第四十二条（高額療養費算定基準額）
改正18・新設24- 改正第四十二条第一項第一号
次号から第五号までに掲げる者以外の者 八万五千八百療養のあった月の標準報酬月額が百二十七万円以上の被保険者又はその被扶養者 三十四万二千円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が二十八万六千百十四万円に満たないときは、二十八万六千円）から二十八万六千百十四万円）から百十四万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、当該療養のあった月以前の十二月以内に既に高額療養費（同条第一項から第四項までの規定によるものに限る。）が支給されている月数が三月以上ある場合（以下この条及び次条第一項において「高額療養費多数回該当の場合」という。）にあっては、四万四千四百十四万百円とする。a person other than those listed in the following item through item (v)an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 1,270,000 yen or more, or a dependent of such a person: the total sum of85,800342,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting286,0001,140,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or286,0001,140,000 yen, if that cost is less than286,0001,140,000 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 where the number of months in which high-cost medical expenses (limited to those under paragraphs (1) through (4) of that Article) have already been paid within 12 months on or before the month in which that medical treatment was received is three or more (hereinafter referred to as a "case of repeated high-cost medical expenses" in this Article and paragraph (1) of the following Article), the amount is44,400140,100 yen. - 改正第四十二条第一項第二号
療養のあった月の標準報酬月額が
八十三万円以上百三万円以上百二十七万円未満の被保険者又はその被扶養者二十七万三百三十万三千円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が九十万千百一万円に満たないときは、九十万千円）から九十万千百一万円）から百一万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、十四万百円とする。an insured person whose standard monthly remuneration for the month in which the medical treatment was received is
830,0001,030,000 yen or more and less than 1,270,000 yen, or a dependent of such a person: the total sum of270,300303,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting901,0001,010,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or901,0001,010,000 yen, if that cost is less than901,0001,010,000 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 140,100 yen. - 改正第四十二条第一項第三号
療養のあった月の標準報酬月額が
五十三万円以上八十三万八十三万円以上百三万円未満の被保険者又はその被扶養者十七万九千百二十七万三百円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が五十九万七千九十万千円に満たないときは、五十九万七千円）から五十九万七千九十万千円）から九十万千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、九万三千十四万百円とする。an insured person whose standard monthly remuneration for the month in which the medical treatment was received is
530,000830,000 yen or more and less than830,0001,030,000 yen, or a dependent of such a person: the total sum of179,100270,300 yen and the amount obtained by multiplying by 1% the amount obtained by deducting597,000901,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or597,000901,000 yen, if that cost is less than597,000901,000 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 is93,000140,100 yen. - 新設第四十二条第一項第四号
療養のあった月の標準報酬月額が七十一万円以上八十三万円未満の被保険者又はその被扶養者 二十万九千四百円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が六十九万八千円に満たないときは、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、九万三千円とする。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 710,000 yen or more and less than 830,000 yen, or a dependent of such a person: the total sum of 209,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 698,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or 698,000 yen, if that cost is less than 698,000 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 93,000 yen.
- 新設第四十二条第一項第五号
療養のあった月の標準報酬月額が六十二万円以上七十一万円未満の被保険者又はその被扶養者 十九万四千四百円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が六十四万八千円に満たないときは、六十四万八千円）から六十四万八千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、九万三千円とする。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 620,000 yen or more and less than 710,000 yen, or a dependent of such a person: the total sum of 194,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 648,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or 648,000 yen, if that cost is less than 648,000 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 93,000 yen.
- 新設第四十二条第一項第六号
療養のあった月の標準報酬月額が五十三万円以上六十二万円未満の被保険者又はその被扶養者 十七万九千百円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が五十九万七千円に満たないときは、五十九万七千円）から五十九万七千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、九万三千円とする。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 530,000 yen or more and less than 620,000 yen, or a dependent of such a person: the total sum of 179,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 597,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or 597,000 yen, if that cost is less than 597,000 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 93,000 yen.
- 新設第四十二条第一項第七号
療養のあった月の標準報酬月額が四十四万円以上五十三万円未満の被保険者又はその被扶養者（第十三号に掲げる者を除く。） 十一万四百円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が三十六万八千円に満たないときは、三十六万八千円）から三十六万八千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、四万四千四百円とする。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 440,000 yen or more and less than 530,000 yen, or a dependent of such a person (excluding those listed in item (xiii)): the total sum of 110,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 368,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or 368,000 yen, if that cost is less than 368,000 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.
