An insurer may take any of the following measures with respect to an insured person who is in a disaster or other special circumstances specified by Order of the Ministry of Health, Labour and Welfare and regarding whom it is found difficult to make co-payment to a medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance pursuant to the provisions of Article 74, paragraph (1):
to reduce the amount of co-payment;
一部負担金を減額すること。
to exempt the insured person from making co-payment; or
一部負担金の支払を免除すること。
to decide to collect co-payment directly from the insured person in lieu of co-payment to the medical institution medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance or to postpone the collection.
Notwithstanding the provisions of Article 74, paragraph (1), if the measure referred to in item (i) of the preceding paragraph has been taken with respect to an insured person, it is sufficient for the person to pay the amount of co-payment so reduced to the relevant medical institution or pharmacy providing services covered by health insurance, and if the measure referred to in item (ii) or (iii) has been taken with respect to an insured person, the person is not required to make co-payment to the relevant medical institution providing services covered by health insurance or pharmacy providing services covered by health insurance.
The provisions of the preceding Article apply mutatis mutandis to co-payment in the case referred to in the preceding paragraph.
Read this with the articles around it
(Amount of Co-Payment)
A person who receives benefits for medical treatment from a medical institution providing services covered by health insurance or a pharmacy providing services covered by health insurance pursuant to…
第六十三条第三項の規定により保険医療機関又は保険薬局から療養の給付を受ける者は、その給付を受ける際、次の各号に掲げる場合の区分に応じ、当該給付につき第七十六条第二項又は第三項の規定により算定した額に当該各号に定める割合を乗じて得た額を、一部負担金として、当該保険医療機関又は保険薬局に支払わなければならない。
Open this provisionWhen co-payment is made pursuant to the provisions of paragraph (1) of the preceding Article, if the amount of co-payment referred to in the same paragraph is a figure with less than five…
前条第一項の規定により一部負担金を支払う場合においては、同項の一部負担金の額に五円未満の端数があるときは、これを切り捨て、五円以上十円未満の端数があるときは、これを十円に切り上げるものとする。
Open this provision(Special Provisions for the Amount of Co-payment)
An insurer may take any of the following measures with respect to an insured person who is in a disaster or other special circumstances specified by Order of the Ministry of Health…
保険者は、災害その他の厚生労働省令で定める特別の事情がある被保険者であって、保険医療機関又は保険薬局に第七十四条第一項の規定による一部負担金を支払うことが困難であると認められるものに対し、次の措置を採ることができる。
Open this provision(Special Provisions for the Amount of Co-payment)
to reduce the amount of co-payment;
一部負担金を減額すること。
Open this provision(Special Provisions for the Amount of Co-payment)
to exempt the insured person from making co-payment; or
一部負担金の支払を免除すること。
Open this provision(Special Provisions for the Amount of Co-payment)
to decide to collect co-payment directly from the insured person in lieu of co-payment to the medical institution medical institution providing services covered by health insurance or pharmacy…
保険医療機関又は保険薬局に対する支払に代えて、一部負担金を直接に徴収することとし、その徴収を猶予すること。
Open this provision(Special Provisions for the Amount of Co-payment)
Notwithstanding the provisions of Article 74, paragraph (1), if the measure referred to in item (i) of the preceding paragraph has been taken with respect to an insured person…
前項の措置を受けた被保険者は、第七十四条第一項の規定にかかわらず、前項第一号の措置を受けた被保険者にあってはその減額された一部負担金を保険医療機関又は保険薬局に支払うをもって足り、同項第二号又は第三号の措置を受けた被保険者にあっては一部負担金を保険医療機関又は保険薬局に支払うことを要しない。
Open this provisioninsured person
「被保険者」
A person employed at an applicable place of business (適用事業所), or an insured person with optional and continued coverage (任意継続被保険者); the persons listed in the items of Article 3, paragraph (1) — among them some temporary, seasonal and short-time workers and persons insured under late-stage elderly medical care (後期高齢者医療) — cannot be insured persons, except as specially-insured day laborers (日雇特例被保険者).
Defined inArticle 3, paragraph (1)· applies throughout the law
medical institution providing services covered by health insurancemachine translation
「保険医療機関」
A hospital or clinic designated by the Minister of Health, Labour and Welfare under Article 63, paragraph (3), item (i), at which insured persons can receive the benefits for medical treatment (療養の給付) of health insurance, not counting any beds left out of its designation under Article 65.
Short name set inArticle 63, paragraph (3), item (i)
pharmacy providing services covered by health insurancemachine translation
「保険薬局」
A pharmacy designated by the Minister of Health, Labour and Welfare, from which insured persons can receive the benefits for medical treatment (療養の給付) of health insurance.
Short name set inArticle 63, paragraph (3), item (i)