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Order for Enforcement of the Health Insurance Act

Article 42, paragraph (7), item (i), (d)

第四十二条第七項第一号ニ

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

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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

    a person listed in paragraph (1), item (iv): 61,500 yen (30,750 yen for that relating to medical treatment under the special rule on reaching age 75); provided, however, that in the case of repeated high-cost medical expenses for treatment subject to specified disease benefits, the amount is 44,400 yen (22,200 yen for that relating to medical treatment under the special rule on reaching age 75).

    第一項第四号に掲げる者 六万千五百円(七十五歳到達時特例対象療養に係るものにあっては、三万七百五十円)。ただし、特定疾病給付対象療養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(七十五歳到達時特例対象療養に係るものにあっては、二万二千二百円)とする。

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

    a person listed in paragraph (1), item (iv): 61,500 yen (30,750(xi): 65,400 yen (32,700 yen for that relating to medical treatment under the special rule on reaching age 75); provided, however, that in the case of repeated high-cost medical expenses for treatment subject to specified disease benefits, the amount is 44,400 yen (22,200 yen for that relating to medical treatment under the special rule on reaching age 75).

    第一項第四号第十一号に掲げる者 六万千五百六万五千四百円(七十五歳到達時特例対象療養に係るものにあっては、三万七百五十三万二千七百円)。ただし、特定疾病給付対象療養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(七十五歳到達時特例対象療養に係るものにあっては、二万二千二百円)とする。

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