at other public facilities continues to improve through the installation of elevators and wheelchair ramps. However, travelers should note that many smaller stations are inaccessible to those who cannot climb stairs. Most major urban hotels have wheelchair accessible rooms, while smaller “business hotels” and traditional Japanese-style inns may not accommodate wheelchair users.
Information on travel in Japan for travelers with disabilities is available at Tesco Premium Search Co., Ltd. website “ the Travel Guide for Wheelchair Users.” American travelers in wheelchairs should be aware that wheelchairs must be no more than 120 centimeters in length/height and no more than 70 centimeters in width in order to be allowed in trains. Accessibility information regarding the East Japan Railway Company is also available at the company’s website. Reduced train fares for individuals with disabilities are not available for temporary visitors to Japan. If you do not speak Japanese, you may wish to ask your travel agent to make advance arrangements for your travel in Japan.
MEDICAL FACILITIES AND HEALTH INFORMATION: While medical care in Japan is good, English-speaking physicians and medical facilities that cater to U.S. citizens’ expectations are expensive and not widespread. Japan has a national health insurance system which is available only to those foreigners with long-term visas for Japan. National health insurance does not pay for medical evacuation. Medical caregivers in Japan require payment in full at the time of treatment or concrete proof of ability to pay before they will treat a foreigner who is not a member of the national health insurance plan.
U.S.-style and standard psychiatric care can be difficult to locate in major urban centers in Japan and generally is not available outside of Japan's major cities. Extended psychiatric care for foreigners in Japan is difficult to obtain at any price.
U.S. prescriptions are not honored in Japan, so if you need ongoing prescription medicine you should arrive with a sufficient supply for your stay in Japan or enough until you are able to see a local care provider. Certain medications, including some commonly prescribed for depression and Attention Deficient Hyperactivity Disorder (ADHD), are not widely available. Please see the section above entitled, "Confiscation of Prescription Drugs and Other Medication," regarding the importation of medicine into Japan. Also see information on importing medicines into Japan and a list of medical facilities in Japan with English-speaking staff.
You can find detailed information on vaccinations and other health precautions, on the Centers for Diseases Control (CDC) website. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website. The WHO website also contains additional health information for travelers, including detailed country-specific health information.
MEDICAL INSURANCE: Serious medical problems requiring hospitalization and/or medical evacuation can cost anywhere from $30,000 to $120,000 or more, depending on your location and medical condition. U.S. military hospitals in Japan do not treat or provide military medical evacuation to private U.S. citizens. The military strictly controls access to U.S. military facilities; veterans with service-connected disabilities should contact the appropriate U.S. military hospital before traveling to Japan. The embassy is unable to arrange for treatment of veterans at any U.S. military hospitals in Japan. Most small clinics and some large hospitals do not accept credit/debit cards. No facility accepts checks drawn on U.S. bank accounts.
You can’t assume your insurance will go with you when you travel. It’s very important to find out BEFORE you leave whether or not your medical insurance will cover you overseas. You need to ask your insurance company two questions:
In many places, doctors and hospitals still expect payment in cash at the time of service. Your regular U.S. health insurance may not cover doctors’ and hospital visits in other countries. If your policy doesn’t go with you when you travel, it’s a very good idea to take out another one for your trip. For more information, please see our medical insurance overseas page.
TRAFFIC SAFETY AND ROAD CONDITIONS: While in a foreign country, you may encounter road conditions that differ significantly from those in the United States. The information below concerning Japan is provided for general reference only, and it may not be totally accurate in a particular location or circumstance.
Driving in Japan is quite complicated and expensive. Traffic moves on the left side of the road. Those who cannot read the language will have trouble understanding road signs. Highway tolls can be as high as $1 (U.S.) or more per mile. City traffic is often very congested. A 20-mile trip in the Tokyo area may take two hours. There is virtually no legal roadside parking, however, traffic is commonly blocked or partially-blocked by those illegally parked curbside. In mountainous areas, roads are often closed during the winter, and cars should be equipped with tire chains. Roads in Japan are much narrower than those in the United States. Japanese compulsory insurance (JCI) is mandatory for all automobile owners and drivers in Japan. Most short-term visitors choose not to drive in Japan. Other than a few exceptions, turning on red lights is generally not permitted.
Japanese law provides that all drivers in Japan are held liable in the event of an accident, and assesses fault in an accident on all parties. Japan has a national zero percent blood-alcohol level standard for driving, and drivers stopped for driving under the influence of intoxicants will have their licenses confiscated. If you’re found guilty of "drunken, speeding, or blatantly careless driving resulting in injury" you are subject to up to 15 years in prison.
All passengers are required to fasten their seat belts.
Please refer to our Road Safety page for more information. The National Police Agency (NPA) oversees the administration and enforcement of traffic laws in Japan. You can find further information in English on the NPA's website.
Emergency Assistance: Within Japan, please dial 110 for police, and 119 for ambulance. For roadside assistance, please contact the Japan Automobile Federation (JAF) at 03-5730-0111 in Tokyo, 072-645-0111 in Osaka, 011-857-8139 in Sapporo, 092-841-5000 in Fukuoka, or 098-877-9163 in Okinawa.
Please refer to our Road Safety page for more information.
For specific information concerning Japanese driving permits, vehicle inspection, road tax and mandatory insurance, please refer to the Japan National Tourist Organization website for locations in Chicago, Los Angeles, New York, or San Francisco. In addition, information about roadside assistance, rules of the road, and obtaining a Japanese driver's license is available in English from the Japan Automobile Federation (JAF) web site.
International Driving Permits (IDPs): An international driving permit (IDP) issued in the United States by the American Automobile Association (AAA) or the American Automobile Touring Alliance (AATA) is required of short-term visitors who drive in Japan. You must obtain an IDP issued in your country of residence prior to arriving in Japan. The U.S. Embassy or its consulates do not issue IDPs. IDPs issued via the Internet and/or by other organizations are not valid in Japan.
"Residents" – the exact definition is unclear - must convert to or obtain a Japanese driver’s license. Residents in Japan who use an international driver’s license may be fined or arrested. In practice, the term “resident” involves more than simply visa status or length of stay in Japan and is determined by the police. In short, an international license is not a substitute for a valid Japanese license. See our website for more information on driving in Japan.
AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the government of Japan’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Japan’s air carrier operations. Further information may be found on the FAA's safety assessment page.
CHILDREN’S ISSUES: Please see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction. Japan-specific information on international parental child abduction may be found here.
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This replaces the Country Specific Information for Japan dated September 4, 2012 to update the sections on Entry/Exit Requirements, Crime, Special Circumstances, and Radiation near the Fukushima Daiichi Nuclear Power Plant.