# 高齢者の医療の確保に関する法律 / Act on Assurance of Medical Care for Elderly People — 第八十五条 (Article 85) - Law: 高齢者の医療の確保に関する法律 (Act on Assurance of Medical Care for Elderly People), 昭和五十七年法律第八十号 - English title "Act on Assurance of Medical Care for Elderly People": 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: 第八十五条 (Article 85)（高額介護合算療養費） — address `art-85` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/elderly-medical-care-act/art-85 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/357AC0000000080/art-85 - 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. --- ### 第八十五条（高額介護合算療養費） — (Sizable medical and nursing expenses) caption: Ministry of Justice translation — Japanese Law Translation Database System art-85 · https://japanlaw.org/ja/elderly-medical-care-act/art-85 · https://japanlaw.org/l/357AC0000000080/art-85 **第一項** 後期高齢者医療広域連合は、一部負担金等の額（前条第一項の高額療養費が支給される場合にあつては、当該支給額に相当する額を控除して得た額）並びに介護保険法第五十一条第一項に規定する介護サービス利用者負担額（同項の高額介護サービス費が支給される場合にあつては、当該支給額を控除して得た額）及び同法第六十一条第一項に規定する介護予防サービス利用者負担額（同項の高額介護予防サービス費が支給される場合にあつては、当該支給額を控除して得た額）の合計額が著しく高額であるときは、当該一部負担金等の額に係る療養の給付又は保険外併用療養費、療養費、訪問看護療養費若しくは特別療養費の支給を受けた被保険者に対し、高額介護合算療養費を支給する。 art-85/par-1 · https://japanlaw.org/ja/elderly-medical-care-act/art-85/par-1 · https://japanlaw.org/l/357AC0000000080/art-85/par-1 When the sum of the amount of co-payment, etc. (when high-cost medical expenses set forth in paragraph (1) of the preceding Article are paid, the amount obtained by deducting the amount so paid) and the amount to be borne by a user of long-term care service as prescribed in Article 51, paragraph (1) of the Long-Term Care Insurance Act (when allowance for high-cost long-term care service set forth in the same paragraph is paid, the amount obtained by deducting the amount so paid) and the amount to be borne by a user of preventive long-term care service as prescribed in Article 61, paragraph (1) of the same Act (when High-Cost Long-Term Prevention Care Service Allowance set forth in the same paragraph is paid, the amount obtained by deducting the amount so paid) is extremely large, the Association of Medical Care Systems for the Elderly Aged 75 and older pays Sizable medical and nursing expenses to the insured that received benefits for medical treatment, or payment of medical expenses combined with treatment outside insurance coverage, medical expenses, medical expenses for home-nursing, or special medical expenses pertaining to the amount of co-payment, etc. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 前条第二項の規定は、高額介護合算療養費の支給について準用する。 art-85/par-2 · https://japanlaw.org/ja/elderly-medical-care-act/art-85/par-2 · https://japanlaw.org/l/357AC0000000080/art-85/par-2 The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to the payment of a Sizable medical and nursing expenses. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-85/par-1: 前条第一項 → 高齢者の医療の確保に関する法律 第八十四条第一項 (Article 84, paragraph (1)), art-84/par-1 — https://japanlaw.org/ja/elderly-medical-care-act/art-84/par-1 · https://japanlaw.org/l/357AC0000000080/art-84/par-1 - art-85/par-1: 介護保険法第五十一条第一項 → 介護保険法 第五十一条第一項 (Article 51, paragraph (1)), art-51/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-51/par-1 · https://japanlaw.org/l/409AC0000000123/art-51/par-1 - art-85/par-1: 同法第六十一条第一項 → 介護保険法 第六十一条第一項 (Article 61, paragraph (1)), art-61/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-61/par-1 · https://japanlaw.org/l/409AC0000000123/art-61/par-1 - art-85/par-2: 前条第二項 → 高齢者の医療の確保に関する法律 第八十四条第二項 (Article 84, paragraph (2)), art-84/par-2 — https://japanlaw.org/ja/elderly-medical-care-act/art-84/par-2 · https://japanlaw.org/l/357AC0000000080/art-84/par-2 ## Cited by 1 provision cites this one. No official source publishes this direction. - 高齢者の医療の確保に関する法律 第八十四条第一項（高額療養費） — https://japanlaw.org/ja/elderly-medical-care-act/art-84/par-1 · https://japanlaw.org/l/357AC0000000080/art-84/par-1 --- ## Sources - e-Gov 法令検索, Digital Agency (デジタル庁) — 高齢者の医療の確保に関する法律 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/357AC0000000080/20261001_507AC0000000087), retrieved 2026-10-19 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Act on Assurance of Medical Care for Elderly People — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/4903/tb), retrieved 2026-10-19 - This site's parser, version 209 — 高齢者の医療の確保に関する法律 — structure, counts, cross-references and defined terms, computed 2026-10-19