- 新設第四十二条第一項第八号
療養のあった月の標準報酬月額が三十六万円以上四十四万円未満の被保険者又はその被扶養者（第十三号に掲げる者を除く。） 九万八千百円と、第四十一条第一項各号に掲げる額を合算した額に係る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（その額が三十二万七千円に満たないときは、三十二万七千円）から三十二万七千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。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 360,000 yen or more and less than 440,000 yen, or a dependent of such a person (excluding those listed in item (xiii)): the total sum of 98,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 327,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or 327,000 yen, if that cost is less than 327,000 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.
- 新設第四十二条第一項第九号
療養のあった月の標準報酬月額が二十八万円以上三十六万円未満の被保険者又はその被扶養者（第十三号に掲げる者を除く。） 八万五千八百円と、第四十一条第一項各号に掲げる額を合算した額に係る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。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 280,000 yen or more and less than 360,000 yen, or a dependent of such a person (excluding those listed in item (xiii)): 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 cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (1) (or 286,000 yen, if that cost 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.
- 新設第四十二条第一項第十号
療養のあった月の標準報酬月額が二十万円以上二十八万円未満の被保険者又はその被扶養者（第十三号に掲げる者を除く。） 六万九千六百円。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。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 200,000 yen or more and less than 280,000 yen, or a dependent of such a person (excluding those listed in item (xiii)): 69,600 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.
- 新設第四十二条第一項第十一号
療養のあった月の標準報酬月額が十六万円以上二十万円未満の被保険者又はその被扶養者（第十三号に掲げる者を除く。） 六万五千四百円。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。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 160,000 yen or more and less than 200,000 yen, or a dependent of such a person (excluding those listed in item (xiii)): 65,400 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.
- 改正第四十二条第一項第十二号
療養のあった月の標準報酬月額が
二十八万十六万円未満の被保険者又はその被扶養者（次号に掲げる者を除く。） 六万千五百円。ただし、高額療養費多数回該当の場合にあっては、四万四千四百三万四千五百円とする。an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than
280,000160,000 yen, or a dependent of such a person (excluding those listed in the following item): 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is44,40034,500 yen. - 改正第四十二条第一項第十三号
市町村民税非課税者（療養のあった月の属する年度（療養のあった月が四月から七月までの場合にあっては、前年度）分の地方税法（昭和二十五年法律第二百二十六号）の規定による市町村民税（同法の規定による特別区民税を含むものとし、同法第三百二十八条の規定によって課する所得割を除く。第十項第二号、第十一項
第四号第五号及び第四十三条の三第一項第五号において同じ。）が課されない者（市町村の条例で定めるところにより当該市町村民税を免除された者を含むものとし、当該市町村民税の賦課期日において同法の施行地に住所を有しない者を除く。）をいう。第三項第五号第十三号において同じ。）である被保険者若しくはその被扶養者又は療養のあった月において要保護者（生活保護法第六条第二項に規定する要保護者をいう。以下この条において同じ。）である者であって厚生労働省令で定めるものに該当する被保険者若しくはその被扶養者（第二号又は第三号第一号から第六号までに掲げる者を除く。） 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。a person exempt from municipal inhabitant tax (meaning a person on whom municipal inhabitant tax under the provisions of the Local Tax Act (Act No. 226 of 1950) for the fiscal year that includes the month in which the medical treatment was received (the previous fiscal year, if the month in which the medical treatment was received is from April through July) (including special ward inhabitant tax under the provisions of that Act, and excluding the income levy imposed pursuant to Article 328 of that Act; the same applies in paragraph (10), item (ii), paragraph (11), item
(iv)(v) and Article 43-3, paragraph (1), item (v)) is not imposed (including a person exempted from that municipal inhabitant tax as provided by a municipal ordinance, and excluding a person who does not have an address in the area where that Act is in force on the assessment date of that municipal inhabitant tax); the same applies in paragraph (3), item(v)(xiii)) who is an insured person or a dependent thereof, or an insured person or a dependent thereof who falls under a person specified by Order of the Ministry of Health, Labour and Welfare among persons who, in the month in which the medical treatment was received, are persons requiring public assistance (meaning a person requiring public assistance prescribed in Article 6, paragraph (2) of the Public Assistance Act (Act No. 144 of 1950); the same applies hereinafter in this Article) (excluding those listed initem (ii) or item (iii)items (i) through (vi)): 36,900 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 24,600 yen. - 改正第四十二条第二項第一号
次号から第五号までに掲げる被保険者以外の被保険者 四万二千九百前項第一号に掲げる被保険者 十七万千円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が十四万三千五十七万円に満たないときは、十四万三千円）から十四万三千五十七万円）から五十七万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、二万二千二百七万五十円とする。an insured person
