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Order for Enforcement of the Health Insurance Act

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

第四十二条第七項第一号ホ

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

    a person listed in paragraph (1), item (v): 36,900 yen (18,450 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 24,600 yen (12,300 yen for that relating to medical treatment under the special rule on reaching age 75).

    第一項第五号に掲げる者 三万六千九百円(七十五歳到達時特例対象療養に係るものにあっては、一万八千四百五十円)。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、二万四千六百円(七十五歳到達時特例対象療養に係るものにあっては、一万二千三百円)とする。

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

    a person listed in paragraph (1), item (v)(xiii): 36,900 yen (18,450 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 24,600 yen (12,300 yen for that relating to medical treatment under the special rule on reaching age 75).

    第一項第五号第十三号に掲げる者 三万六千九百円(七十五歳到達時特例対象療養に係るものにあっては、一万八千四百五十円)。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、二万四千六百円(七十五歳到達時特例対象療養に係るものにあっては、一万二千三百円)とする。

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