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on 1 August 2027, in 9 months

Order for Enforcement of the Health Insurance Act

健康保険法施行令(けんこうほけんほうしこうれい)

Amended by

Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc.

健康保険法施行令等の一部を改正する政令

The whole text as amended, on e-Gov

The same amending law also changes

  • 29 July 2026 — This law
  • 1 August 2026 — This law

73 provisions changed · 77 provisions added · 1 provision in the supplementary provisions · 1 provision moved to another number

Each provision the amendment changes, as it will read: the words it adds are underlined, and a bar marks where it removes words. “Show removed words” strikes those through in place; “Before and after” sets the two wordings side by side. A provision that only moves to another number says the number it had. The Japanese is the law; the icon beside each English column says whose English it is.

How the changes are shown

Underlined: words the amendment adds. A bar: where it removes words.Underlined: words the amendment adds. Struck through: the words it removes.Underlined: words the amendment adds. Struck through: the words it removes.

Article 43 · Other Matters Concerning Payment of High-cost Medical Expenses第四十三条(その他高額療養費の支給に関する事項)

24 reworded · 25 added
Read it in the amended law
  • ChangedArticle 43, paragraph (1), item (i)

    in the case where high-cost medical expenses are paid pursuant to Article 41, paragraph (1): the amount specified in each of (a) through (e)(m) in accordance with the category of persons listed in (a) through (e)(m) below:

    第四十一条第一項の規定により高額療養費を支給する場合 次のイからホワまでに掲げる者の区分に応じ、それぞれイからホワまでに定める額

  • ChangedArticle 43, paragraph (1), item (i), (a)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (i) of the preceding Article: the total sum of 85,800342,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 286,0001,140,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 286,0001,140,000 yen, if that amount is less than 286,0001,140,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400140,100 yen.

    前条第一項第一号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八万五千八百三十四万二千円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が二十八万六千百十四万円に満たないときは、二十八万六千円)から二十八万六千百十四万円)から百十四万円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百十四万百円とする。

  • ChangedArticle 43, paragraph (1), item (i), (b)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (ii) of the preceding Article: the total sum of 270,300303,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 901,0001,010,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 901,0001,010,000 yen, if that amount is less than 901,0001,010,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 140,100 yen.

    前条第一項第二号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 二十七万三百三十万三千円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が九十万千百一万円に満たないときは、九十万千円)から九十万千百一万円)から百一万円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、十四万百円とする。

  • ChangedArticle 43, paragraph (1), item (i), (c)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (iii) of the preceding Article: the total sum of 179,100270,300 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 597,000901,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 597,000901,000 yen, if that amount is less than 597,000901,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000140,100 yen.

    前条第一項第三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十七万九千百二十七万三百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が五十九万七千九十万千円に満たないときは、五十九万七千円)から五十九万七千九十万千円)から九十万千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千十四万百円とする。

  • AddedArticle 43, paragraph (1), item (i), (d)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (iv) of the preceding Article: the total sum of 209,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 698,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 698,000 yen, if that amount is less than 698,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000 yen.

    前条第一項第四号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 二十万九千四百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が六十九万八千円に満たないときは、六十九万八千円)から六十九万八千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千円とする。

  • AddedArticle 43, paragraph (1), item (i), (e)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (v) of the preceding Article: the total sum of 194,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 648,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 648,000 yen, if that amount is less than 648,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000 yen.

    前条第一項第五号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十九万四千四百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が六十四万八千円に満たないときは、六十四万八千円)から六十四万八千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千円とする。

  • AddedArticle 43, paragraph (1), item (i), (f)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (vi) of the preceding Article: the total sum of 179,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 597,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 597,000 yen, if that amount is less than 597,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000 yen.

    前条第一項第六号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十七万九千百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が五十九万七千円に満たないときは、五十九万七千円)から五十九万七千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千円とする。

  • AddedArticle 43, paragraph (1), item (i), (g)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (vii) of the preceding Article: the total sum of 110,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 368,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 368,000 yen, if that amount is less than 368,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第一項第七号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十一万四百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が三十六万八千円に満たないときは、三十六万八千円)から三十六万八千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (i), (h)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (viii) of the preceding Article: the total sum of 98,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 327,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 327,000 yen, if that amount is less than 327,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第一項第八号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 九万八千百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が三十二万七千円に満たないときは、三十二万七千円)から三十二万七千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (i), (i)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (ix) of the preceding Article: the total sum of 85,800 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 286,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 286,000 yen, if that amount is less than 286,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第一項第九号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八万五千八百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が二十八万六千円に満たないときは、二十八万六千円)から二十八万六千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • ChangedArticle 43, paragraph (1), item (i), (j)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (iv)(x) of the preceding Article: 61,50069,600 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第一項第四号第十号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 六万千五百六万九千六百円。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (i), (k)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (xi) of the preceding Article: 65,400 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第一項第十一号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 六万五千四百円。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (i), (l)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (xii) of the preceding Article: 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 34,500 yen.

