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Article 128Coordination with Benefits by Medical Insurance

第百二十八条(他の医療保険による給付等との調整)

Benefits for medical treatment, or dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, injury and sickness allowance, burial charges, lump-sum allowance for childbirth and childcare, or childbirth allowance, pertaining to a specially-insured day laborer, are not paid if the specially-insured day laborer may receive payment equivalent to these for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this Act (excluding ; the same applies hereinafter in this Article), the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.

日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、傷病手当金、埋葬料、出産育児一時金若しくは出産手当金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定、(を除く。以下この条において同じ。)の規定若しくは第五十五条第一項に規定する法令の規定又は介護保険法の規定によりこれらに相当する給付を受けることができる場合には、行わない。

When the JHIA finds it necessary for the payment of injury and sickness allowance pertaining to specially-insured day laborers, it may request persons who provide benefits pursuant to the provisions of the Industrial Accident Compensation Insurance Act, the National Public Officers' Accident Compensation Act, or the Local Public Officers Accident Compensation Act or a Prefectural or Municipal Ordinance based on to provide necessary materials about the status of payment of those benefits.

協会は、日雇特例被保険者に係る傷病手当金の支給を行うにつき必要があると認めるときは、労働者災害補償保険法、国家公務員災害補償法又は地方公務員災害補償法若しくは同法に基づく条例の規定により給付を行う者に対し、当該給付の支給状況につき、必要な資料の提供を求めることができる。

Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid, to that extent, if the relevant person has received a benefit equivalent to payment of dependent's medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 140, paragraph (2)), dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or lump-sum allowance for dependent's childbirth and childcare for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter or the provisions of medical insurance laws other than this Act.

日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定又はの規定によりこの章の規定による家族療養費(第百四十条第二項において準用する第百三十二条の規定により支給される療養費を含む。次項において同じ。)、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給に相当する給付を受けたときは、その限度において、行わない。

Dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, dependent's burial charges, or dependent's lump-sum allowance for childbirth and childcare, pertaining to a specially-insured day laborer, are not paid if the relevant person may receive a benefit equivalent to payment of those expenses or allowances, or benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, burial charges, or lump-sum allowance for childbirth and childcare under this Chapter for the same sickness, injury, death or childbirth pursuant to the provisions of the preceding Chapter, medical insurance laws other than this act, or the Long-Term Care Insurance Act.

日雇特例被保険者に係る家族療養費、家族訪問看護療養費、家族移送費、家族埋葬料又は家族出産育児一時金の支給は、同一の疾病、負傷、死亡又は出産について、前章の規定若しくはの規定又は介護保険法の規定によりこれらに相当する給付又はこの章の規定による療養の給付若しくは入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、埋葬料若しくは出産育児一時金の支給に相当する給付を受けることができる場合には、行わない。

Special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 145, paragraph (6)) are not paid if the relevant person may receive benefits equivalent to benefits for medical treatment, dietary treatment expenses for inpatients, living support expenses for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, dependent's medical expenses, or dependent's medical expenses for home-nursing under this Chapter for the same sickness or injury pursuant to the provisions of the preceding Chapter, the provisions of medical insurance laws other than this Act, the laws and regulations prescribed in Article 55, paragraph (1), or the Long-Term Care Insurance Act.

特別療養費(第百四十五条第六項において準用する第百三十二条の規定により支給される療養費を含む。)の支給は、同一の疾病又は負傷について、前章の規定、の規定若しくは第五十五条第一項に規定する法令の規定又は介護保険法の規定によりこの章の規定による療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、家族療養費若しくは家族訪問看護療養費の支給に相当する給付を受けることができる場合には、行わない。

Benefits for medical treatment, or expenses for dietary treatment for inpatients, expenses for living support for inpatients, medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, transport expenses, dependent's medical expenses, dependent's medical expenses for home-nursing, dependent's transport expenses, or special medical expenses, pertaining to a specially-insured day laborer, are not made to that extent if the specially-insured day laborer received medical treatment or medical expenses for the same sickness or injury borne by the national government or a local government pursuant to the provisions of other Acts.

日雇特例被保険者に係る療養の給付又は入院時食事療養費、入院時生活療養費、保険外併用療養費、療養費、訪問看護療養費、移送費、家族療養費、家族訪問看護療養費、家族移送費若しくは特別療養費の支給は、同一の疾病又は負傷について、他の法令の規定により国又は地方公共団体の負担で療養又は療養費の支給を受けたときは、その限度において、行わない。

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