other than those listed in the following item through item (v)listed in item (i) of the preceding paragraph: the total sum of42,900171,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting143,000570,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or143,000570,000 yen, if that cost is less than143,000570,000 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 is22,20070,050 yen. - 改正第四十二条第二項第二号
前項第二号に掲げる被保険者
十三万五千百五十十五万千五百円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が四十五万五百五十万五千円に満たないときは、四十五万五百円）から四十五万五百五十万五千円）から五十万五千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、七万五十円とする。an insured person listed in item (ii) of the preceding paragraph: the total sum of
135,150151,500 yen and the amount obtained by multiplying by 1% the amount obtained by deducting450,500505,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or450,500505,000 yen, if that cost is less than450,500505,000 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 70,050 yen. - 改正第四十二条第二項第三号
前項第三号に掲げる被保険者
八万九千五百五十十三万五千百五十円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が二十九万八千五百四十五万五百円に満たないときは、二十九万八千五百円）から二十九万八千五百四十五万五百円）から四十五万五百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、四万六千五百七万五十円とする。an insured person listed in item (iii) of the preceding paragraph: the total sum of
89,550135,150 yen and the amount obtained by multiplying by 1% the amount obtained by deducting298,500450,500 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or298,500450,500 yen, if that cost is less than298,500450,500 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 is46,50070,050 yen. - 新設第四十二条第二項第四号
前項第四号に掲げる被保険者 十万四千七百円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が三十四万九千円に満たないときは、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、四万六千五百円とする。
an insured person listed in item (iv) of the preceding paragraph: the total sum of 104,700 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 349,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or 349,000 yen, if that cost is less than 349,000 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 46,500 yen.
- 新設第四十二条第二項第五号
前項第五号に掲げる被保険者 九万七千二百円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が三十二万四千円に満たないときは、三十二万四千円）から三十二万四千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、四万六千五百円とする。
an insured person listed in item (v) of the preceding paragraph: the total sum of 97,200 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 324,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or 324,000 yen, if that cost is less than 324,000 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 46,500 yen.
- 新設第四十二条第二項第六号
前項第六号に掲げる被保険者 八万九千五百五十円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が二十九万八千五百円に満たないときは、二十九万八千五百円）から二十九万八千五百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、四万六千五百円とする。
an insured person listed in item (vi) of the preceding paragraph: the total sum of 89,550 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 298,500 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or 298,500 yen, if that cost is less than 298,500 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 46,500 yen.
- 新設第四十二条第二項第七号
前項第七号に掲げる被保険者 五万五千二百円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が十八万四千円に満たないときは、十八万四千円）から十八万四千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。
an insured person listed in item (vii) of the preceding paragraph: the total sum of 55,200 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 184,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or 184,000 yen, if that cost is less than 184,000 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.
- 新設第四十二条第二項第八号
前項第八号に掲げる被保険者 四万九千五十円と、第四十一条第二項各号に掲げる額を合算した額に係る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（その額が十六万三千五百円に満たないときは、十六万三千五百円）から十六万三千五百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。
an insured person listed in item (viii) of the preceding paragraph: the total sum of 49,050 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 163,500 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or 163,500 yen, if that cost is less than 163,500 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.
- 新設第四十二条第二項第九号
前項第九号に掲げる被保険者 四万二千九百円と、第四十一条第二項各号に掲げる額を合算した額に係る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。
an insured person listed in item (ix) of the preceding paragraph: 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 cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (2) (or 143,000 yen, if that cost 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.
- 新設第四十二条第二項第十号
前項第十号に掲げる被保険者 三万四千八百円。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。
an insured person listed in item (x) of the preceding paragraph: 34,800 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen.