    前条第一項第十二号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 六万千五百円。ただし、高額療養費多数回該当の場合にあっては、三万四千五百円とする。

  • ChangedArticle 43, paragraph (1), item (i), (m)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (1), item (v)(xiii) of the preceding Article: 36,900 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 24,600 yen.

    前条第一項第五号第十三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 三万六千九百円。ただし、高額療養費多数回該当の場合にあっては、二万四千六百円とする。

  • ChangedArticle 43, paragraph (1), item (ii)

    in the case where high-cost medical expenses are paid pursuant to Article 41, paragraph (3): the amount specified in each of (a) through (f)(n) in accordance with the category of persons listed in (a) through (f)(n) below:

    第四十一条第三項の規定により高額療養費を支給する場合 次のイからヘカまでに掲げる者の区分に応じ、それぞれイからヘカまでに定める額

  • ChangedArticle 43, paragraph (1), item (ii), (a)

    a person other than those listed in (b) through (f): 61,500 yenlisted in paragraph (3), item (i) of the preceding Article: the total sum of 342,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 1,140,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 1,140,000 yen, if that amount is less than 1,140,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400140,100 yen.

    ロからヘまでに掲げる者以外の者 六万千五百円前条第三項第一号に掲げる者 三十四万二千円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が百十四万円に満たないときは、百十四万円)から百十四万円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百十四万百円とする。

  • ChangedArticle 43, paragraph (1), item (ii), (b)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (ii) of the preceding Article: the total sum of 270,300303,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 901,0001,010,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 901,0001,010,000 yen, if that amount is less than 901,0001,010,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 140,100 yen.

    前条第三項第二号に掲げる者 二十七万三百に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 三十万三千円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が九十万千百一万円に満たないときは、九十万千円)から九十万千百一万円)から百一万円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、十四万百円とする。

  • ChangedArticle 43, paragraph (1), item (ii), (c)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (iii) of the preceding Article: the total sum of 179,100270,300 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 597,000901,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 597,000901,000 yen, if that amount is less than 597,000901,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000140,100 yen.

    前条第三項第三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十七万九千百二十七万三百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が五十九万七千九十万千円に満たないときは、五十九万七千円)から五十九万七千九十万千円)から九十万千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千十四万百円とする。

  • ChangedArticle 43, paragraph (1), item (ii), (d)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (iv) of the preceding Article: the total sum of 85,800209,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 286,000698,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 286,000698,000 yen, if that amount is less than 286,000698,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,40093,000 yen.

    前条第三項第四号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八万五千八百二十万九千四百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が二十八万六千六十九万八千円に満たないときは、二十八万六千円)から二十八万六千六十九万八千円)から六十九万八千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百九万三千円とする。

  • AddedArticle 43, paragraph (1), item (ii), (e)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (v) of the preceding Article: the total sum of 194,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 648,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 648,000 yen, if that amount is less than 648,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000 yen.

    前条第三項第五号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十九万四千四百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が六十四万八千円に満たないときは、六十四万八千円)から六十四万八千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千円とする。

  • AddedArticle 43, paragraph (1), item (ii), (f)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (vi) of the preceding Article: the total sum of 179,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 597,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 597,000 yen, if that amount is less than 597,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 93,000 yen.

