# 健康保険法 / Health Insurance Act — 第九十八条 (Article 98) - Law: 健康保険法 (Health Insurance Act), 大正十一年法律第七十号 - English title "Health Insurance Act": Ministry of Justice translation - Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say. - Provision: 第九十八条 (Article 98)（被保険者が日雇労働者又はその被扶養者となった場合） — address `art-98` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/en/health-insurance-act/art-98 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-98 - Every provision below carries its address and both URLs on the line under it. - Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below. Only the Japanese as published by the government has legal effect; the text below is a copy of it. Every English rendering below is a translation and says which kind: the Ministry of Justice's translation, or this site's machine translation, whose model and date the Sources list names. They are never merged and never substituted for one another. --- ### 第九十八条（被保険者が日雇労働者又はその被扶養者となった場合） — (Insured Persons Who Have Become a Day Worker and Their Dependents) caption: Ministry of Justice translation — Japanese Law Translation Database System art-98 · https://japanlaw.org/en/health-insurance-act/art-98 · https://japanlaw.org/l/211AC0000000070/art-98 **第一項** 被保険者が資格を喪失し、かつ、日雇特例被保険者又はその被扶養者となった場合において、その資格を喪失した際に療養の給付、入院時食事療養費に係る療養、入院時生活療養費に係る療養、保険外併用療養費に係る療養、療養費に係る療養若しくは訪問看護療養費に係る療養又は介護保険法の規定による居宅介護サービス費に係る指定居宅サービス（同法第四十一条第一項に規定する指定居宅サービスをいう。第百二十九条第二項第二号において同じ。）、特例居宅介護サービス費に係る居宅サービス（同法第八条第一項に規定する居宅サービスをいう。同号及び第百三十五条第一項において同じ。）若しくはこれに相当するサービス、地域密着型介護サービス費に係る指定地域密着型サービス（同法第四十二条の二第一項に規定する指定地域密着型サービスをいう。同号において同じ。）、特例地域密着型介護サービス費に係る地域密着型サービス（同法第八条第十四項に規定する地域密着型サービスをいう。同号及び第百三十五条第一項において同じ。）若しくはこれに相当するサービス、施設介護サービス費に係る指定施設サービス等（同法第四十八条第一項に規定する指定施設サービス等をいう。同号において同じ。）、特例施設介護サービス費に係る施設サービス（同法第八条第二十六項に規定する施設サービスをいう。同号及び第百三十五条第一項において同じ。）、介護予防サービス費に係る指定介護予防サービス（同法第五十三条第一項に規定する指定介護予防サービスをいう。同号において同じ。）若しくは特例介護予防サービス費に係る介護予防サービス（同法第八条の二第一項に規定する介護予防サービスをいう。同号及び第百三十五条第一項において同じ。）若しくはこれに相当するサービスのうち、療養に相当するものを受けているときは、当該疾病又は負傷及びこれにより発した疾病につき、当該保険者から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、訪問看護療養費若しくは移送費の支給を受けることができる。 art-98/par-1 · https://japanlaw.org/en/health-insurance-act/art-98/par-1 · https://japanlaw.org/l/211AC0000000070/art-98/par-1 If an insured person has lost eligibility and become a specially-insured day laborer or a dependent thereof, and, at the time of loss of the eligibility, the person receives a benefit for medical treatment, medical treatment covered by expenses for dietary treatment for inpatients, medical treatment covered by expenses for living support for inpatients, medical treatment covered by expenses for medical treatment combined with treatment outside insurance coverage, medical treatment covered by medical expenses, or medical treatment covered by medical expenses for home-nursing, or a designated in-home service covered by expenses for in-home long-term care service pursuant to the provisions of the Long-Term Care Insurance Act (meaning designated in-home service prescribed in Article 41, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)),or an in-home service covered by an exceptional allowance for in-home long-term care service (meaning in-home service prescribed in Article 8, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a service equivalent thereto, a designated community-based service covered by expenses for community-based long-term care service (meaning designated community-based service prescribed in Article 42-2, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a community-based service covered by an exceptional allowance for community-based long-term care service (meaning community-based service prescribed in Article 8, paragraph (14) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a service equivalent thereto, a designated facility service, etc. covered by expenses for long-term care facility service (meaning