How are foreign insurance reimbursements taxable?

I have a foreign insurance with world-wide coverage. I pay monthly in USD and I get reimbursements for certain things (like when buying new glasses and sending the receipt to the insurance company). Soon I’m in Japan for 5 years and I afraid I will end up in tax hell but for “forex gains/spendings” and also because the reimbursement might be seen as income but the premiums not deductable.

Does someone have expierence with that situation? (not US citizen btw)

by ChizakuraTokyo

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