Order for Enforcement of the Health Insurance Act
Article 43, paragraph (1), item (ii), (d)
第四十三条第一項第二号ニ
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
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 (3), item (iv) 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。
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 deducting286,000698,000 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 (or286,000698,000 yen, if that amount is less than286,000698,000 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 is44,40093,000 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。