designated facility service, etc. prescribed in Article 48, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a facility service covered by an exceptional allowance for long-term care facility service (meaning facility service prescribed in Article 8, paragraph (26) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a designated service to prevent long-term care covered by expenses for service to prevent long-term care (meaning designated service to prevent long-term care prescribed in Article 53, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a service to prevent long-term care covered by exceptional allowance for service to prevent long-term care (meaning service to prevent long-term care prescribed in Article 8-2, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), or a service equivalent thereto, pursuant to the provisions of the same Act, that is equivalent to medical treatment, then the person may receive from the relevant insurer benefits for medical treatment, 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, or transport expenses with respect to the relevant illness or injury, and any illness arising therefrom. Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "If an insured person has lost eligibility and become a specially-insured day laborer or a dependent thereof, and, at the time of loss of the eligibility, the person receives a benefit for medical treatment equivalent to medical treatment covered by expenses for dietary treatment for inpatients, medical treatment covered by expenses for living support for inpatients, medical treatment covered by expenses for medical treatment combined with treatment outside insurance coverage, medical treatment covered by medical expenses, or medical treatment covered by medical expenses for home-nursing, or equivalent to a designated in-home service covered by expenses for in-home long-term care service pursuant to the provisions of the Long-Term Care Insurance Act (meaning designated in-home service prescribed in Article 41, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)),or an in-home service covered by an exceptional allowance for in-home long-term care service (meaning in-home service prescribed in Article 8, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a service equivalent thereto, a designated community-based service covered by expenses for community-based long-term care service (meaning designated community-based service prescribed in Article 42-2, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a community-based service covered by an exceptional allowance for community-based long-term care service (meaning community-based service prescribed in Article 8, paragraph (14) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a service equivalent thereto, a designated facility service, etc. covered by expenses for long-term care facility service (meaning designated facility service, etc. prescribed in Article 48, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a facility service covered by an exceptional allowance for long-term care facility service (meaning facility service prescribed in Article 8, paragraph (26) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), a designated service to prevent long-term care covered by expenses for service to prevent long-term care (meaning designated service to prevent long-term care prescribed in Article 53, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii)), a service to prevent long-term care covered by exceptional allowance for service to prevent long-term care (meaning service to prevent long-term care prescribed in Article 8-2, paragraph (1) of the same Act; the same applies in Article 129, paragraph (2), item (ii) and Article 135, paragraph (1)), or a service equivalent thereto, pursuant to the provisions of the same Act, then the person may receive from the relevant insurer benefits for medical treatment, 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, or transport expenses with respect to the relevant illness or injury, and any illness arising therefrom." — https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb **第二項** 前項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、訪問看護療養費若しくは移送費の支給は、次の各号のいずれかに該当するに至ったときは、行わない。 