    前条第三項第六号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十七万九千百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が五十九万七千円に満たないときは、五十九万七千円)から五十九万七千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、九万三千円とする。

  • AddedArticle 43, paragraph (1), item (ii), (g)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (vii) of the preceding Article: the total sum of 110,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 368,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 368,000 yen, if that amount is less than 368,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第三項第七号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十一万四百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が三十六万八千円に満たないときは、三十六万八千円)から三十六万八千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (ii), (h)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (viii) of the preceding Article: the total sum of 98,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 327,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 327,000 yen, if that amount is less than 327,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第三項第八号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 九万八千百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が三十二万七千円に満たないときは、三十二万七千円)から三十二万七千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (ii), (i)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (ix) of the preceding Article: the total sum of 85,800 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 286,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 286,000 yen, if that amount is less than 286,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第三項第九号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八万五千八百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が二十八万六千円に満たないときは、二十八万六千円)から二十八万六千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (ii), (j)

    a person listed in paragraph (3), item (x) of the preceding Article: 69,600 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第三項第十号に掲げる者 六万九千六百円。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (ii), (k)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (xi) of the preceding Article: 65,400 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    前条第三項第十一号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 六万五千四百円。ただし、高額療養費多数回該当の場合にあっては、四万四千四百円とする。

  • AddedArticle 43, paragraph (1), item (ii), (l)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (xii) of the preceding Article: 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 34,500 yen.

    前条第三項第十二号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 六万千五百円。ただし、高額療養費多数回該当の場合にあっては、三万四千五百円とする。

  • ChangedArticle 43, paragraph (1), item (ii), (m)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (v)(xiii) of the preceding Article: 25,700 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 24,600 yen.

    前条第三項第五号第十三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 二万五千七百円。ただし、高額療養費多数回該当の場合にあっては、二万四千六百円とする。

  • ChangedArticle 43, paragraph (1), item (ii), (n)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (3), item (vi)(xiv) of the preceding Article: 15,700 yen;

    前条第三項第六号第十四号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 一万五千七百円

  • ChangedArticle 43, paragraph (1), item (iii)

    in the case where high-cost medical expenses are paid pursuant to Article 41, paragraph (4): the amount specified in each of (a) through (f)(n) in accordance with the category of persons listed in (a) through (f)(n) below:

    第四十一条第四項の規定により高額療養費を支給する場合 次のイからヘカまでに掲げる者の区分に応じ、それぞれイからヘカまでに定める額

  • ChangedArticle 43, paragraph (1), item (iii), (a)

    a person other than those listed in (b) through (f): 30,750 yenlisted in paragraph (4), item (i) of the preceding Article: the total sum of 171,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 570,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 570,000 yen, if that amount is less than 570,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,20070,050 yen.

    ロからヘまでに掲げる者以外の者 三万七百五十円前条第四項第一号に掲げる者 十七万千円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が五十七万円に満たないときは、五十七万円)から五十七万円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、二万二千二百七万五十円とする。

  • ChangedArticle 43, paragraph (1), item (iii), (b)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (ii) of the preceding Article: the total sum of 135,150151,500 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 450,500505,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 450,500505,000 yen, if that amount is less than 450,500505,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 70,050 yen.

    前条第四項第二号に掲げる者 十三万五千百五十に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 十五万千五百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が四十五万五百五十万五千円に満たないときは、四十五万五百円)から四十五万五百五十万五千円)から五十万五千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、七万五十円とする。

  • ChangedArticle 43, paragraph (1), item (iii), (c)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (iii) of the preceding Article: the total sum of 89,550135,150 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 298,500450,500 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 298,500450,500 yen, if that amount is less than 298,500450,500 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 46,50070,050 yen.

    前条第四項第三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八万九千五百五十十三万五千百五十円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が二十九万八千五百四十五万五百円に満たないときは、二十九万八千五百円)から二十九万八千五百四十五万五百円)から四十五万五百円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万六千五百七万五十円とする。

  • ChangedArticle 43, paragraph (1), item (iii), (d)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (iv) of the preceding Article: the total sum of 42,900104,700 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 143,000349,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 143,000349,000 yen, if that amount is less than 143,000349,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,20046,500 yen.

    前条第四項第四号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 四万二千九百十万四千七百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が十四万三千三十四万九千円に満たないときは、十四万三千円)から十四万三千三十四万九千円)から三十四万九千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、二万二千二百四万六千五百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (e)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (v) of the preceding Article: the total sum of 97,200 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 324,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 324,000 yen, if that amount is less than 324,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 46,500 yen.

    前条第四項第五号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 九万七千二百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が三十二万四千円に満たないときは、三十二万四千円)から三十二万四千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万六千五百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (f)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (vi) of the preceding Article: the total sum of 89,550 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 298,500 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 298,500 yen, if that amount is less than 298,500 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 46,500 yen.

