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Order for Enforcement of the Health Insurance Act

Article 42, paragraph (1), item (iv)

第四十二条第一項第四号

Each amendment that changed this provision, and each that will, oldest first. Each is shown against the wording just before it; where an amendment gives the provision another number, it is followed under the new one. Read it as it stands today

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.

  1. In force today

    an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 280,000 yen, or a dependent of such a person (excluding those listed in the following item): 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.

    療養のあった月の標準報酬月額が二十八万円未満の被保険者又はその被扶養者(次号に掲げる者を除く。) 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、四万四千四百円とする。

  2. Not yet in force Cabinet Order No. 240 of 2026 Moved to item (xii) and reworded

    an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 280,000160,000 yen, or a dependent of such a person (excluding those listed in the following item): 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,40034,500 yen.

    療養のあった月の標準報酬月額が二十八万十六万円未満の被保険者又はその被扶養者(次号に掲げる者を除く。) 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、四万四千四百三万四千五百円とする。

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