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Article 58Right to Claim Damages

第五十八条(損害賠償請求権)

When the Association of Medical Care Systems for the Elderly Aged 75 and older has provided an old-old medical care benefit (including payment of the difference under the provisions of paragraph (2) of the preceding Article; the same applies hereinafter) in the case where the grounds for the benefit arose from an act of a third party, it acquires the insured's right to claim damages against the third party to the extent of the value of that old-old medical care benefit (where that old-old medical care benefit is benefits for medical treatment, the amount obtained by deducting from the amount of expenses required for those benefits for medical treatment the amount equivalent to the co-payment that the insured must bear in relation to those benefits for medical treatment; the same applies in paragraph (1) of the following Article).

後期高齢者医療広域連合は、給付事由が第三者の行為によつて生じた場合において、後期高齢者医療給付(前条第二項の規定による差額の支給を含む。以下同じ。)を行つたときは、その後期高齢者医療給付の価額(当該後期高齢者医療給付が療養の給付であるときは、当該療養の給付に要する費用の額から当該療養の給付に関し被保険者が負担しなければならない一部負担金に相当する額を控除した額。次条第一項において同じ。)の限度において、被保険者が第三者に対して有する損害賠償の請求権を取得する。

In the case referred to in the preceding paragraph, if a person who is to receive an old-old medical care benefit has received compensation for loss or damage from a third party for the same reason, the Association of Medical Care Systems for the Elderly Aged 75 and older is exempt from the responsibility to provide the old-old medical care benefit to the extent of the amount of the compensation.

前項の場合において、後期高齢者医療給付を受けるべき者が第三者から同一の事由について損害賠償を受けたときは、後期高齢者医療広域連合は、その価額の限度において、後期高齢者医療給付を行う責めを免れる。

A Association of Medical Care Systems for the Elderly Aged 75 and older may entrust its affairs concerning the collection or receipt of compensation for damage pertaining to the right to claim acquired pursuant to the provisions of paragraph (1) to a federation of national health insurance associations specified by Order of the Ministry of Health, Labour and Welfare.

後期高齢者医療広域連合は、第一項の規定により取得した請求権に係る損害賠償金の徴収又は収納の事務を国保連合会であつて厚生労働省令で定めるものに委託することができる。

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