    前条第四項第六号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八万九千五百五十円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が二十九万八千五百円に満たないときは、二十九万八千五百円)から二十九万八千五百円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、四万六千五百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (g)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (vii) of the preceding Article: the total sum of 55,200 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 184,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 184,000 yen, if that amount is less than 184,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen.

    前条第四項第七号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 五万五千二百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が十八万四千円に満たないときは、十八万四千円)から十八万四千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (h)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (viii) of the preceding Article: the total sum of 49,050 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 163,500 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 163,500 yen, if that amount is less than 163,500 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen.

    前条第四項第八号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 四万九千五十円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が十六万三千五百円に満たないときは、十六万三千五百円)から十六万三千五百円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (i)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (ix) of the preceding Article: the total sum of 42,900 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 143,000 yen from the amount of expenses required for that medical treatment, calculated for that medical treatment as provided by Order of the Ministry of Health, Labour and Welfare (or 143,000 yen, if that amount is less than 143,000 yen) (where that amount includes a fractional amount of less than 1 yen, the amount obtained by rounding down that fractional amount if it is less than 50 sen, or by rounding it up to 1 yen if it is 50 sen or more); provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen.

    前条第四項第九号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 四万二千九百円と、当該療養につき厚生労働省令で定めるところにより算定した当該療養に要した費用の額(その額が十四万三千円に満たないときは、十四万三千円)から十四万三千円を控除した額に百分の一を乗じて得た額(この額に一円未満の端数がある場合において、その端数金額が五十銭未満であるときは、これを切り捨て、その端数金額が五十銭以上であるときは、これを一円に切り上げた額)との合算額。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (j)

    a person listed in paragraph (4), item (x) of the preceding Article: 34,800 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen.

    前条第四項第十号に掲げる者 三万四千八百円。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (k)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (xi) of the preceding Article: 32,700 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen.

    前条第四項第十一号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 三万二千七百円。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。

  • AddedArticle 43, paragraph (1), item (iii), (l)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (xii) of the preceding Article: 30,750 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 17,250 yen.

    前条第四項第十二号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 三万七百五十円。ただし、高額療養費多数回該当の場合にあっては、一万七千二百五十円とする。

  • ChangedArticle 43, paragraph (1), item (iii), (m)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (v)(xiii) of the preceding Article: 12,850 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 12,300 yen.

    前条第四項第五号第十三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 一万二千八百五十円。ただし、高額療養費多数回該当の場合にあっては、一万二千三百円とする。

  • ChangedArticle 43, paragraph (1), item (iii), (n)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (4), item (vi)(xiv) of the preceding Article: 7,850 yen;

    前条第四項第六号第十四号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 七千八百五十円

  • ChangedArticle 43, paragraph (1), item (iv)

    in the case where high-cost medical expenses are paid pursuant to Article 41, paragraph (5): the amount specified in each of (a) through (c)(d) in accordance with the category of persons listed in (a) through (c)(d) below:

    第四十一条第五項の規定により高額療養費を支給する場合 次のイからハニまでに掲げる者の区分に応じ、それぞれイからハニまでに定める額

  • ChangedArticle 43, paragraph (1), item (iv), (a)

    a person other than those listed in (b) and (c): 22,000through (d): 28,000 yen;

    ロ及びハからニまでに掲げる者以外の者 二万二千二万八千円

  • ChangedArticle 43, paragraph (1), item (iv), (b)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (5), item (ii) of the preceding Article: 11,00022,000 yen;

    前条第五項第二号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 一万千二万二千円

  • ChangedArticle 43, paragraph (1), item (iv), (c)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (5), item (iii) of the preceding Article: 8,00013,000 yen.;

    前条第五項第三号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八千一万三千円

  • AddedArticle 43, paragraph (1), item (iv), (d)

    a person who has received certification by the insurer, as provided by Order of the Ministry of Health, Labour and Welfare, as falling under a person listed in paragraph (5), item (iv) of the preceding Article: 8,000 yen.

