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Order for Enforcement of the Health Insurance Act

Article 43, paragraph (1), item (i), (e)

第四十三条第一項第一号ホ

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

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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 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: 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。

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

    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。

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