Supplementary Provisions, Article 32

②With regard to the base amount for calculating high-cost medical expenses under Article 41, paragraph (2) of the Order for Enforcement of the Health Insurance Act for an insured person, etc. under the 2008 special measure, the provisions then in force continue to govern, notwithstanding Article 42, paragraph (2), item (i) of the Order for Enforcement of the Health Insurance Act.

③With regard to the base amount for calculating high-cost medical expenses under Article 41, paragraph (3) of the Order for Enforcement of the Health Insurance Act for an insured person, etc. under the 2008 special measure, notwithstanding the provisions of Article 42, paragraph (3), item (i) of that Order, the provisions then in force continue to govern.

④With regard to the limit of the amount that an insurer pays to a medical institution providing services covered by health insurance, etc. prescribed in Article 43, paragraph (1) of the Order for Enforcement of the Health Insurance Act for an insured person, etc. under the 2008 special measure pursuant to the provisions of that paragraph, notwithstanding the provisions of item (ii), (a) and item (iii), (a) of that paragraph, the provisions then in force continue to govern. In this case, the provisions of Article 43, paragraph (3) of that Order are applied by deeming the phrase "each of those items" in that paragraph to be replaced with "each of those items prior to amendment by Article 1 of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008)".

⑤The provisions of Article 43, paragraphs (4) and (5) of the Order for Enforcement of the Health Insurance Act apply mutatis mutandis to the payment of high-cost medical expenses under Article 41, paragraph (3) of that Order in the case where an insured person, etc. under the 2008 special measure has received outpatient treatment (meaning outpatient treatment prescribed in Article 41, paragraph (3) of that Order) and the amount of co-payment, etc. to be paid under the provisions of the Health Insurance Act (meaning the amount of co-payment, etc. prescribed in Article 115, paragraph (1) of that Act) has not been paid. In this case, the phrase "the amount equivalent to the amount to be paid to the insured person as high-cost medical expenses under the provisions of paragraphs (4) through (6) of that Article, out of the expenses required for that treatment" in Article 43, paragraph (4) of that Order is deemed to be replaced with "with regard to the high-cost medical expenses under the provisions of paragraph (3) of that Article, within the limit of the amount obtained by deducting from the amount of that co-payment, etc. the base amount for calculating high-cost medical expenses under Article 41, paragraph (3), as to which the provisions then in force continue to govern pursuant to the provisions of Article 32, paragraph (3) of the Supplementary Provisions of the Cabinet Order Partially Amending the Order for Enforcement of the Health Insurance Act, etc. (Cabinet Order No. 116 of 2008) (or, where the amount obtained by multiplying the amount of expenses calculated for that outpatient treatment by 10% exceeds that base amount for calculating high-cost medical expenses, the amount so obtained),", and the phrase "Article 41, paragraphs (4) through (6)" in Article 43, paragraph (5) of that Order with "Article 41, paragraph (3)".

⑥The provisions of the preceding paragraphs apply mutatis mutandis to the payment of high-cost medical expenses for a specially-insured day laborer prescribed in Article 37 of the Order for Enforcement of the Health Insurance Act who, where the provisions of paragraph (1) are applied by deeming that specially-insured day laborer to be an insured person, would come to fall under an insured person, etc. under the 2008 special measure.