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If you have any questions about your hospitalization costs, please ask our staff at the ward reception before you make a payment.
If you are recipients of a medical subsidy from public assistance or other types of publicly funded medical care, your monthly payment will be within the ceiling amount of the monthly copayment.
Calculation of Hospitalization Costs
- At TUH hospitalization costs will be determined using the points based on the Diagnosis Procedure Combination (DPC) system.
- Established by the Ministry of Health, Labour and Welfare, DPC is a case-mix patient classification system; under the DPC system, hospitalization costs will be determined by multiplying the flat-rate daily rate assessed according to each patient's illness and condition by the number of days of hospitalization, plus individually calculated fees for surgeries, etc.
- Midnight (0 a.m.) is regarded as the beginning of a day for calculating the number of hospitalization days in accordance with Health Insurance Act.
(For an overnight stay, you will be charged for two days of hospital fees and special room rate.) - TUH has both medicine and dentistry departments. Because medical and dental fees are charged separately, if you receive both medical and dental treatment, one of these will not be included in their hospital costs and will be charged separately as an outpatient consultation fee.
For example: In the case that you receive "dental" consultation while you are hospitalized in a "medical” unit," and vice versa.
Notification of costs will be made monthly (at the time of regular billing) and at the time of discharge. You can make a single lump payment (it is also possible to pay for each consultation).
Eligibility Certificate for Ceiling-amount Application
(For patients under 70 years of age)
You will be exempt from paying the excess beyond the ceiling of your copayment amount by presenting the "Eligibility Certificate for Ceiling-amount Application" or the "Eligibility Certificate for Ceiling-amount Application and Reduction of the Standard Amount of Patient Liability" at the time of hospitalization.
In principle, because the date of issue of the Certificate will be the first day of the month of application, we recommend you to apply to the insurer before hospitalization.
Please present your insurance card and the Certificate issued by an insurer at the ward reception.
If the Certificate is not issued in time or you applied for it while being hospitalized, please inform the ward staff accordingly, and present the Certificate at the ward reception as soon as you receive it.
- * If you fail to present the Certificate in time without notifying us in advance that your application is in process, we may not be able to process your payment exemption. The Certificate is not valid for the completed payment.
| Income Classes | Ceiling Amount of Personally-borne Medical Expenses |
|---|---|
| ① ア(A) | ¥252,600 + (Total Medical Expenses – ¥842,000) x 1% |
| ② イ(I) | ¥167,400 + (Total Medical Expenses – ¥558,000) x 1% |
| ③ ウ(U) | ¥80,100 + (Total Medical Expenses – ¥267,000) x 1% |
| ④ エ(E) | ¥57,600 |
| ⑤ オ(O) | ¥35,400 |
- * The ceiling amount of copayment is calculated separately by consultation month, medical institution, medical/ dental unit, and outpatient/inpatient.
- * In principle, the ceiling amount is applied from the day you present the Certificate. Please make sure to present it at the reception desk.
- * Uninsured expenses such as documentation fees will not be subject to High-cost Medical Care Benefits, so you must pay the fees at your own expense.
Hospital Meal Expenses
There is co-payment for hospital meals as detailed below.
| Classifications | Co-payment for Meal Expenses (per meal) | |
|---|---|---|
| General Patients | ¥510 | |
| Patients with Eligibility Certificate for Payment Reduction | First 90 Days | ¥240 |
| After 90 Days | ¥190 | |
| Old-age Welfare Pension Recipients | ¥110 | |
- * If you present Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard Amount of Patient Liability, your meal expenses will be reduced.
Billing for Hospitalization Costs
Your bill is delivered to your inpatient room before discharge. If your hospital stay extends over a month, the amount up to the end of the month is calculated and delivered to your inpatient room around the 10th of the next month.
Please make a payment using a Self-service Payment Kiosk or at the Payment Reception Desk on the 1st floor of Clinics for Outpatients A. Payments are due the end of the month in which the bill is delivered, but if you are discharged before the end of a month, the payment is due the day of discharge.
Billing at discharge
Your bills will be delivered to your inpatient room before discharge. Please make a payment using a Self-service Payment Kiosk or at Payment Recepetion Desk on the 1st floor of Clinics for Outpatients A.
Clinics for Outpatients Floor Map
| Payment Reception Desk | Days | Hours |
|---|---|---|
| Clinics for Outpatients A 1st Floor Reception No.6 (Payment Reception Desk)/ Self-service Payment Kiosk |
Weekdays | 8:30 a.m. -6:15 p.m. (5:15 p.m. for Self-service Payment Kiosk) |
| Advanced Medical Care Center 1st Floor Emergency Reception (After-hour reception) |
Not available | Not available |
We accept cash, debit cards, and credit cards (JCB, VISA, MasterCard, American Express, J-Debit).
* Automatic teller machines (ATMs) are available for the following banks:
77 Bank, Japan Post Bank
Changes in Health Insurance Card, etc.
Present your certificates together with your Japanese Health Insurance Card at ward reception if any changes occur in your health insurance card.
Please Note
Receipt is required for various certifications, such as a medical expense deduction. Please keep it safe as it will not be reissued. (If you have lost your receipt and request a proof of payment, you will need to pay an extra fee.)