Guide to off-hours treatment

We treat/examine patients when we are closed, at night, etc., as needed for sudden illness.
Therefore, patients with more serious conditions or urgency are given priority.
Depending on a patient’s symptoms, the examination order could change. Please understand that this could result in a longer wait.
Care during off-hours is only provided to patients with severe conditions who need emergency operations or treatment. Therefore, if you have symptoms during the day or prolonged ones, come for an examination during the weekday treatment hours for outpatients.

Deposits

For off-hours examination, you will be required to pay an off-hour deposit.
Please understand the deposit prior to seeking medical consultations.

[Deposit]

• 10,000 yen
  (For foreigners not enrolled in health insurance, the deposit is 50,000 yen.)

[Deposit slip]

• We will issue a deposit slip if you pay a deposit.
  Please make a payment within 3 days of medical consultation (including the day of the visit) at (3) Payments on the first floor.

[Payments]

If you do not present your health insurance card within 3 days (including the visit day), you will be responsible for the full cost.
We cannot provide a refund if you lose your deposit slip.

Additional fees for patients without referrals

(1) Additional fees for patients without referrals at initial visits
In order to promote the functional separation (*1) between hospitals and clinics, if you do not have a letter of referral from another medical institution authorized to treat patients with health insurance coverage at your first visit, you will be required to pay 3,300 yen (including tax) in addition to the treatment fees (if you are not enrolled in Japanese health insurance, this is 18,000 yen without tax).
Please understand and accept the above before undergoing the medical examination.

(*1) Functional separation between hospitals and clinics
This is a separation of roles for fulfilling medical functions according to medical conditions, where general consultations and initial examinations to maintain health are performed at clinics by family doctors, and specialized tests and treatment requiring hospitalization are provided by hospitals.
Based on a close relationship with local medical practitioners, we strive to provide quality medical care focusing on specialized tests and inpatient treatment.

■ In regards to health insurance, the following are defined as an initial examination.
-　The first time you visit the hospital for an examination.
-　You have been examined before, but the existing medical condition is resolved.
-　You chose to stop treatment and continue with an examination later.
■The following cases are not considered an initial examination.
-　Your primary physician determines that you are continuing treatment and you receive other treatment in a different department.
-　You get treatment that is covered by insurance while already paying for treatment out of pocket.
■Dental oral surgery and other departments
-　Dental oral surgery and other departments are handled differently under the Health Insurance Act. In addition to the initial examination fee, there will also be an additional treatment fee for the initial examination without a referral.

(2) Additional treatment fees for patients without referrals during off-hours
We consider hours after 5 p.m. on weekdays and any time on weekends, holidays, or the New Year holiday period (December 29 through January 3) to be treatment off-hours.
Since August 1, 2017,patients without referrals who hope to receive treatment during these times must pay an off-hour additional treatment fee of 3,300 yen (including tax) in addition to the basic treatment fees.
Please understand and accept the above before visit the hospital for the examination.
If the doctor determines that an examination is required due to an emergency (*2), you will not be required to pay the off-hours additional treatment fee.
（※2）■ Examples of emergencies
-　You are hospitalized.
-　You were transported by an ambulance.
-　You were instructed by one of our doctors to get examined by emergency outpatient services in order to get an injection or operation.
-　You were instructed by a doctor from another hospital to get examined by emergency outpatient services (and have a referral).