第四十一条（月間の高額療養費の支給要件及び支給額）
Article 41Requirements for Payment and Amount of Monthly High-Cost Medical Expenses
High-cost medical expenses are to be paid when the amount (hereinafter in this paragraph referred to as the "household total of co-payments, etc.") obtained by deducting the amount of high-cost medical expenses paid under the provisions of the following paragraph through paragraph (5) from the total of the following amounts exceeds the base amount for calculating high-cost medical expenses, and the amount of the high-cost medical expenses is the amount obtained by deducting the base amount for calculating high-cost medical expenses from the household total of co-payments, etc.:
高額療養費は、次に掲げる額を合算した額から次項から第五項までの規定により支給される高額療養費の額を控除した額（以下この項において「一部負担金等世帯合算額」という。）が高額療養費算定基準額を超える場合に支給するものとし、その額は、一部負担金等世帯合算額から高額療養費算定基準額を控除した額とする。
the total of the amounts listed in (a) through (f) below (for those relating to medical treatment received in or before the month that includes the day on which the person reaches the age of 70, limited to those of 21,000 yen or more (10,500 yen or more for those relating to medical treatment under the special rule on reaching age 75 prescribed in Article 41-3, paragraph (1), item (i))) that relate to medical treatment (excluding dietary treatment prescribed in Article 63, paragraph (2), item (i) of the Act (hereinafter referred to simply as "dietary treatment" in this Article), living support prescribed in item (ii) of that paragraph (hereinafter referred to simply as "living support" in this Article), and the treatment prescribed in paragraph (8) where the insured person or the insured person's dependent falls under that paragraph; the same applies hereinafter from this paragraph through paragraph (5), in Article 41-3, in Article 43, paragraphs (1) and (3), and in Article 43-2), other than the treatment subject to specified benefits prescribed in the following item, that an insured person (including a person who receives benefits for medical treatment, or medical expenses combined with treatment outside insurance coverage or medical expenses for home-nursing, under Article 98, paragraph (1) of the Act, and excluding a specially-insured day laborer; the same applies hereinafter in this Article, Article 42 and Article 43) or the insured person's dependent (including a person receiving treatment for which dependent's medical expenses are paid under Article 98, paragraph (1) of the Act as applied mutatis mutandis pursuant to Article 110, paragraph (7) of the Act, and a person receiving treatment for which dependent's medical expenses for home-nursing are paid under Article 98, paragraph (1) of the Act as applied mutatis mutandis pursuant to Article 111, paragraph (3) of the Act; the same applies hereinafter in this Article, Article 42 and Article 43) received in the same month from each single hospital, clinic, pharmacy or other person (hereinafter referred to as a "hospital, etc.");
被保険者（法第九十八条第一項の規定により療養の給付又は保険外併用療養費若しくは訪問看護療養費の支給を受けている者を含み、日雇特例被保険者を除く。以下この条、第四十二条及び第四十三条において同じ。）又はその被扶養者（法第百十条第七項において準用する法第九十八条第一項の規定により支給される家族療養費に係る療養を受けている者又は法第百十一条第三項において準用する法第九十八条第一項の規定により支給される家族訪問看護療養費に係る療養を受けている者を含む。以下この条、第四十二条及び第四十三条において同じ。）が同一の月にそれぞれ一の病院、診療所、薬局その他の者（以下「病院等」という。）から受けた療養（法第六十三条第二項第一号に規定する食事療養（以下この条において単に「食事療養」という。）、同項第二号に規定する生活療養（以下この条において単に「生活療養」という。）及び当該被保険者又はその被扶養者が第八項の規定に該当する場合における同項に規定する療養を除く。以下この項から第五項まで、第四十一条の三、第四十三条第一項及び第三項並びに第四十三条の二において同じ。）であって次号に規定する特定給付対象療養以外のものに係る次のイからヘまでに掲げる額（七十歳に達する日の属する月以前の療養に係るものにあっては、二万千円（第四十一条の三第一項第一号に規定する七十五歳到達時特例対象療養に係るものにあっては、一万五百円）以上のものに限る。）を合算した額
the amount of the co-payment;
一部負担金の額
