When a dependent of an insured person receives medical treatment from a medical institution providing services covered by health insurance that is selected by the dependent, dependent's medical expenses are paid to the insured person for expenses required for the medical treatment.
The amount of dependent medical expenses is the amount specified in item (i) below (the aggregate of that amount and the amount specified in item (ii) or (iii) if the medical treatment includes dietary treatment or living support, respectively):
the amount obtained by multiplying the amount of expenses calculated for the medical treatment (excluding dietary treatment and living support) (if the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred) by the ratio prescribed in (a) through (d) listed below in accordance with the classifications in (a) through (d):
if the first March 31 after the dependent's 6th birthday has passed and the month which contains the dependent's 70th birthday has not yet began:0.70;
被扶養者が六歳に達する日以後の最初の三月三十一日の翌日以後であって七十歳に達する日の属する月以前である場合 百分の七十
if the first March 31 after the dependent's 6th birthday has not yet passed:0.80;
被扶養者が六歳に達する日以後の最初の三月三十一日以前である場合 百分の八十
if the month which contains the dependent's 70th birthday has elapsed (excluding dependents prescribed in (d)):0.80;
被扶養者（ニに規定する被扶養者を除く。）が七十歳に達する日の属する月の翌月以後である場合 百分の八十
if the month which contains the 70th birthday of the dependent of an insured person listed in Article 74, paragraph (1), item (iii) or another insured person specified by Cabinet Order has elapsed:0.70;
第七十四条第一項第三号に掲げる場合に該当する被保険者その他政令で定める被保険者の被扶養者が七十歳に達する日の属する月の翌月以後である場合 百分の七十
the amount calculated by deducting, from the amount calculated for the dietary treatment (when that amount exceeds the amount of expenses actually incurred in the dietary treatment, the amount of expenses actually incurred), the amount of standard co-payment for dietary treatment; or
the amount calculated by deducting, from the amount calculated for the living support (when the amount exceeds the amount of expenses actually incurred in the living support, the amount of expenses actually incurred), the amount of standard co-payment for living support.
The amount of expenses for medical treatment referred to in item (i) of the preceding paragraph is calculated pursuant to the provisions of Article 76, paragraph (2) when medical treatment (excluding evaluation treatment, patient-requested treatment, and selective treatment) is received from a medical institution providing services covered by health insurance, and the provisions of Article 86, paragraph (2), item (i) when evaluation treatment, patient-requested treatment or selective treatment is received from a medical institution providing services covered by health insurance, the amount of expenses for dietary treatment for inpatients referred to in item (ii) of the preceding paragraph is calculated pursuant to the provisions of Article 85, paragraph (2), and the amount of expenses for living support for inpatients referred to in item (iii) of the preceding paragraph is calculated pursuant to the provisions of Article 85-2, paragraph (2).
When a dependent receives medical treatment at or from a hospital, clinic or pharmacy listed in Article 63, paragraph (3), item (i) or (ii), the insurer may, on behalf of the relevant insured person, pay to the hospital, clinic or pharmacy expenses incurred for the medical treatment payable by the dependent to the hospital, clinic or pharmacy within the limit of the amount payable to the insured person as expenses for dependent's medical treatment.
被扶養者が第六十三条第三項第一号又は第二号に掲げる病院若しくは診療所又は薬局から療養を受けたときは、保険者は、その被扶養者が当該病院若しくは診療所又は薬局に支払うべき療養に要した費用について、家族療養費として被保険者に対し支給すべき額の限度において、被保険者に代わり、当該病院若しくは診療所又は薬局に支払うことができる。
When a payment pursuant to the provisions of the preceding paragraph is made, it is deemed that dependent's medical expenses are paid to the insured person.
When a dependent receives medical treatment from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (iii), and the insurer exempts the insured person from payment of an amount equivalent to the amount to be paid as dependent's medical expenses among the expenses required for medical treatment to be paid by the dependent, it is deemed that dependent's medical expenses are paid to the insured person.
被扶養者が第六十三条第三項第三号に掲げる病院若しくは診療所又は薬局から療養を受けた場合において、保険者がその被扶養者の支払うべき療養に要した費用のうち家族療養費として被保険者に支給すべき額に相当する額の支払を免除したときは、被保険者に対し家族療養費の支給があったものとみなす。
The provisions of Article 63, Article 64, Article 70, paragraph (1), Article 72, paragraph (1), Article 73, Article 76, paragraphs (3) through (6), Article 78, Article 84, paragraph (1), Article 85, paragraph (8), Article 87, and Article 98 apply mutatis mutandis to the payment of dependent's medical expenses and to dependent's medical treatment.
The provisions of Article 75 apply mutatis mutandis to payment of the amount calculated by deducting, from the amount of expenses calculated for the relevant medical treatment pursuant to the provisions of paragraph (3) in the case referred to in paragraph (4) (when the amount exceeds the amount of expenses actually incurred in the medical treatment, the amount of expenses actually incurred), the amount payable as dependent's medical expenses with respect to expenses incurred in the medical treatment.