FAQs

General

  • Yes. All of our physicians are U.S.-trained, bringing the American standard of care to Japan. We combine this with bilingual staff to make sure care is clear and accessible. Documents, receipts, invoices and all communication is in English.

  • Yes. We work closely with Japanese specialists, U.S. base facilities, and U.S.-based providers as needed. This helps ensure your care is seamless and easy to navigate wherever you are.

  • Absolutely. At Torii Health, our model is rooted in American family medicine — coordinated, comprehensive, and evidence-based. All of our providers are U.S.-trained, and we practice using the same clinical guidelines and protocols you’d expect back home in the States.

    What this means for you:

    Comprehensive Services: We care for the whole family — pediatrics, adult medicine, women’s health, psychiatry, procedures, and lifestyle medicine — under one roof.

    Evidence-Based Medicine: Our diagnosis and treatment decisions follow U.S. guidelines, ensuring up-to-date, scientifically supported care.

    Continuity & Coordination: We track your labs, medications, and preventive screenings, and coordinate seamlessly with Japanese specialists, U.S. military base providers, and U.S.-based doctors when needed.

    Patient-Centered Communication: You get full access to your medical records and billing in English through our secure portal, plus ongoing communication with your care team between visits.

    In short, we’ve brought the American standard of care to Japan — making your healthcare feel familiar, consistent, and reliable, no matter where you or your family are coming from.

  • Yes. We prescribe GLP-1 medications when clinically appropriate and support you holistically in your weight loss journey. These medications may require prior authorization with your insurance. We stock GLP-1s available in Japan (injection and pills) on-site. If your insurance doesn’t cover them, we’ll work with you to find the most cost-effective option.

  • Yes, we have injectable testosterone available in Japan. If you have another source of your testosterone prescriptions, we also provide lab monitoring and clinical follow-up for patients on testosterone therapy and coordinate care with U.S.-based prescribers when needed. Our goal is to ensure safe, continuous management of your treatment while you’re overseas.

  • Yes. We diagnose and manage ADHD in both children and adults. Treatment plans may include behavioral strategies as well as medications (such as stimulants or non-stimulants like atomoxetine). Please note that stimulant medications are strictly regulated in Japan and cannot be prescribed locally. However, we can prescribe non-stimulant options in Japan and, when possible, coordinate stimulant prescriptions through U.S. military providers.

Services

  • We cover nearly the full spectrum of care:

    Primary Care for adults and children(check-ups, screenings, chronic conditions, vaccinations)

    Psychiatry & Behavioral Health (depression, anxiety, ADHD, PTSD, addiction, chronic pain)

    Reproductive Health(family planning, menopause, erectile dysfunction)

    Minor Procedures(joint injections, cryotherapy, shave biopsy)

    Specialty Care (gender-affirming care, PrEP/PEP, dermatology)

    On-site medicationsand electronic prescriptions to U.S. military pharmacies or Express Scripts

  • We provide a full range of preventive and early-detection screenings, following U.S. guidelines for health maintenance. These include:

    Colonoscopy – with sedation, for colorectal cancer prevention

    EGD (upper endoscopy) – with sedation, for evaluation of reflux, ulcers, and GI cancer risk

    Mammogram – for breast cancer screening

    Low-dose CT scan of the lungs– for patients at risk of lung cancer

    Home sleep studies– convenient testing for sleep apnea and snoring concerns

    Pulmonary function testing(PFTs) – to assess asthma, COPD, and lung health

    Diagnostic imaging– including X-rays, CT scans, MRI, and ultrasound when clinically indicated

    All screenings are coordinated through our team — we arrange the testing, explain the results, and help plan any necessary follow-up care.

Billing

  • Torii Health operates as a self-pay clinic in Japan. We are unable to accept with Japanese health insurance.

    At the time of booking, credit/debit card information is requested at the time of booking an appointment. We keep your payment information on file should you have a co-pay and we are able to directly bill your insurance provider.

    We do not collect payment at the time of your visit. Rather, an invoice in English and USD will be sent within about a week of the visit directly to you and payment is then due within a week of receipt of the invoice.

    All payments are made, securely online through our Stripe system (credit/debit card accepted) by simply clicking on the link in the patient portal or your email. Once payment is made, a receipt will be sent to you electronically that you can then use to get reimbursed by your insurance company.

    Should you have any issues with reimbursement, we are more than happy to work with you to troubleshoot with your insurance company.

  • Our goal is to make high quality, safe and comprehensive health care accessible to you in Japan at an American standard of care. In order to do so, we actively work with US insurance companies, either through direct billing relationships to reduce out-of-pocket expense, prior authorizations or direct communication to justify coverage for treatment.

    FSBP (AFSPA/Aetna) for GS employees have been the easiest to directly bill. They come highly recommended. We also work with the DOD Civilian Health Program.

    For all other U.S. or international insurance plans with whom we do NOT have direct billing relationships with, you can submit your receipt for reimbursement.

    All receipts are provided in English and in USD.

    • Extended Visits, 50-minutes (first-time visits, in-depth reviews, behavioral health, procedures): Around $250 for the professional fee, not inclusive of labs, imaging, medications and additional testing are not included.

    • Focused visits, 20-minutes (follow-ups, medication refills, school physicals): Around $150 for the professional fee, not inclusive of labs, imaging, medications and additional testing are not included.

    • Telehealth and in-person visits are treated the same charge

    • Pediatric visits (first-time, follow-up, school physicals) are $150

    • Appointment length may be adjusted at the physician’s discretion.

    Our prices are higher than most local Japanese clinics, in-line with international clinics and lower than your average American clinic. We provide an American standard of care in Japan, which means longer visits, bilingual staff, translation services, US insurance support, online messaging, up to 3-month refills (as permitted by Japanese medical law) and care coordination with the US military bases or Japanese facilities.

  • Typical out-of-pocket expenses will vary by insurer.

    FSBP usually pays about 80% and the co-insurance/”co-pay” is 20%. Some typical out-of-pocket estimates as follows:

    1. Visit Fee $18-25

    2. Full labs: $25

    3. Medications vary but are covered at 80%. The most expensive medications may cost about $100 per month, while most generally are $20-30 per month.

    4. Sports physical: $15

  • No. Labs and medications are billed separately.

    Labs: Done in-clinic.

    Medications: Dispensed directly from the clinic whenever possible.

    If a medication isn’t available in Japan, we’ll help you find an alternative source.

    We can also mail medications at no additional cost for patients outside the Zama/Atsugi area.

  • Absolutely. Our goal is to make sure you can access care when you need it.

    If you have any concerns about payment or reimbursement, please reach out — we’ll do our best to accommodate your situation.

Billing and Telemedicine Details