where the treatment includes evaluation treatment prescribed in Article 63, paragraph (2), item (iii) of the Act, patient-requested treatment prescribed in item (iv) of that paragraph or selective treatment prescribed in item (v) of that paragraph, the amount obtained by adding to the amount of the co-payment the amount obtained by deducting, from the amount of expenses calculated as specified by the Minister of Health, Labour and Welfare as referred to in Article 86, paragraph (2), item (i) of the Act (or, where that amount exceeds the amount of expenses actually required for the treatment, the amount of expenses actually required for the treatment), the amount equivalent to the amount paid as medical expenses combined with treatment outside insurance coverage for the expenses required for the treatment;
当該療養が法第六十三条第二項第三号に規定する評価療養、同項第四号に規定する患者申出療養又は同項第五号に規定する選定療養を含む場合における一部負担金の額に法第八十六条第二項第一号に規定する厚生労働大臣が定めるところにより算定した費用の額（その額が現に当該療養に要した費用の額を超えるときは、現に当該療養に要した費用の額）から当該療養に要した費用につき保険外併用療養費として支給される額に相当する額を控除した額を加えた額
the amount obtained by deducting, from the amount of expenses calculated for the treatment (or, where that amount exceeds the amount of expenses actually required for the treatment, the amount of expenses actually required for the treatment), the amount equivalent to the amount paid as medical expenses for the expenses required for the treatment;
当該療養につき算定した費用の額（その額が現に当該療養に要した費用の額を超えるときは、現に当該療養に要した費用の額）から当該療養に要した費用につき療養費として支給される額に相当する額を控除した額
the amount obtained by deducting, from the amount of expenses calculated as specified by the Minister of Health, Labour and Welfare prescribed in Article 88, paragraph (4) of the Act, an amount equivalent to the amount paid as medical expenses for home-nursing for the expenses required for the relevant designated home nursing;
法第八十八条第四項に規定する厚生労働大臣が定めるところにより算定した費用の額からその指定訪問看護に要した費用につき訪問看護療養費として支給される額に相当する額を控除した額
the amount obtained by deducting, from the amount of expenses calculated for the relevant medical treatment (if that amount exceeds the amount of expenses actually required for the relevant medical treatment, the amount of expenses actually required for the relevant medical treatment), an amount equivalent to the amount paid as dependent's medical expenses (including medical expenses paid in lieu of dependent's medical expenses pursuant to Article 87, paragraph (1) of the Act as applied mutatis mutandis pursuant to Article 110, paragraph (7) of the Act) for the expenses required for the relevant medical treatment;
the amount obtained by deducting, from the amount of expenses calculated pursuant to Article 111, paragraph (2) of the Act, an amount equivalent to the amount paid as dependent's medical expenses for home-nursing for the expenses required for the relevant designated home nursing;
法第百十一条第二項の規定により算定した費用の額からその指定訪問看護に要した費用につき家族訪問看護療養費として支給される額に相当する額を控除した額
the total sum of the amounts that the insured person or a dependent thereof still has to bear for treatment subject to specified benefits (meaning medical treatment for which payment of general medical expenses for atomic bomb survivors under the Atomic Bomb Survivors' Assistance Act (Act No. 117 of 1994) (referred to as "general medical expenses for atomic bomb survivors" in Article 43, paragraph (5)) or other benefits for medical care specified by Order of the Ministry of Health, Labour and Welfare are to be provided, and the treatment prescribed in paragraph (9) in the case where the insured person or a dependent thereof has received certification by the insurer under that paragraph; the same applies hereinafter) that the insured person or a dependent thereof received in the same month as in the preceding item from each single hospital, etc. (for those relating to treatment subject to specified benefits on or before the month that includes the day on which the person reaches the age of 70, limited to those for which the amounts listed in (a) through (f) of the preceding item relating to that treatment subject to specified benefits are 21,000 yen or more (10,500 yen or more for those relating to medical treatment under the special rule on reaching age 75 prescribed in Article 41-3, paragraph (1), item (i))).
