Order for Enforcement of the Health Insurance Act
Article 43, paragraph (1), item (iii), (d)
第四十三条第一項第三号ニ
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 (4), item (iv) of the preceding Article: the total sum of 42,900 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 143,000 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 143,000 yen, if that amount is less than 143,000 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 22,200 yen.
前条第四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 四万二千九百円と、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（その額が十四万三千円に満たないときは、十四万三千円）から十四万三千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、二万二千二百円とする。
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 (4), item (iv) of the preceding Article: the total sum of
42,900104,700 yen and the amount obtained by multiplying by 1% the amount obtained by deducting143,000349,000 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 (or143,000349,000 yen, if that amount is less than143,000349,000 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 is22,20046,500 yen.前条第四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
四万二千九百十万四千七百円と、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（その額が十四万三千三十四万九千円に満たないときは、十四万三千円）から十四万三千三十四万九千円）から三十四万九千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、二万二千二百四万六千五百円とする。