- 改正第四十二条第二項第十一号
前項
第四号第十一号に掲げる被保険者三万七百五十三万二千七百円。ただし、高額療養費多数回該当の場合にあっては、二万二千二百円とする。an insured person listed in item
(iv)(xi) of the preceding paragraph:30,75032,700 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 22,200 yen. - 新設第四十二条第二項第十二号
前項第十二号に掲げる被保険者 三万七百五十円。ただし、高額療養費多数回該当の場合にあっては、一万七千二百五十円とする。
an insured person listed in item (xii) of the preceding paragraph: 30,750 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 17,250 yen.
- 改正第四十二条第二項第十三号
前項
第五号第十三号に掲げる被保険者 一万八千四百五十円。ただし、高額療養費多数回該当の場合にあっては、一万二千三百円とする。an insured person listed in item
(v)(xiii) of the preceding paragraph: 18,450 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 12,300 yen. - 改正第四十二条第三項第一号
次号から第六号までに掲げる者以外の者 六万千五百円法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が百二十七万円以上の被保険者又はその被扶養者 三十四万二千円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が百十四万円に満たないときは、百十四万円）から百十四万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、四万四千四百十四万百円とする。a person
other than those listed in the following item through item (vi): 61,500 yento whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 1,270,000 yen or more, or a dependent of such a person: the total sum of 342,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 1,140,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or 1,140,000 yen, if that cost is less than 1,140,000 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 is44,400140,100 yen. - 改正第四十二条第三項第二号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が
八十三万円以上百三万円以上百二十七万円未満の被保険者又はその被扶養者二十七万三百三十万三千円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が九十万千百一万円に満たないときは、九十万千円）から九十万千百一万円）から百一万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、十四万百円とする。a person to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is
830,0001,030,000 yen or more and less than 1,270,000 yen, or a dependent of such a person: the total sum of270,300303,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting901,0001,010,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or901,0001,010,000 yen, if that cost is less than901,0001,010,000 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 140,100 yen. - 改正第四十二条第三項第三号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が
五十三万円以上八十三万八十三万円以上百三万円未満の被保険者又はその被扶養者十七万九千百二十七万三百円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が五十九万七千九十万千円に満たないときは、五十九万七千円）から五十九万七千九十万千円）から九十万千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、九万三千十四万百円とする。a person to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is
530,000830,000 yen or more and less than830,0001,030,000 yen, or a dependent of such a person: the total sum of179,100270,300 yen and the amount obtained by multiplying by 1% the amount obtained by deducting597,000901,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or597,000901,000 yen, if that cost is less than597,000901,000 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 is93,000140,100 yen. - 改正第四十二条第三項第四号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が
五十三万円七十一万円以上八十三万円未満の被保険者又はその被扶養者八万五千八百二十万九千四百円と、第四十一条第三項各号に掲げる額を合算した額に係る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。a person to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 710,000 yen or more and less than
530,000830,000 yen, or a dependent of such a person: the total sum of85,800209,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting286,000698,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or286,000698,000 yen, if that cost 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. - 新設第四十二条第三項第五号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が六十二万円以上七十一万円未満の被保険者又はその被扶養者 十九万四千四百円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が六十四万八千円に満たないときは、六十四万八千円）から六十四万八千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、九万三千円とする。
a person to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 620,000 yen or more and less than 710,000 yen, or a dependent of such a person: the total sum of 194,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 648,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or 648,000 yen, if that cost is less than 648,000 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 93,000 yen.
- 新設第四十二条第三項第六号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が五十三万円以上六十二万円未満の被保険者又はその被扶養者 十七万九千百円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が五十九万七千円に満たないときは、五十九万七千円）から五十九万七千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、九万三千円とする。
a person to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 530,000 yen or more and less than 620,000 yen, or a dependent of such a person: the total sum of 179,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 597,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or 597,000 yen, if that cost is less than 597,000 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 93,000 yen.
- 新設第四十二条第三項第七号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が四十四万円以上五十三万円未満の被保険者又はその被扶養者 十一万四百円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が三十六万八千円に満たないときは、三十六万八千円）から三十六万八千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、四万四千四百円とする。
a person to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 440,000 yen or more and less than 530,000 yen, or a dependent of such a person: the total sum of 110,400 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 368,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or 368,000 yen, if that cost is less than 368,000 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.