被保険者又はその被扶養者が前号と同一の月にそれぞれ一の病院等から受けた特定給付対象療養（原子爆弾被爆者に対する援護に関する法律（平成六年法律第百十七号）による一般疾病医療費（第四十三条第五項において「原爆一般疾病医療費」という。）の支給その他厚生労働省令で定める医療に関する給付が行われるべき療養及び当該被保険者又はその被扶養者が第九項の規定による保険者の認定を受けた場合における同項に規定する療養をいう。以下同じ。）について、当該被保険者又はその被扶養者がなお負担すべき額（七十歳に達する日の属する月以前の特定給付対象療養に係るものにあっては、当該特定給付対象療養に係る前号イからヘまでに掲げる額が二万千円（第四十一条の三第一項第一号に規定する七十五歳到達時特例対象療養に係るものにあっては、一万五百円）以上のものに限る。）を合算した額
If a dependent of an insured person receives medical treatment (limited to medical treatment under the special rule on reaching age 75 prescribed in Article 41-3, paragraph (1), item (i) that was received on or before the month that includes the day on which the person reaches the age of 70), and the amount obtained by totaling, for each dependent, the amounts listed in the following items relating to that medical treatment that the dependent received in the same month from each single hospital, etc. exceeds the base amount for calculating high-cost medical expenses, the total sum of the amounts obtained by deducting the base amount for calculating high-cost medical expenses from the respective totals is paid as high-cost medical expenses.
被保険者の被扶養者が療養（第四十一条の三第一項第一号に規定する七十五歳到達時特例対象療養であって、七十歳に達する日の属する月以前のものに限る。）を受けた場合において、当該被扶養者が同一の月にそれぞれ一の病院等から受けた当該療養に係る次に掲げる額を当該被扶養者ごとにそれぞれ合算した額が高額療養費算定基準額を超えるときは、当該それぞれ合算した額から高額療養費算定基準額を控除した額の合算額を高額療養費として支給する。
the total sum of the amounts listed in item (i), (a) through (f) of the preceding paragraph relating to that medical treatment received by the dependent (excluding treatment subject to specified benefits) (limited to those of 10,500 yen or more);
the total sum of the amounts that the dependent still has to bear for that medical treatment received by the dependent (limited to treatment subject to specified benefits) (limited to those for which the amounts listed in item (i), (a) through (f) of the preceding paragraph relating to that treatment subject to specified benefits are 10,500 yen or more).
If an insured person or a dependent thereof receives medical treatment (limited to medical treatment on or after the month following the month that includes the day on which the person reaches the age of 70; the same applies in paragraph (5)), and the amount obtained by deducting the amount of high-cost medical expenses paid pursuant to the following paragraph or paragraph (5) from the total sum of the following amounts relating to that medical treatment that the insured person or a dependent thereof received in the same month from each single hospital, etc. (hereinafter in this paragraph referred to as the "household total of co-payments, etc. for persons aged 70 or over") exceeds the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the household total of co-payments, etc. for persons aged 70 or over is paid as high-cost medical expenses.
the total sum of the amounts listed in paragraph (1), item (i), (a) through (f) relating to that medical treatment received by the insured person or a dependent thereof (excluding treatment subject to specified benefits);
the total sum of the amounts that the insured person or a dependent thereof still has to bear for that medical treatment received by the insured person or a dependent thereof (limited to treatment subject to specified benefits).
