Hiroshima

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Healthcare

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Overview of the Healthcare System in Japan

Japan has a highly efficient and accessible healthcare system, and Hiroshima, as a major city, is no exception. The system is based on universal health coverage, meaning all residents (including foreign residents) are required to enroll in a health insurance program. Healthcare in Japan is known for its high standards, advanced medical technology, and well-trained professionals.

The healthcare system operates on two main types of insurance:

  1. National Health Insurance (NHI): For self-employed individuals, students, and retirees.
  2. Employees' Health Insurance (EHI): For those employed by companies.

Both systems cover 70% of medical costs, leaving patients responsible for the remaining 30%. However, there are caps on out-of-pocket expenses, and additional subsidies are available for low-income individuals or those with high medical costs.

Healthcare in Hiroshima

Hiroshima is home to a wide range of medical facilities, from large hospitals to smaller clinics, offering both general and specialized care. The city is known for its advanced medical research and treatment facilities, particularly in areas like radiation-related illnesses due to its historical significance.

Key Medical Facilities in Hiroshima

  1. Hiroshima University Hospital

    • A leading hospital offering advanced medical care and specialized treatments.
    • Known for its expertise in oncology, cardiology, and radiation-related illnesses.
    • Offers some English-speaking staff and interpreters for foreign patients.

  2. Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital

    • Provides general and specialized care, including treatment for radiation-related conditions.
    • Known for its historical role in treating atomic bomb survivors.
    • Some English-speaking staff are available.

  3. Hiroshima City Asa Citizens Hospital

    • A general hospital offering a wide range of services, including emergency care.
    • May have limited English-speaking staff, so bringing a translator or interpreter is recommended.

  4. Private Clinics

    • Hiroshima has numerous private clinics for general practice, pediatrics, dentistry, and other specialties.
    • These clinics are often more accessible for minor ailments and routine check-ups.
    • English-speaking doctors are more common in private clinics catering to expatriates.

Cost of Medical Services

The cost of medical services in Hiroshima depends on whether you are enrolled in Japanโ€™s health insurance system. Below is a breakdown:

  1. With Health Insurance:

    • Doctorโ€™s Visit: ยฅ1,500โ€“ยฅ3,000 (30% of the total cost).
    • Specialist Consultation: ยฅ2,000โ€“ยฅ5,000.
    • Prescription Medication: ยฅ500โ€“ยฅ2,000 per prescription.
    • Hospital Stay: ยฅ5,000โ€“ยฅ10,000 per night (general ward).

  2. Without Health Insurance:

    • Doctorโ€™s Visit: ยฅ5,000โ€“ยฅ10,000.
    • Specialist Consultation: ยฅ10,000โ€“ยฅ20,000.
    • Hospital Stay: ยฅ20,000โ€“ยฅ50,000 per night.

  3. Emergency Care:

    • Emergency services are available 24/7, but costs can be higher without insurance. Ambulance services are free, but you will be charged for treatment at the hospital.

Health Insurance Requirements

Foreign residents staying in Japan for more than three months are required to enroll in the National Health Insurance (NHI) or Employees' Health Insurance (EHI). Visitors staying for less than three months are not eligible for Japanese health insurance and should purchase travel insurance before arriving.

How to Enroll in NHI (National Health Insurance) in Hiroshima:

  1. Visit the Local Ward Office: Go to the ward office (ๅŒบๅฝนๆ‰€, kuyakusho) in your area of residence.
  2. Documents Required:
    • Residence Card (ๅœจ็•™ใ‚ซใƒผใƒ‰, Zairyu Card).
    • Passport.
    • Proof of address (e.g., rental agreement or utility bill).
  3. Cost: Premiums are based on your income and household size. For most individuals, monthly premiums range from ยฅ2,000 to ยฅ20,000.

Travel Insurance for Visitors:

If you are visiting Hiroshima as a tourist, ensure your travel insurance covers medical expenses in Japan. Check for coverage of emergency care, hospitalization, and repatriation.

Cultural and Procedural Considerations

  1. Language Barrier:

    • While some hospitals and clinics in Hiroshima have English-speaking staff, many do not. It is advisable to bring a Japanese-speaking friend or hire an interpreter.
    • Alternatively, use translation apps like Google Translate or medical-specific apps like "MediPhone."

  2. Appointments:

    • Many clinics and hospitals require appointments, especially for non-emergency care. Walk-ins may not be accepted at some facilities.
    • For specialists, you may need a referral from a general practitioner.

  3. Pharmacies (่–ฌๅฑ€, Yakkyoku):

    • Prescription medications are dispensed at pharmacies, which are often located near clinics.
    • Over-the-counter medications are available at drugstores, but the selection may differ from what you are used to in your home country.

  4. Emergency Numbers:

    • Ambulance: Dial 119 (free service, but treatment at the hospital will incur costs).
    • Medical Interpreter Services: Hiroshima International Center offers interpretation assistance for medical visits. Contact them in advance.

  5. Cultural Etiquette:

    • Be punctual for appointments.
    • Remove your shoes when entering certain clinics or hospital areas.
    • Bowing is a common form of greeting and showing respect.

  6. Radiation-Related Healthcare:

    • Due to Hiroshimaโ€™s history, the city has specialized facilities and expertise in treating radiation-related illnesses. These services are primarily for survivors of the atomic bomb and their descendants but reflect the cityโ€™s advanced medical capabilities.

Tips for Visitors and Immigrants

  • Carry Your Insurance Card: Always carry your health insurance card (if enrolled) when visiting a medical facility.
  • Know Your Blood Type: Japanese doctors may ask for your blood type during emergencies.
  • Emergency Medical Translation: Download apps or carry a phrasebook with medical terms in Japanese.
  • Vaccinations: Ensure you are up-to-date on routine vaccinations before traveling to Japan.

Conclusion

Hiroshima offers excellent healthcare services, with a mix of public and private facilities catering to both residents and visitors. By enrolling in Japanโ€™s health insurance system or securing comprehensive travel insurance, you can access affordable and high-quality medical care. Be mindful of cultural norms, language barriers, and procedural requirements to ensure a smooth experience when seeking healthcare in Hiroshima.