- 新設第四十二条第三項第八号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が三十六万円以上四十四万円未満の被保険者又はその被扶養者 九万八千百円と、第四十一条第三項各号に掲げる額を合算した額に係る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（その額が三十二万七千円に満たないときは、三十二万七千円）から三十二万七千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 to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 360,000 yen or more and less than 440,000 yen, or a dependent of such a person: the total sum of 98,100 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 327,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or 327,000 yen, if that cost is less than 327,000 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.
- 新設第四十二条第三項第九号
法第七十四条第一項第三号の規定が適用される者であって療養のあった月の標準報酬月額が三十六万円未満の被保険者又はその被扶養者 八万五千八百円と、第四十一条第三項各号に掲げる額を合算した額に係る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 to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply who is an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 360,000 yen, or a dependent of such a person: 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 cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total sum of the amounts listed in the items of Article 41, paragraph (3) (or 286,000 yen, if that cost 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.
- 新設第四十二条第三項第十号
療養のあった月の標準報酬月額が二十万円以上の被保険者又はその被扶養者（前各号、第十三号又は第十四号に掲げる者を除く。） 六万九千六百円。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。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 200,000 yen or more, or a dependent of such a person (excluding those listed in the preceding items, item (xiii) or item (xiv)): 69,600 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.
- 新設第四十二条第三項第十一号
療養のあった月の標準報酬月額が十六万円以上二十万円未満の被保険者又はその被扶養者（第十三号又は第十四号に掲げる者を除く。） 六万五千四百円。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。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is 160,000 yen or more and less than 200,000 yen, or a dependent of such a person (excluding those listed in item (xiii) or item (xiv)): 65,400 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 44,400 yen.
- 新設第四十二条第三項第十二号
療養のあった月の標準報酬月額が十六万円未満の被保険者又はその被扶養者（次号又は第十四号に掲げる者を除く。） 六万千五百円。ただし、高額療養費多数回該当の場合にあっては、三万四千五百円とする。
an insured person whose standard monthly remuneration for the month in which the medical treatment was received is less than 160,000 yen, or a dependent of such a person (excluding those listed in the following item or item (xiv)): 61,500 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 34,500 yen.
- 改正第四十二条第三項第十三号
市町村民税非課税者である被保険者若しくはその被扶養者又は療養のあった月において要保護者である者であって厚生労働省令で定めるものに該当する被保険者若しくはその被扶養者（
前三号第一号から第九号まで又は次号に掲げる者を除く。） 二万五千七百円。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。an insured person who is a person exempt from municipal inhabitant tax or a dependent thereof, or an insured person or a dependent thereof who falls under a person specified by Order of the Ministry of Health, Labour and Welfare among persons who, in the month in which the medical treatment was received, are persons requiring public assistance (excluding those listed in
the preceding three itemsitems (i) through (ix) or the following item): 25,700 yen; provided, however, that in the case of repeated high-cost medical expenses, the amount is 24,600 yen. - 改正第四十二条第三項第十四号
被保険者及びその被扶養者の全てが療養のあった月の属する年度（療養のあった月が四月から七月までの場合にあっては、前年度）分の地方税法の規定による市町村民税（同法の規定による特別区民税を含む。第十二項
第五号第六号及び第四十三条の三第二項第六号において同じ。）に係る同法第三百十三条第一項に規定する総所得金額及び山林所得金額に係る所得税法（昭和四十年法律第三十三号）第二条第一項第二十二号に規定する各種所得の金額（同法第三十五条第二項に規定する公的年金等の支給を受ける者については、同条第四項中「次の各号に掲げる場合の区分に応じ当該各号に定める金額」とあるのは「八十二万六千五百円」として同項の規定を適用して算定した総所得金額とし、総所得金額に同法第二十八条第一項に規定する給与所得が含まれている場合においては、当該給与所得については、同条第二項の規定によって計算した金額から十万円を控除して得た金額（当該金額が零を下回る場合には、零とする。）によるものとする。第十二項第五号第六号及び第四十三条の三第二項第六号において同じ。）