被保険者又はその被扶養者が受けた当該療養（特定給付対象療養に限る。）について、当該被保険者又はその被扶養者がなお負担すべき額を合算した額
If an insured person receives the medical treatment listed in item (i), or a dependent thereof receives the medical treatment listed in item (ii) or the medical treatment listed in item (iii) (limited to medical treatment on or after the month following the month that includes the day on which the person reaches the age of 70), and the amount obtained by deducting, from the amount obtained by totaling, for each insured person or dependent thereof, the amounts listed in the items of the preceding paragraph relating to that medical treatment that the insured person or dependent received in the same month from each single hospital, etc., the portion of the amount of high-cost medical expenses paid pursuant to the following paragraph that relates to that insured person or dependent exceeds the base amount for calculating high-cost medical expenses, the total sum of the amounts obtained by deducting the base amount for calculating high-cost medical expenses from the respective amounts so deducted is paid as high-cost medical expenses.
the medical treatment received by a person who falls under Article 52, item (i) of the Act on Assurance of Medical Care for Elderly People and has lost status as an insured person of health insurance by acquiring, on a day other than the first day of a month, status as an insured person under Article 50 of that Act (hereinafter referred to as an "insured person of the late-stage elderly medical care system") (referred to as a "former insured person before reaching age 75" in item (iii)), in the month that includes the day preceding that day (limited to the period on or before that day; referred to as the "month in which the former insured person reaches age 75" in item (iii));
高齢者の医療の確保に関する法律第五十二条第一号に該当し、月の初日以外の日において同法第五十条の規定による被保険者（以下「後期高齢者医療の被保険者」という。）の資格を取得したことにより健康保険の被保険者の資格を喪失した者（第三号において「七十五歳到達前旧被保険者」という。）が、同日の前日の属する月（同日以前の期間に限る。第三号において「旧被保険者七十五歳到達月」という。）に受けた療養
the medical treatment received by a person who falls under Article 52, item (i) of the Act on Assurance of Medical Care for Elderly People and has ceased to be a dependent by acquiring, on a day other than the first day of a month, status as an insured person of the late-stage elderly medical care system, in the month that includes the day preceding that day (limited to the period on or before that day);
高齢者の医療の確保に関する法律第五十二条第一号に該当し、月の初日以外の日において後期高齢者医療の被保険者の資格を取得したことにより被扶養者でなくなった者が、同日の前日の属する月（同日以前の期間に限る。）に受けた療養
the medical treatment received, in the month in which the former insured person reaches age 75 for the relevant former insured person before reaching age 75, by a person who was a dependent of a former insured person before reaching age 75 (limited to a person who ceased to be a dependent of that former insured person before reaching age 75 by reason of that former insured person before reaching age 75 acquiring status as an insured person of the late-stage elderly medical care system).
七十五歳到達前旧被保険者の被扶養者であった者（当該七十五歳到達前旧被保険者が後期高齢者医療の被保険者の資格を取得したことによりその被扶養者でなくなった者に限る。）が、当該七十五歳到達前旧被保険者に係る旧被保険者七十五歳到達月に受けた療養
If an insured person (excluding a case where the person is one to whom the provisions of Article 74, paragraph (1), item (iii) of the Act apply) or a dependent thereof receives medical treatment (limited to outpatient treatment (meaning the medical treatment listed in Article 63, paragraph (1), items (i) through (iv) of the Act (excluding that accompanying the medical treatment listed in item (v) of that paragraph); the same applies in the following Article and in Article 42, paragraph (6), item (iii), paragraph (7), item (iii) and paragraph (8), item (iii))), and the amount obtained by totaling, for each insured person or dependent thereof, the amounts listed in the items of paragraph (3) relating to that medical treatment that the insured person or dependent received in the same month from each single hospital, etc. exceeds the base amount for calculating high-cost medical expenses, the total sum of the amounts obtained by deducting the base amount for calculating high-cost medical expenses from the respective totals is paid as high-cost medical expenses.
