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Medical Care

@Hospitals and Clinics, Byoin
    There are two types of hospitals in Japan: general hospitals, consisting of many special departments, and specialized hospitals, consisting of a few number of departments.
    Every hospital has its own reception and consultation hours. With the exception of dentists, appointments are not usually necessary to see a doctor on the first visit.  If you own a health insurance certificate, remember to bring it with you.
    At the large, well-equipped general hospitals, you may have to wait for hours to see a doctor as these hospitals are crowded with patients.  At the general hospitals, using basic English to make yourself understood will probably be necessary.  However, there are  doctors who speak foreign languages at private specialized hospitals or clinics.  For more information, please contact the Kumamoto International Center.    
    The hospital process usually involves the following:
1.  Reception
    Visit the reception desk during the reception hours.  On the first visit to a hospital during a given month, you will be asked to submit your health insurance certificate.  You will also be asked to briefly explain your symptoms.  After signing in, sit down and wait until your name is called.

2.  Consultation
    When you see a doctor, you should explain your symptoms in detail.  The gEmergency Medical Terms Bookleth written in 6 different languages (English, Chinese, Korean, Thai, Spanish, Tagalog) and published by the Prefectural Government, may be helpful when talking to a doctor.

3.  Payment and Medication
    After consulting a doctor, pay the required fee and pick up your medication (if your doctor has prescribed any).  If you are given an examination card, called a shinsatsu-ken, you will have to present it at the reception desk on your next visit.
    One of the main hospitals in Kumamoto is the Kumamoto City Hospital, or Kumamoto Shimin Byoin.
           Address: Kumamoto-shi, Koto 1-1-60   Tel: 096-365-1711
           Reception hours: 8:30 AM to 10:30 AM
           Consultation hours: Weekdays: 8:30 AM to 5:00 PM
           Closed: Saturdays, Sundays, holidays, and Dec. 29 until Jan. 3
           The emergency room remains open Sundays, national holidays and evenings.

Other general hospitals in Kumamoto City:
    (denotes that hospital emergency room is open Sundays, national holidays and  evenings)
 Kumamoto National Hospital, Kokuritsu-Kumamoto-Byoin
          Address: 1-5 Ninomaru, Kumamoto-shi     
          Tel: 096-353-6501

  Kumamoto University Hospital, Kumamoto-Daigaku-Fuzoku-Byoin
          Address: 1-1-1 Honjo, Kumamoto-shi,      
          Tel: 096-344-2111

Japanese Red Cross Kumamoto Hospital, Kumamoto-Sekijuji-Byoin
          Address: 2-1-1 Nagamineminami, Kumamoto-shi  
          Tel: 096-384-2111

  Kumamoto Central Hospital, Kumamoto-Chuo-Byoin
          Address: 1-5-1 Tainoshima, Kumamoto-shi  
          Tel: 096-370-3111
              
Saiseikai Kumamoto Hospital, Saiseikai-Kumamoto-Byoin
          Address: 5-3-1 Chikami-machi, Kumamoto-shi   
          Tel: 096-351-8000

Kumamoto Regional Medical Treatment Center, Kumamoto-Chiiki-Iryo-Senta
          Address: 5-16-10 Honjo, Kumamoto-shi,   
          Tel: 096-363-3311
          (Only referred patients will be admitted during the day)



@Public Health and Welfare Centers, Hokenjo
        Central Public Health and Welfare Center, Chuou Hoken Fukushi Senta:
               1-13-16 Kuhonji, Kumamoto-shi               Tel: 096-364-3185
        West Public Health and Welfare Center, Nishi Hoken Fukushi Senta:
               2-4-27 Shin-machi, Kumamoto-shi           Tel: 096-354-1201
        East Public Health and Welfare Center, Higashi Hoken Fukushi Senta:
               1-1 Nishikigaoka, Kumamoto-shi               Tel: 096-365-3000
        South Public Health and Welfare Center, Minami Hoken Fukushi Senta:
               1-10-8 Heisei, Kumamoto-shi                   Tel: 096-355-4111
        North Public Health and Welfare Center, Kita Hoken Fukushi Senta:
               16-10 Shimizu hon-machi, Kumamoto-shi,          Tel: 096-345-2175
    If you have a foreign registration card, you can receive the following services at your local health and welfare center:

1.  Medical Examinations (free-of-charge on appointed dates)
    Public health and welfare centers offer free-of-charge medical checkups.  Please ask your local public health and welfare center for information about dates, times and places.
    Standard Public Health Center (PHC) Services
           Basic checkup: must be 40 years old and over.
           Basic checkup for females: housewives and self-employed women from 18 to 39 years old.   
           Tuberculosis examination: 15 years old and over.
           Lung, stomach, colon cancer examination: 40 years old and over.
           Breast, uterine cancer examination: 30 years old and over (women)
           AIDS counseling :
             Central PHWC: (English) Every second Tuesday during odd months 9 AM-11 AM
                                    (Japanese) Monday - Friday 9 AM-12: 00 noon, 1 PM-5 PM
                                                     Tuesdays 5 PM-7:30 PM (appointment is required)
             West PHWC, East PHWC, Southern PHWC and Northern PHWC:
                                    (Japanese) Wednesdays   9 AM-11 AM     
2. Diet Counseling
    Counselors can give you advice on keeping a well|balanced diet.  There are also classes for improving your diet.  For more information, please call a public health and welfare center.
3. Maternity and Infant Health Care Services
    Expectant mothers should obtain a gMother and Child Health Handbookh, Boshi-kenko-techo, at a public health and welfare center or a branch office of the City Hall (fill out a Notification of Pregnancy Form, Ninshin-todoke ).
    Bring your handbook every time you visit a maternity clinic to check the condition of your pregnancy.  Doctors will record the progress of your pregnancy in your handbook to help you stay in good condition and have a healthy baby.
    The handbook also contains coupons for some medical examinations during your pregnancy.   When you take your baby in for checkups, you must bring your Mother and Child Health Handbook and fill out the appropriate papers.
4. Vaccinations, Yobo-Sesshu
    The necessary vaccinations should be given to your children at the appropriate ages.  Vaccinations are provided at public health centers, hospitals and schools.  As for vaccinations provided at public health centers, please contact your local public health and welfare center for dates and hours.
TB test - every month at public health and welfare centers : 3-48 months old;  one time only
TB test (from April to July at schools):  6 years old; one time only
                                                              12 years old; one time only
Triple antigen (diphtheria, whooping cough, tetanus) - all year round at hospitals:
      1st time and follow up: 3-90 months old; four times
      2nd time : age 11 until 13th birthday; one time only
Polio - April and November at public health and welfare centers:
      3 months to under 90 months of age; two times, more than 6 weeks apart
Measles | year-around at hospitals:
     12 months to under 90 months of age; one time only
Rubella - all year at hospitals
     12 months to under 90 months of age or 12-16 years old; one time only
Japanese Encephalitis
     1st time and follow up: 6 months to under 90 months of age; 3 times
     2nd time : 9 years to under 13 years old; one time
     3rd time : 14 years to under 16 years old; one time
         (vaccinations for Japanese Encephalitis - from May to August at hospitals)                            
             

@Insurance, Hoken
    There are two types of insurance plans: compulsory and personal.  Government health insurance is compulsory.  Every non-Japanese who plans to stay in Japan for one year or more must be covered by a health insurance plan provided by the government.

    If the head of a household enters a health insurance plan, all members of that household will be covered by that plan.  There are two kinds of health insurance: Social Health Insurance, Shakai-hoken, and National Health Insurance, Kokumin-kenko-hoken.  If the head of a household cannot obtain Social Health Insurance, he (or she) MUST enroll in a National Health Insurance plan.  If you (and your family) are covered by health insurance, 70% of your bills for medical treatment will be covered by Social Health Insurance and by National Health Insurance.  You may also receive other kinds of benefits as well.

    Private insurance companies and post offices handle personal insurance.  In Kumamoto, there are many nationwide insurance company branch offices which offer thousands of plans.  There are also several branches of foreign insurance companies in Kumamoto as well.

@National Health Insurance Kokumin-Kenko-Hoken
Application
    Application procedures should be completed by the head of a household (if you live alone, you are the head of your household).  Go to the City Hallfs Health Insurance Section or a general branch office, sogo shisho, with your foreign registration card and inkan (if you own one).  Your health insurance certificate, hokensho, will be issued and mail it to you.

One copy of a health insurance certificate is issued to each household.  However, if somebody from your household lives outside of Kumamoto City for a certain period of time, an additional copy may be issued.  Health insurance certificates are renewed every year.

If your address changes, you must notify City Hall or a general branch office within 14 days
    of the change.

If you leave Kumamoto City or Japan permanently, your health insurance certificate must be returned    
    to City Hall or a general branch office.
Reduction of Medical Treatment Fees for the Aged
A certificate of reducing medical treatment fee for senior citizens will be given to a person who was born after October 1, 1932 and is not applicable to Elderly Insurance at the age of 70. By presenting this certificate at the reception desk of a hospital or clinic, the cost of your medical treatment and a portion of the medication fees will be reduced according to your income.
Benefits
  If you are covered by National Health Insurance, you will receive the following benefits:
1. When you receive medical treatment at a hospital, 70% of the medical treatment fees will be paid by
     your insurance.
2. Medical treatment for infants under the age of 3 is free (only dental treatment is free for 3-4 year
     old infants).
3. Medical treatment fees for the disabled are totally, or partially, exempted.
4. Those who are 70 years old or older are covered by Elderly Insurance (Rojin hoken).
5. Some types of benefits are available on specific occasions.
6. Other types of assistance.
7. Others

(1) Reduction of Medical Treatment Fees
 For outpatients:
    By presenting your health insurance certificate at the reception desk of a hospital or clinic, you will be charged only 30% of the cost of your medical treatment and a portion of the medication fees.
    There are some medications and treatments which are not covered by National Health Insurance and fees will be charged accordingly for these.