    前条第五項第四号に掲げる者に該当していることにつき厚生労働省令で定めるところにより保険者の認定を受けている者 八千円

Article 44 · Mutatis Mutandis Application第四十四条(準用)

2 reworded
Read it in the amended law
  • ChangedArticle 44, paragraph (1)

    The provisions of Article 41, Article 42 (excluding limited to the parts relating to paragraph (1), items (ii) through (iv)(ix) and (xiii), paragraph (2), items (ii) through (iv)(ix) and (xiii), paragraph (3), items (ii)(xii) through (iv)(xiv), paragraph (4), items (ii) through (iv), paragraph (7), item (i), (b) (xii) through (xiv), paragraph (5), items (ii) through (iv), paragraph (6), paragraph (7), item (i), (i) and (m), item (ii), (l) through (d)(n) and item (ii)(iii), (b) through (d), paragraph (9), item (ii), and paragraphs (10) through (12)(8) and paragraph (9), item (i)) and Article 43 (excluding the parts relating to paragraph (1), item (i), (b)(a) through (d)(h) and (j) through (l), item (ii), (b)(a) through (d)(k) and item (iii), (b)(a) through (d)(k)) apply mutatis mutandis to the payment of high-cost medical expenses for specially-insured day laborers. In this case, the phrase "an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 280,000 yen or more and less than 360,000 yen, or a dependent of such a person (excluding those listed in item (xiii))" in Article 42, paragraph (1), item (ix) is deemed to be replaced with "a person other than those listed in item (xiii)", and the phrase "an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 160,000 yen, or a dependent of such a person (excluding those listed in the following item or item (xiv))" in paragraph (3), item (xii) of that Article is deemed to be replaced with "a person other than those listed in the following item and item (xiv)".

    第四十一条、第四十二条(第一項第二号から第四号まで、第二項第二号から第四号まで、第三項第二号から第四号まで、第四項第九号及び第十三号、第二項第九号及び第十三号、第三項第十二号から第十四号まで、第四項第十二号から第十四号まで、第五項第二号から第四号まで、第六項、第七項第一号ロからニまで及び第二号ロからニまで、第九項第二号並びに第十項から第十二項までリ及びワ、第二号ヲからカまで並びに第三号ロからニまで、第八項並びに第九項第一号に係る部分を除くに限る。)及び第四十三条(第一項第一号ロからニまで、第二号ロからニまで及び第三号ロからニイからチまで及びヌからヲまで、第二号イからルまで並びに第三号イからルまでに係る部分を除く。)の規定は、日雇特例被保険者に係る高額療養費の支給について準用する。この場合において、第四十二条第一項第九号中「療養のあった月の標準報酬月額が二十八万円以上三十六万円未満の被保険者又はその被扶養者(第十三号に掲げる者を除く。)」とあるのは「第十三号に掲げる者以外の者」と、同条第三項第十二号中「療養のあった月の標準報酬月額が十六万円未満の被保険者又はその被扶養者(次号又は第十四号に掲げる者を除く。)」とあるのは「次号及び第十四号に掲げる者以外の者」と読み替えるものとする。

  • ChangedArticle 44, paragraph (2)

    The provisions of Article 41-2, paragraph (1) (excluding the parts relating to items (ii), (iv), (viii), (x), (xiv) and (xvi)), paragraph (2) of that Article (excluding the parts relating to items (ii), (iv), (viii), (x), (xiv) and (xvi) of paragraph (1)), paragraphs (8) through (10) of that Article, Article 41-3, Article 42, paragraph (10), paragraph (11) of that Article (excluding the parts relating to items (ii) and (iii)through (iv)) and paragraph (12) of that Article (excluding the parts relating to items (ii) and (iii)through (iv)) apply mutatis mutandis to the payment of high-cost medical expenses for persons who are, on the reference date, specially-insured day laborers and persons who are dependents thereof.

    第四十一条の二第一項(第二号、第四号、第八号、第十号、第十四号及び第十六号に係る部分を除く。)、同条第二項(第一項第二号、第四号、第八号、第十号、第十四号及び第十六号に係る部分を除く。)、同条第八項から第十項まで、第四十一条の三、第四十二条第十項、同条第十一項(第二号及び第三号から第四号までに係る部分を除く。)及び同条第十二項(第二号及び第三号から第四号までに係る部分を除く。)の規定は、基準日において日雇特例被保険者である者及びその被扶養者である者に係る高額療養費の支給について準用する。

1 change in the supplementary provisions (附則)

Supplementary Provisions, Article 18附則第十八条

Read it in the amended law
  • AddedSupplementary Provisions, Article 18, paragraph (2)

    With regard to the payment of high-cost medical expenses under the provisions of the Health Insurance Act for medical treatment provided during the period from the Effective Date to the day before the item (ii) Effective Date, the provisions then in force continue to govern.

    施行日から第二号施行日の前日までの間に行われた療養に係る健康保険法の規定による高額療養費の支給については、なお従前の例による。