art-98/par-2 · https://japanlaw.org/en/health-insurance-act/art-98/par-2 · https://japanlaw.org/l/211AC0000000070/art-98/par-2 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, or transportation expenses pursuant to the provisions of the preceding paragraph are not paid when any of the events listed in the following items has occurred: Ministry of Justice translation — Japanese Law Translation Database System **一** 当該疾病又は負傷について、次章の規定により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若しくは家族移送費の支給を受けることができるに至ったとき。 art-98/par-2/item-1 · https://japanlaw.org/en/health-insurance-act/art-98/par-2/item-1 · https://japanlaw.org/l/211AC0000000070/art-98/par-2/item-1 the relevant person has become eligible for payment of benefits for medical treatment, 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, or dependent's transport expenses pursuant to the provisions of the next chapter with respect to the relevant illness or injury; Ministry of Justice translation — Japanese Law Translation Database System **二** その者が、被保険者若しくは船員保険の被保険者若しくはこれらの者の被扶養者、国民健康保険の被保険者又は後期高齢者医療の被保険者等となったとき。 art-98/par-2/item-2 · https://japanlaw.org/en/health-insurance-act/art-98/par-2/item-2 · https://japanlaw.org/l/211AC0000000070/art-98/par-2/item-2 the person has become an insured person, insured person covered by Seamen's Insurance, a dependent thereof, an insured person covered by National Health Insurance, or a person with late-stage elderly medical care insurance; or Ministry of Justice translation — Japanese Law Translation Database System **三** 被保険者の資格を喪失した日から起算して六月を経過したとき。 art-98/par-2/item-3 · https://japanlaw.org/en/health-insurance-act/art-98/par-2/item-3 · https://japanlaw.org/l/211AC0000000070/art-98/par-2/item-3 six months have elapsed since the day on which the relevant person lost eligibility as an insured person. Ministry of Justice translation — Japanese Law Translation Database System **第三項** 第一項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、訪問看護療養費若しくは移送費の支給は、当該疾病又は負傷について、次章の規定により特別療養費（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。）又は移送費若しくは家族移送費の支給を受けることができる間は、行わない。 art-98/par-3 · https://japanlaw.org/en/health-insurance-act/art-98/par-3 · https://japanlaw.org/l/211AC0000000070/art-98/par-3 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, or transport expenses pursuant to the provisions of paragraph (1) are not paid during the period in which the relevant person is eligible for payment of special medical expenses (including medical expenses paid pursuant to the provisions of Article 132 as applied mutatis mutandis to Article 145, paragraph (6)), transport expenses, or dependent's transport expenses pursuant to the provisions of the next chapter with respect to the relevant illness or injury. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 第一項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、療養費若しくは訪問看護療養費の支給は、当該疾病又は負傷について、介護保険法の規定によりそれぞれの給付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。 art-98/par-4 · https://japanlaw.org/en/health-insurance-act/art-98/par-4 · https://japanlaw.org/l/211AC0000000070/art-98/par-4 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, or medical expenses for home-nursing pursuant to the provisions of paragraph (1) are not paid if the relevant person is eligible for any benefit corresponding to one of the above benefits pursuant to the provisions of the Long-Term Care Insurance Act with respect to the relevant illness or injury. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-98/par-1: 同法第四十一条第一項 → e-Gov law 409AC0000000123, 第四十一条第一項 (Article 41, paragraph (1)), art-41/par-1 — not held in this collection - art-98/par-1: 第百二十九条第二項第二号 → 健康保険法 第百二十九条第二項第二号 (Article 129, paragraph (2), item (ii)), art-129/par-2/item-2 — https://japanlaw.org/en/health-insurance-act/art-129/par-2/item-2 · https://japanlaw.org/l/211AC0000000070/art-129/par-2/item-2 - art-98/par-1: 同法第八条第一項 → e-Gov law 409AC0000000123, 第八条第一項 (Article 8, paragraph (1)), art-8/par-1 — not held in this collection - art-98/par-1: 第百三十五条第一項 → 健康保険法 第百三十五条第一項 (Article 135, paragraph (1)), art-135/par-1 — https://japanlaw.org/en/health-insurance-act/art-135/par-1 · https://japanlaw.org/l/211AC0000000070/art-135/par-1 - art-98/par-1: 同法第四十二条の二第一項 → e-Gov law 409AC0000000123, 第四十二条の二第一項 (Article 42-2, paragraph (1)), art-42-2/par-1 — not held in this collection - art-98/par-1: 同法第八条第十四項 → e-Gov law 409AC0000000123, 第八条第十四項 (Article 8, paragraph (14)), art-8/par-14 — not held in this collection - art-98/par-1: 同法第四十八条第一項 → e-Gov law 409AC0000000123, 第四十八条第一項 (Article 48, paragraph (1)), art-48/par-1 — not held in this collection - art-98/par-1: 同法第八条第二十六項 → e-Gov law 409AC0000000123, 第八条第二十六項 (Article 8, paragraph (26)), art-8/par-26 — not held in this collection - art-98/par-1: 同法第五十三条第一項 → e-Gov law 409AC0000000123, 第五十三条第一項 (Article 53, paragraph (1)), art-53/par-1 — not held in this collection - art-98/par-1: 同法第八条の二第一項 → e-Gov law 409AC0000000123, 第八条の二第一項 (Article 8-2, paragraph (1)), art-8-2/par-1 — not held in this collection - art-98/par-2: 前項 → 健康保険法 第九十八条第一項 (Article 98, paragraph (1)), art-98/par-1 — https://japanlaw.org/en/health-insurance-act/art-98/par-1 · https://japanlaw.org/l/211AC0000000070/art-98/par-1 - art-98/par-3: 第一項 → 健康保険法 第九十八条第一項 (Article 98, paragraph (1)), art-98/par-1 — https://japanlaw.org/en/health-insurance-act/art-98/par-1 · https://japanlaw.org/l/211AC0000000070/art-98/par-1 - art-98/par-3: 第百四十五条第六項 → 健康保険法 第百四十五条第六項 (Article 145, paragraph (6)), art-145/par-6 — https://japanlaw.org/en/health-insurance-act/art-145/par-6 · https://japanlaw.org/l/211AC0000000070/art-145/par-6 - art-98/par-3: 第百三十二条 → 健康保険法 第百三十二条 (Article 132), art-132 — https://japanlaw.org/en/health-insurance-act/art-132 · https://japanlaw.org/l/211AC0000000070/art-132 - art-98/par-4: 第一項 → 健康保険法 第九十八条第一項 (Article 98, paragraph (1)), art-98/par-1 — https://japanlaw.org/en/health-insurance-act/art-98/par-1 · https://japanlaw.org/l/211AC0000000070/art-98/par-1 ## Cited by 6 provisions cite this one. No official source publishes this direction. - 健康保険法 第九十八条第二項（被保険者が日雇労働者又はその被扶養者となった場合） — https://japanlaw.org/en/health-insurance-act/art-98/par-2 · https://japanlaw.org/l/211AC0000000070/art-98/par-2 - 健康保険法 第九十八条第三項（被保険者が日雇労働者又はその被扶養者となった場合） — https://japanlaw.org/en/health-insurance-act/art-98/par-3 · https://japanlaw.org/l/211AC0000000070/art-98/par-3 - 健康保険法 第九十八条第四項（被保険者が日雇労働者又はその被扶養者となった場合） — https://japanlaw.org/en/health-insurance-act/art-98/par-4 · https://japanlaw.org/l/211AC0000000070/art-98/par-4 - 健康保険法 第百十条第七項（家族療養費） — https://japanlaw.org/en/health-insurance-act/art-110/par-7 · https://japanlaw.org/l/211AC0000000070/art-110/par-7 - 健康保険法 第百十一条第三項（家族訪問看護療養費） — https://japanlaw.org/en/health-insurance-act/art-111/par-3 · https://japanlaw.org/l/211AC0000000070/art-111/par-3 - 健康保険法 第百十二条第二項（家族移送費） — https://japanlaw.org/en/health-insurance-act/art-112/par-2 · https://japanlaw.org/l/211AC0000000070/art-112/par-2 --- ## Sources - claude-opus-5-5 — Corrections to the Ministry of Justice's English of paragraphs, written 2026-10-11 - e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/211AC0000000070/20261001_507AC0000000087), retrieved 2026-10-10 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Health Insurance Act (健康保険法), Article 98, paragraph (1) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3266/tb), retrieved 2026-10-10 - This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10