 For inpatients:
    When you leave the hospital, you will be charged 30% of your medical treatment fees and  meal fees (780 yen per day).  However, for some medications and treatments which are not covered by National Health Insurance, fees will be charged in full.  If you stay in a non- standard room with a higher fee, this will be reflected in the charges.

If you see a doctor and don't present your health insurance certificate, the full fee will have to be paid at that time.  However, if you apply for repayment at the City Hall national health insurance section or a branch office within two years, 70% of the money will be returned to the bank account of the head of your household.
E Necessary documents: health insurance certificate, detailed medical treatments, receipt from the
  hospital, householder's bank book, and inkan (if you own one)

 (2) Exemption of Medical Treatment Fees for Infants  (Temporary Assistance)
     Medical treatment for infants under the age of 3 is free (only dental treatment is free for
3-4 year old infant).
    If you notify the City Hallfs national health insurance office or a general branch office, you will receive an Exemption of Medical Treatment Fees for Infants Form.   
E Necessary documents: health insurance certificate which has the infant's name, inkan (if you own one).
For a new born baby, a birth notification form must be completed before receiving a health
     insurance certificate in the baby's name.

(3) Exemption of Medical Treatment Fees for the Seriously Disabled (Temporary Assistance)
    For the seriously disabled, medical treatment fees are exempted completely or partially.  Please ask for details at the national health insurance section of the City Hall or at a general branch office.

(4) Elderly Insurance
    Elderly people who are 75 years old or older are covered by Elderly Insurance which further reduces medical treatment fees.
    An elderly insurance certificate must be received at the City Hall or a branch office.
E Necessary documents: health insurance certificate, inkan (if you own one)

    Medical treatment fees for the elderly outpatient: maximum of 500 yen, 4 times per month.
    Inpatient: 1,100 yen per day.

(5) Benefits on Specific Occasions
    In the following cases, benefits will be granted by applying at the national health insurance section of the city hall or a general branch office.
    (A) When paying expensive medical treatment fees.
    (B) When ordering equipment for medical treatments.
    (C) When a baby is born (including miscarriages).
    (D) When a member of your household dies.

(A) When paying expensive medical treatment fees
 E Necessary documents: health insurance certificate, receipt from the hospital,
                                       householderfs bank book, inkan (if you own one)
) If one person from your household pays outpatient medical treatment costs or inpatient medical treatment costs in excess of 72,300 yen (35,400 yen for families holding a citizenfs tax exemption,  139,800 yen for households which belong to high income group) at one hospital (or one department in a general hospital) in one month, the excess amount can be provided for.

) If, during one month, your household pays more than 21,000 yen in medical expenses two times or more, and total amount paid exceeds 63,600 yen (35,400 yen for households with a citizenfs tax exemption, 139,800 yen for households which belong to high income group), the excess amount can be provided for.

) If one household falls into either of the above categories four or more times within
the past twelve months, from the fourth time on, excess payments of 40,200 yen (24,600 yen for
households with a citizenfs tax exemption) can be provided for.

(B) When ordering equipment for medical treatments
    When you order medical equipment such as artificial limbs or a corset, you may apply for a 70% refund.
 E Necessary documents: health insurance certificate, letter of approval written by a doctor, receipt,  
                                       householderfs bank book, inkan (if you own one)

(C) When a baby is born
    When an insured person has a baby, they can apply for a benefit of 300,000 yen.
    The benefit will be given even in the case of a still birth or a miscarriage of over four months
    (doctor's certification is necessary).
 E Necessary documents: health insurance certificate, mother and child health information notebook,
                                       householderfs bank book, inkan (if you own one)

(D) When a member of your household dies
    When an insured person dies, his (or her) household members or the funeral organizer may apply for a benefit of 20,000 yen.
 E Necessary documents: health insurance certificate, benefit recipientfs bank book,
                                      inkan (if you own one)
             
 (6) Other types of Assistance
    Normally the procedures below are not covered by health insurance, however, fees can be reduced if you apply at the City Hallfs national health insurance section or a general branch office.

 (A) Massage, Acupuncture, Moxa Cautery Treatment
         Assistance: 1,500 yen refund (out of 3,500 yen) per treatment per visit.
                           1,700 yen refund (out of 4,000 yen) for two treatments per one visit.
          * Up to 96 treatments per person per year
 E Necessary documents: health insurance certificate, inkan (if you own one)
                * Application is accepted at therapy clinics designated by Kumamoto City.

iBjComplete Physical Examinations
         For people who are 30 years old or older at designated hospitals.
         Assistance: 15,000 yen (out of 30,000 yen) for a one-day exam
                          30,000 yen (out of 60,000 yen) for a two-day exam
         Includes general checkup: examinations of respiratory, circulatory and digestive systems;
                                                  examinations of liver functions, kidney functions, blood, metabolism
                                                  and the eye socket
                                                 (two-day exams also include colon examinations with an optical fiber)
 E Necessary documents: health insurance certificate, inkan (if you own one)

   # Even if an injury is caused by a third party, such as in a traffic accident, medical treatment may be received with your National Health Insurance Certificate. The National Health Insurance Section of the City Hall must be notified soon after receiving medical treatment.
 E Necessary documents: health insurance certificate, inkan (if you own one)
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