並びに他の所得と区分して計算される所得の金額（地方税法附則第三十三条の二第五項に規定する上場株式等に係る配当所得等の金額（同法附則第三十五条の二の六第八項又は第十一項の規定の適用がある場合には、その適用後の金額）、同法附則第三十三条の三第五項に規定する土地等に係る事業所得等の金額、同法附則第三十四条第四項に規定する長期譲渡所得の金額（租税特別措置法（昭和三十二年法律第二十六号）第三十三条の四第一項若しくは第二項、第三十四条第一項、第三十四条の二第一項、第三十四条の三第一項、第三十五条第一項、第三十五条の二第一項、第三十五条の三第一項又は第三十六条の規定の適用がある場合には、これらの規定の適用により同法第三十一条第一項に規定する長期譲渡所得の金額から控除する金額を控除した金額）、地方税法附則第三十五条第五項に規定する短期譲渡所得の金額（租税特別措置法第三十三条の四第一項若しくは第二項、第三十四条第一項、第三十四条の二第一項、第三十四条の三第一項、第三十五条第一項又は第三十六条の規定の適用がある場合には、これらの規定の適用により同法第三十二条第一項に規定する短期譲渡所得の金額から控除する金額を控除した金額）、地方税法附則第三十五条の二第五項に規定する一般株式等に係る譲渡所得等の金額（同法附則第三十五条の三第十五項の規定の適用がある場合には、その適用後の金額）、同法附則第三十五条の二の二第五項に規定する上場株式等に係る譲渡所得等の金額（同法附則第三十五条の二の六第十一項又は第三十五条の三第十三項若しくは第十五項の規定の適用がある場合には、その適用後の金額）、同法附則第三十五条の四第四項に規定する先物取引に係る雑所得等の金額（同法附則第三十五条の四の二第七項の規定の適用がある場合には、その適用後の金額）、外国居住者等の所得に対する相互主義による所得税等の非課税等に関する法律（昭和三十七年法律第百四十四号）第八条第二項（同法第十二条第五項及び第十六条第二項において準用する場合を含む。）に規定する特例適用利子等の額、同法第八条第四項（同法第十二条第六項及び第十六条第三項において準用する場合を含む。）に規定する特例適用配当等の額、租税条約等の実施に伴う所得税法、法人税法及び地方税法の特例等に関する法律（昭和四十四年法律第四十六号）第三条の二の二第十項に規定する条約適用利子等の額及び同条第十二項に規定する条約適用配当等の額をいう。第十二項第五号第六号及び第四十三条の三第二項第六号において同じ。）がない被保険者若しくはその被扶養者又は療養のあった月において要保護者である者であって厚生労働省令で定めるものに該当する被保険者若しくはその被扶養者（第二号から第四号第一号から第九号までに掲げる者を除く。） 一万五千七百円an insured person where the insured person and all of the dependents thereof have no Income in Each Class prescribed in Article 2, paragraph (1), item (xxii) of the Income Tax Act (Act No. 33 of 1965) relating to the gross income and the amount of timber income prescribed in Article 313, paragraph (1) of the Local Tax Act for municipal inhabitant tax under the provisions of that Act (including special ward inhabitant tax under the provisions of that Act; the same applies in paragraph (12), item
(v)(vi) and Article 43-3, paragraph (2), item (vi)) for the fiscal year that includes the month in which the medical treatment was received (the previous fiscal year, if the month in which the medical treatment was received is from April through July) (with respect to a person who receives a public pension or retirement package prescribed in Article 35, paragraph (2) of the Income Tax Act, the gross income calculated by applying the provisions of paragraph (4) of that Article with the phrase "the amount that each of the following items prescribes for the category of case set forth in the item" in that paragraph deemed to be replaced with "826,500 yen", and where salary income prescribed in Article 28, paragraph (1) of that Act is included in the gross income, with respect to that salary income, the amount obtained by deducting 100,000 yen from the amount calculated pursuant to the provisions of paragraph (2) of that Article (or zero, if that amount is less than zero); the same applies in paragraph (12), item(v)(vi) and Article 43-3, paragraph (2), item (vi)) and no amount of income calculated separately from other income (meaning the amount of dividend income, etc. on listed shares, etc. prescribed in Article 33-2, paragraph (5) of the Supplementary Provisions of the Local Tax Act (if Article 35-2-6, paragraph (8) or paragraph (11) of the Supplementary Provisions of that Act applies, the amount after that application), the amount of business income, etc. relating to land, etc. prescribed in Article 33-3, paragraph (5) of the Supplementary Provisions of that Act, the amount of long-term capital gains prescribed in Article 34, paragraph (4) of the Supplementary Provisions of that Act (if the provisions of Article 33-4, paragraph (1) or (2), Article 34, paragraph (1), Article 34-2, paragraph (1), Article 34-3, paragraph (1), Article 35, paragraph (1), Article 35-2, paragraph (1), Article 35-3, paragraph (1) or Article 36 of the Act on Special Measures Concerning Taxation (Act No. 26 of 1957) apply, the amount after deducting the amount to be deducted, by the application of those provisions, from the amount of long-term capital gains prescribed in Article 31, paragraph (1) of that Act), the amount of short-term capital gains prescribed in Article 35, paragraph (5) of the Supplementary Provisions of the Local Tax Act (if the provisions of Article 33-4, paragraph (1) or (2), Article 34, paragraph (1), Article 34-2, paragraph (1), Article 34-3, paragraph (1), Article 35, paragraph (1) or Article 36 of the Act