insurance
Advance Payment Exemption
限度額適用認定証 (Gendo-gaku tekiyō nintei-shō)
A certificate obtained in advance from the health insurer that caps the amount a patient pays at the hospital counter for a single month, preventing the need to pay large sums upfront and then seek reimbursement. Without this certificate, patients must pay the full copayment amount and later file for a high-cost medical expense rebate. It is particularly important for planned surgeries or hospital admissions.
Apply for the nintei-shō at your insurer's office or online before hospital admission; income bracket determines the monthly cap amount.
In 9 languages
| Language | Term |
|---|---|
| English | Advance Payment Exemption |
| Japanese (日本語) | 限度額適用認定証 |
| Chinese (中文) | 预付款免除证 |
| Korean (한국어) | 한도액 적용 인정증 |
| Portuguese | Certificado de isenção de pagamento antecipado |
| Spanish | Exención de pago anticipado |
| Filipino | Exemption sa advance payment |
| Thai | ใบรับรองยกเว้นการชำระล่วงหน้า |
| Vietnamese | Chứng nhận miễn thanh toán trước |
| Romanization | Gendo-gaku tekiyō nintei-shō |
Learn more in the guide:
Read the guide →Last reviewed: September 2026