For Overseas Residents
日本語ページ →
For Overseas Residents Without
Japanese Health Insurance
We provide gastroscopy (upper GI endoscopy) and colonoscopy on a self-pay basis to people who live outside Japan and do not hold Japanese health insurance — only when we judge that the examination can be performed safely.
Basic Policy
We provide gastroscopy and colonoscopy on a self-pay (out-of-pocket) basis to people who live outside Japan and do not hold Japanese health insurance — only when we judge that the examination can be performed safely.
Our clinic is an outpatient clinic. We do not provide inpatient care, emergency surgery, advanced endoscopic treatment (such as EMR or ESD), or 24-hour emergency medical services. For safety reasons, we limit who we can accept and what we can do.
Requirements to Be Accepted
You can be examined only if all of the following apply.
1. Communication in Japanese (most important)
All consultations and procedures are conducted only in Japanese. You qualify only if one of these is true:
- ✓You can speak and understand Japanese well enough to discuss your own medical care, or
- ✓You bring, in person on the day of your visit, a family member or a professional medical interpreter who can interpret between you and our staff in Japanese.
✕ Interpreting by phone or video call, and translation apps (machine translation), are NOT accepted.
✕ You must arrange and pay for the interpreter yourself; the clinic does not provide one.
- 2 You are currently in Japan.
- 3 You can pay the self-pay fees by credit card or Japanese-yen cash (no later billing or installments).
- 4 You understand and agree to our clinic's policies and consent terms.
What We Can and Cannot Provide
We can provide
- ・Gastroscopy (upper GI endoscopy)
- ・Colonoscopy
- ・Biopsy (Biopsy / Polyp Removal Evaluation Course only)
- ・Removal of small colon polyps by Cold Snare (physician's decision)
We cannot provide
- ・Advanced endoscopic treatment such as EMR / ESD
- ・Inpatient care, emergency surgery, 24-hour emergency services
- ・Biopsy / polyp removal in the Examination Course
- ・Mailing results to an overseas address
Patients We May Be Unable to Treat
For your safety, we may be unable to provide endoscopic examination or treatment if: you cannot take part in the visit in Japanese (see Requirements above; phone/app interpreting is not accepted); you cannot remain in Japan and return for follow-up for at least 3 weeks after a biopsy or polyp removal; in the physician's clinical judgement, you are at high risk of complications from the procedure or sedation; or, in the physician's clinical judgement, you cannot be examined or treated safely at our clinic.
Two Courses
Basic
Examination (Observation) Course
For first-visit, short-stay, or observation-only patients.
Includes gastroscopy and/or colonoscopy, observation only.
No biopsy or polyp removal is performed in this course.
Limited
Biopsy / Polyp Removal Evaluation Course
All required:
・Pre-examination consultation in person, at least 3 business days before (a separate visit)
・Blood test beforehand
・Japanese communication or in-person interpreter
・Stay in Japan at least 3 weeks after the procedure
・Provide an emergency contact in Japan
Depending on blood results and findings, for safety we may perform observation only and not carry out a biopsy or polyp removal on the day.
Pre-visit web questionnaire: current medications, antithrombotic (blood-thinning) drugs, medical history, heart disease, diabetes, sleep apnea, allergies, and length of stay in Japan.
Flow
Examination (Observation) Course
- 1. Complete the web questionnaire
- 2. Book the examination (web reservation is not available — please call the clinic directly)
- 3. Consultation on the examination day
- 4. Gastroscopy / colonoscopy
- 5. Explanation of findings
- 6. Go home
- 7. Results: usually mailed within about one week. We cannot mail results to an overseas address. Return in person or give a mailing address in Japan. We cannot take responsibility for postal delays or non-delivery.
Biopsy / Polyp Removal Evaluation Course
- 1. Complete the web questionnaire
- 2. Pre-examination visit: consultation, blood test, explanation (at least 3 business days before); reservation deposit
- 3. Safety evaluation
- 4. Examination day
- 5. If needed: biopsy / Cold-Snare polypectomy (number of polyps decided by the physician)
- 6. Same-day explanation of findings
- 7. Pathology results explained about 2 weeks later
- 8. You may return to your country after complications have been ruled out
About Complications
Bleeding, perforation, abdominal pain, fever, and other complications can occur after an endoscopic examination or polyp removal. Our clinic is an outpatient clinic and does not provide inpatient care, emergency surgery, or 24-hour emergency services. If a complication occurs, you may need to visit an emergency medical facility in Japan yourself. If you cannot follow the follow-up, visits, and length of stay that we advise, we may be unable to continue your care safely.
Fees (Self-Pay)
For overseas residents without Japanese health insurance. All prices include tax.
Basic Examination Fees (all patients)
| Procedure | Fee (JPY, tax incl.) |
|---|---|
| Gastroscopy | 50,000 |
| Colonoscopy | 80,000 |
| Same-day Gastroscopy + Colonoscopy | 110,000 |
| Standard Check-up (Chest/Abdominal CT + Gastroscopy) | 120,000 |
| Standard Check-up + Colonoscopy (Chest/Abdominal CT incl.) | 180,000 |
Biopsy / Polyp Removal Evaluation Course (limited)
Pre-examination consultation required at least 3 business days before the procedure.
Pre-examination evaluation & procedure explanation fee: 25,000 JPY (incl. consultation, blood test, safety evaluation, explanation)
Additional Procedure Fees
| Biopsy (1 site) + pathology | 30,000 |
| Each additional biopsy site | +10,000 |
| Small polyp removal by Cold Snare (1 lesion) + pathology | 40,000 |
| Each additional polyp | +20,000 |
| Private bowel-preparation room | 15,000 |
Reservation Deposit
Reservation deposit: 30,000 JPY (tax incl.)
Taken when the reservation is confirmed and applied toward the examination fee (Biopsy / Polyp Removal Evaluation Course).
It still applies even if, after the pre-examination, only observation is performed.
One reservation change is free. A second change is treated as a cancellation (deposit not refunded); re-booking requires a new visit and a new deposit.
If you do not undergo the examination, the deposit is not refunded.
Important Notes
- ・Considering polyp size, location, number, and complication risk, we may decide not to perform a biopsy or polyp removal on the day.
- ・The number of polyps removed is at the physician's decision, based on your overall condition and the polyps.
- ・We do not perform advanced endoscopic treatment (EMR / ESD). The Examination Course does not include biopsy or polyp removal.
- ・If a biopsy or polyp removal is performed, you must stay in Japan for at least 3 weeks afterward.
- ・Overseas residents cannot use the web reservation system. Please call the clinic in advance.
- ・Payment is by credit card or Japanese-yen cash only. We do not offer later billing or installments.
- ・You must arrange your own interpreter if one is needed.
- !Important: based on the day's questionnaire, vital signs, medication, bowel preparation, and overall condition, we may cancel or limit the examination, biopsy, or polyp removal for safety reasons.
If there is any discrepancy between this English summary and the Japanese-language page, the Japanese version is the official one.
Please Call Us in Advance
Overseas residents without Japanese health insurance cannot use web reservation.
Please call the clinic in advance to discuss your visit.