被保険者（法第七十四条第一項第三号の規定が適用される者である場合を除く。）又はその被扶養者が療養（外来療養（法第六十三条第一項第一号から第四号までに掲げる療養（同項第五号に掲げる療養に伴うものを除く。）をいう。次条並びに第四十二条第六項第三号、第七項第三号及び第八項第三号において同じ。）に限る。）を受けた場合において、当該被保険者又はその被扶養者が同一の月にそれぞれ一の病院等から受けた当該療養に係る第三項各号に掲げる額を当該被保険者又はその被扶養者ごとにそれぞれ合算した額が高額療養費算定基準額を超えるときは、当該それぞれ合算した額から高額療養費算定基準額を控除した額の合算額を高額療養費として支給する。
If an insured person or a dependent thereof receives treatment subject to specified benefits (excluding treatment subject to specified disease benefits prescribed in the following paragraph in the case where the insured person or a dependent thereof has received certification by the insurer under that paragraph, and the treatment prescribed in paragraph (9) in the case where the insured person or a dependent thereof has received certification by the insurer under that paragraph), and the amounts listed in paragraph (1), item (i), (a) through (f) relating to that treatment subject to specified benefits that the insured person or dependent received in the same month from each single hospital, etc. exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (f) of that item is paid as high-cost medical expenses.
If an insured person or a dependent thereof receives treatment subject to specified disease benefits (meaning, among treatment subject to specified benefits (excluding the treatment prescribed in paragraph (9) in the case where the insured person or a dependent thereof has received certification by the insurer under that paragraph), treatment for which benefits for medical care specified by the Minister of Health, Labour and Welfare as benefits for reducing the burden of the costs necessary for the treatment of a disease for which a treatment method has not been established or another disease that, by being contracted, requires treatment over a long period are to be provided; the same applies in Article 42, paragraph (7)), the insured person or dependent who received that treatment subject to specified disease benefits has received certification by the insurer as provided by Order of the Ministry of Health, Labour and Welfare, and the amounts listed in paragraph (1), item (i), (a) through (f) relating to that treatment subject to specified disease benefits that the insured person or dependent received in the same month from each single hospital, etc. exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (f) of that item is paid as high-cost medical expenses.
被保険者又はその被扶養者が特定疾病給付対象療養（特定給付対象療養（当該被保険者又はその被扶養者が第九項の規定による保険者の認定を受けた場合における同項に規定する療養を除く。）のうち、治療方法が確立していない疾病その他の疾病であって、当該疾病にかかることにより長期にわたり療養を必要とすることとなるものの当該療養に必要な費用の負担を軽減するための医療に関する給付として厚生労働大臣が定めるものが行われるべきものをいう。第四十二条第七項において同じ。）を受けた場合において、当該特定疾病給付対象療養を受けた被保険者又はその被扶養者が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たものであり、かつ、当該被保険者又はその被扶養者が同一の月にそれぞれ一の病院等から受けた当該特定疾病給付対象療養に係る第一項第一号イからヘまでに掲げる額が高額療養費算定基準額を超えるときは、当該同号イからヘまでに掲げる額から高額療養費算定基準額を控除した額を高額療養費として支給する。
If an insured person or a dependent thereof is a public assistance recipient prescribed in Article 6, paragraph (1) of the Public Assistance Act (Act No. 144 of 1950), and the amounts listed in paragraph (1), item (i), (a) through (f) relating to medical treatment (excluding dietary treatment, living support and treatment subject to specified benefits) that the insured person or dependent received in the same month from each single hospital, etc. exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (f) of that item is paid as high-cost medical expenses.
If an insured person or a dependent thereof receives medical treatment (excluding dietary treatment and living support) for a disease specified by the Minister of Health, Labour and Welfare that falls under all of the following items, the insured person or dependent who received that treatment has received certification by the insurer as provided by Order of the Ministry of Health, Labour and Welfare, and the amounts listed in paragraph (1), item (i), (a) through (f) relating to that treatment that the insured person or dependent received in the same month from each single hospital, etc. exceed the base amount for calculating high-cost medical expenses, the amount obtained by deducting the base amount for calculating high-cost medical expenses from the amounts listed in (a) through (f) of that item is paid as high-cost medical expenses.
that the disease requires treatment specified by the Minister of Health, Labour and Welfare as a certain treatment the cost of which is extremely high;
費用が著しく高額な一定の治療として厚生労働大臣が定める治療を要すること。
that the treatment prescribed in the preceding item must be continued over an extremely long period.