on Special Measures Concerning Taxation apply, the amount after deducting the amount to be deducted, by the application of those provisions, from the amount of short-term capital gains prescribed in Article 32, paragraph (1) of that Act), the amount of capital gains, etc. on general shares, etc. prescribed in Article 35-2, paragraph (5) of the Supplementary Provisions of the Local Tax Act (if Article 35-3, paragraph (15) of the Supplementary Provisions of that Act applies, the amount after that application), the amount of capital gains, etc. on listed shares, etc. prescribed in Article 35-2-2, paragraph (5) of the Supplementary Provisions of that Act (if Article 35-2-6, paragraph (11) or Article 35-3, paragraph (13) or (15) of the Supplementary Provisions of that Act applies, the amount after that application), the amount of miscellaneous income, etc. from futures transactions prescribed in Article 35-4, paragraph (4) of the Supplementary Provisions of that Act (if Article 35-4-2, paragraph (7) of the Supplementary Provisions of that Act applies, the amount after that application), the amount of interest, etc. subject to the special provisions prescribed in Article 8, paragraph (2) of the Act on Exemption, etc. of Income Tax, etc. on Income of Foreign Residents, etc. Based on the Principle of Reciprocity (Act No. 144 of 1962) (including as applied mutatis mutandis pursuant to Article 12, paragraph (5) and Article 16, paragraph (2) of that Act), the amount of dividends, etc. subject to the special provisions prescribed in Article 8, paragraph (4) of that Act (including as applied mutatis mutandis pursuant to Article 12, paragraph (6) and Article 16, paragraph (3) of that Act), the amount of interest, etc. subject to a tax treaty prescribed in Article 3-2-2, paragraph (10) of the Act on Special Provisions of the Income Tax Act, the Corporation Tax Act and the Local Tax Act Incidental to Enforcement of Tax Treaties, etc. (Act No. 46 of 1969), and the amount of dividends, etc. subject to a tax treaty prescribed in paragraph (12) of that Article; the same applies in paragraph (12), item(v)(vi) and Article 43-3, paragraph (2), item (vi)), or a dependent of that insured person, or an insured person or a dependent thereof who falls under a person specified by Order of the Ministry of Health, Labour and Welfare among persons who, in the month in which the medical treatment was received, are persons requiring public assistance (excluding those listed in items(ii)(i) through(iv)(ix)): 15,700 yen. - 改正第四十二条第四項第一号
前項第一号に掲げる者
三万七百五十円十七万千円と、第四十一条第四項に規定する合算した額に係る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（その額が五十七万円に満たないときは、五十七万円）から五十七万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、二万二千二百七万五十円とする。a person listed in item (i) of the preceding paragraph:
30,750 yenthe total sum of 171,000 yen and the amount obtained by multiplying by 1% the amount obtained by deducting 570,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total amount prescribed in Article 41, paragraph (4) (or 570,000 yen, if that cost is less than 570,000 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 is22,20070,050 yen. - 改正第四十二条第四項第二号
前項第二号に掲げる者
十三万五千百五十十五万千五百円と、第四十一条第四項に規定する合算した額に係る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（その額が四十五万五百五十万五千円に満たないときは、四十五万五百円）から四十五万五百五十万五千円）から五十万五千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、七万五十円とする。a person listed in item (ii) of the preceding paragraph: the total sum of
135,150151,500 yen and the amount obtained by multiplying by 1% the amount obtained by deducting450,500505,000 yen from the cost of the medical treatment, calculated as provided by Order of the Ministry of Health, Labour and Welfare, relating to the total amount prescribed in Article 41, paragraph (4) (or450,500505,000 yen, if that cost is less than450,500505,000 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 70,050 yen.
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