第四十三条の四(その他高額介護合算療養費の支給に関する事項)
Article 43-4Other Matters Concerning the Payment of Expenses for High-Cost Medical Treatment Combined with Long-Term Care
With regard to the payment of expenses for high-cost medical treatment combined with long-term care in the case where an insured person loses status as an insured person during the calculation period and does not become a person covered by medical insurance during that calculation period on or after the day on which the person lost that eligibility, or in any other case specified by Order of the Ministry of Health, Labour and Welfare, the provisions of the preceding two Articles apply by deeming the day before that day (or, in the case of that other case specified by Order of the Ministry of Health, Labour and Welfare, the day specified by Order of the Ministry of Health, Labour and Welfare) to be the reference date.
Matters necessary for procedures concerning the payment of expenses for high-cost medical treatment combined with long-term care are specified by Order of the Ministry of Health, Labour and Welfare.
高額介護合算療養費の支給に関する手続に関して必要な事項は、厚生労働省令で定める。
定義第四十三条第十一項・この規定及び第四十三条の四第一項及び第四十四条第四項及び第八項の中だけ
高齢者の医療の確保に関する法律第七条第四項に規定する加入者又は後期高齢者医療の被保険者
わかりやすく言うと
健康保険(日雇特例被保険者を除きます)、船員保険、国民健康保険の被保険者、共済組合の組合員、私立学校教職員共済制度の加入者とこれらの被扶養者など、高齢者の医療の確保に関する法律でいう加入者と、後期高齢者医療の被保険者のことです。