前号に規定する治療を著しく長期間にわたり継続しなければならないこと。
略称規定第四十一条第一項・この項の中だけ
高額療養費は、次に掲げる額を合算した額から次項から第五項までの規定により支給される高額療養費の額を控除した額（以下この項において「一部負担金等世帯合算額」という。）が高額療養費算定基準額を超える場合に支給するものとし、その額は…
わかりやすく言うと
被保険者とその被扶養者が同じ月に病院や薬局などごとに受けた療養（食事療養と生活療養を除きます）の一部負担金など自己負担として残る額を合算し、第二項から第五項で支給される高額療養費を差し引いた額です。七十歳になる月までの療養は、一定額（二万千円など）以上のものだけを合算します。
略称規定第四十一条第一項第一号・この条の中だけ
…診療所、薬局その他の者（以下「病院等」という。）から受けた療養（法第六十三条第二項第一号に規定する食事療養（以下この条において単に「食事療養」という。）、同項第二号に規定する生活療養（以下この条において単に「生活療養」という。）及び当該…
わかりやすく言うと
療養病床に入院する六十五歳になった月の翌月以後の被保険者（特定長期入院被保険者）が、入院と併せて受ける食事の提供と、温度、照明、給水に関する適切な療養環境の形成である療養のことです（健康保険法第六十三条第二項第二号）。
略称規定第四十一条第一項第一号
…診療所、薬局その他の者（以下「病院等」という。）から受けた療養（法第六十三条第二項第一号に規定する食事療養（以下この条において単に「食事療養」という。）、同項第二号に規定する生活療養（以下この条において単に「生活療養」という。）及び当該…
わかりやすく言うと
病院、診療所、薬局その他の者をまとめた呼び名です。高額療養費の計算では、同じ月に受けた療養の自己負担額をこの病院等ごとに数えます。
略称規定第四十一条第一項第一号・この条の中だけ
…診療所、薬局その他の者（以下「病院等」という。）から受けた療養（法第六十三条第二項第一号に規定する食事療養（以下この条において単に「食事療養」という。）、同項第二号に規定する生活療養（以下この条において単に「生活療養」という。）及び当該…
わかりやすく言うと
病院や診療所への入院と併せて行う、食事の提供である療養のことです。療養病床に入院する六十五歳になった月の翌月以後の被保険者（特定長期入院被保険者）の分は除きます（健康保険法第六十三条第二項第一号）。
略称規定第四十一条第一項第二号・この規定及び第四十三条第五項の中だけ
被保険者又はその被扶養者が前号と同一の月にそれぞれ一の病院等から受けた特定給付対象療養（原子爆弾被爆者に対する援護に関する法律（平成六年法律第百十七号）による一般疾病医療費（第四十三条第五項において「原爆一般疾病医療費」という。）の支給そ…
わかりやすく言うと
原子爆弾被爆者に対する援護に関する法律により、被爆者が一定の負傷や病気について医療を受けたときに、その医療に要した費用の額を限度として支給される一般疾病医療費のことです。
定義第四十一条第一項第二号
原子爆弾被爆者に対する援護に関する法律（平成六年法律第百十七号）による一般疾病医療費（第四十三条第五項において「原爆一般疾病医療費」という。）の支給その他厚生労働省令で定める医療に関する給付が行われるべき療養及び当該被保険者又はその被扶養者が第九項の規定による保険者の認定を受けた場合における同項に規定する療養
わかりやすく言うと
原子爆弾被爆者に対する援護に関する法律による一般疾病医療費の支給その他厚生労働省令で定める医療に関する給付が行われるべき療養と、著しく高額な治療を著しく長期間続ける必要がある病気として厚生労働大臣が定めるものについて、第九項の保険者の認定を受けた場合のその療養のことです。
略称規定第四十一条第三項・この項の中だけ
