About Selected Medical Treatment Expenses

Selective medical care fee is a system established by the Ministry of Health, Labour and Welfare for the purpose of dividing the functions of medical institutions so that "initial medical treatment is provided at clinics and dispensaries and advanced and specialized medical treatment is provided at hospitals (200 beds or more)," and is separate from the medical fee. The fee is charged separately from the medical fee.

Due to the revision of medical service fees, the following changes will be made from Oct 1, 2022.
Please note that from April 2022, patients with medical certificates for children and single parents will also be charged.

Types of Selective Medical Treatment Expenses	Eligible persons	Amount
Initial visit	First visit to this hospital without a letter of introduction from another medical institution When more than one year has passed since the last visit (except when follow-up instructions after one year have been given by a physician's decision) When a patient visits another department without prior consultation with the current attending physician	7,700yen (including tax)
When a patient returns to the hospital for a follow-up visit	When a patient is referred to another medical institution after completion of treatment, but continues to visit our hospital at his/her own discretion However, if you continue to see a doctor at your own discretion, you will be charged each time you see a doctor.	3,300yen (including tax)

What is an initial consultation?
*When you visit our hospital for the first time
*When you have visited our hospital before, but your illness or injury has been cured or completed and it has been one year since your last visit.
*When a patient has stopped treatment at his/her own discretion and visits the hospital more than one month after the previous visit, even though the medical findings indicate that continued treatment is necessary.

Ineligible patients

Initial visit Patients with a letter of referral Emergency patients in perinatal services, etc. Workers' compensation Public employment injury Traffic accident Immunization Self-pay treatment Patients referred by other departments of the hospital Patients who have received instructions to undergo a full medical examination based on the results of a specified health checkup, such as a cancer screening. Patients who are collaborators in a clinical trial Those who have been affected by a disaster Those who are eligible for various public expense payment systems due to specific disabilities, specific illnesses, etc.* Excluding Medical care for children, Medical care for single parents and family members  Those who are eligible for the government's publicly funded medical care system Those who are hospitalized directly after an outpatient visit

Re-examination Patients with a letter of referral Emergency transport Emergency patients in perinatal services, etc. Workers' compensation Public employment injury Traffic accident Immunization Self-pay treatment Patients who have been affected by disasters Specific disabilities Those who are eligible to receive various public expense payment systems due to specific illnesses, etc. Medical care for children Medical care for single parents and their families Excluding medical care for severe disabilities Those who are eligible for the government's publicly funded medical care system Those who are hospitalized directly after an outpatient visit

Please ask our office details.