…当該被保険者又はその被扶養者が同一の月にそれぞれ一の病院等から受けた当該療養に係る次に掲げる額を合算した額から次項又は第五項の規定により支給される高額療養費の額を控除した額（以下この項において「七十歳以上一部負担金等世帯合算額」という。…
わかりやすく言うと
七十歳になった月の翌月以後の療養について、被保険者とその被扶養者が同じ月に病院や薬局などごとに受けた療養の自己負担額を合算し、第四項や第五項で支給される高額療養費を差し引いた額です。これが高額療養費算定基準額を超えると、超えた分が高額療養費として支給されます。
略称規定第四十一条第四項第一号・この規定及び第四十一条第四項第三号の中だけ
…月の初日以外の日において同法第五十条の規定による被保険者（以下「後期高齢者医療の被保険者」という。）の資格を取得したことにより健康保険の被保険者の資格を喪失した者（第三号において「七十五歳到達前旧被保険者」という。）が…
わかりやすく言うと
後期高齢者医療広域連合の区域内に住む人（障害の認定を受けた人を除きます）が七十五歳になり、月の初日以外の日に後期高齢者医療の被保険者となったことで、健康保険の被保険者の資格を失った人のことです。
略称規定第四十一条第四項第一号
高齢者の医療の確保に関する法律第五十二条第一号に該当し、月の初日以外の日において同法第五十条の規定による被保険者（以下「後期高齢者医療の被保険者」という。）の資格を取得したことにより健康保険の被保険者の資格を喪失した者（第三号において「七…
わかりやすく言うと
後期高齢者医療広域連合が行う後期高齢者医療の被保険者のことです。広域連合の区域内に住む七十五歳以上の人と、六十五歳以上七十五歳未満で一定の障害の状態にあると広域連合の認定を受けた人がこれに当たります。
略称規定第四十一条第四項第一号・この規定及び第四十一条第四項第三号の中だけ
…同日の前日の属する月（同日以前の期間に限る。第三号において「旧被保険者七十五歳到達月」という。）に受けた療養
わかりやすく言うと
七十五歳到達前旧被保険者が後期高齢者医療の被保険者の資格を取った日の前日が属する月のうち、資格を取った日以前の期間のことです。
定義第四十一条第五項・この規定及び第四十一条の二、第四十二条第六項第三号、第四十二条第七項第三号及び第四十二条第八項第三号の中だけ
法第六十三条第一項第一号から第四号までに掲げる療養（同項第五号に掲げる療養に伴うものを除く。）
わかりやすく言うと
診察、薬剤や治療材料の支給、処置・手術その他の治療、居宅での療養上の管理とそれに伴う世話その他の看護のことで、入院に伴うものは除きます（健康保険法第六十三条第一項）。
定義第四十一条第七項・この規定及び第四十二条第七項の中だけ
特定給付対象療養（当該被保険者又はその被扶養者が第九項の規定による保険者の認定を受けた場合における同項に規定する療養を除く。）のうち、治療方法が確立していない疾病その他の疾病であって、当該疾病にかかることにより長期にわたり療養を必要とすることとなるものの当該療養に必要な費用の負担を軽減するための医療に関する給付として厚生労働大臣が定めるものが行われるべきもの
わかりやすく言うと
特定給付対象療養のうち、治療方法が確立していない病気など長期の療養が必要となる病気について、その療養の費用の負担を軽くするため厚生労働大臣が定める医療に関する給付が行われるべき療養のことです。第九項の保険者の認定を受けた場合の療養は除きます。
略称規定第四十一条の三第一項第一号
当該療養（特定給付対象療養を除く。）に係る第四十一条第一項第一号イからヘまでに掲げる額（七十歳に達する日の属する月以前の当該療養に係るものにあっては、同一の月にそれぞれ一の病院等から受けた当該療養について二万千円（同条第四項各号に掲げる療…
わかりやすく言うと
七十五歳になって月の初日以外の日に後期高齢者医療の被保険者となり、健康保険の被保険者や被扶養者でなくなった人と、そのため被扶養者でなくなった家族が、その月のうち資格が変わる日より前に受けた療養のことです（第四十一条第四項各号）。