# 健康保険法 / Health Insurance Act — 第百十五条の二 (Article 115-2) - 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: 第百十五条の二 (Article 115-2)（高額介護合算療養費） — address `art-115-2` - Text in force since: 2026-10-01 - URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-115-2 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-115-2 - 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. --- ### 第百十五条の二（高額介護合算療養費） — (Expenses for High-Cost Medical Treatment Combined with Long-Term Care) caption: Ministry of Justice translation — Japanese Law Translation Database System art-115-2 · https://japanlaw.org/ja/health-insurance-act/art-115-2 · https://japanlaw.org/l/211AC0000000070/art-115-2 **第一項** 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っては、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っては、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っては、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、家族療養費若しくは家族訪問看護療養費の支給を受けた者に対し、高額介護合算療養費を支給する。 art-115-2/par-1 · https://japanlaw.org/ja/health-insurance-act/art-115-2/par-1 · https://japanlaw.org/l/211AC0000000070/art-115-2/par-1 When the amount of co-payment, etc. (if high-cost medical expenses referred to in paragraph (1) of the preceding Article is to be paid, the amount obtained by deducting the amount so paid from the amount of co-payment, etc.), or the sum of the amount to be borne by a user of long-term care service prescribed in Article 51, paragraph (1) of the Long-Term Care Insurance Act (if expenses for high-cost long-term care service referred to in the same paragraph are paid, the amount obtained by deducting the amount so paid from the amount to be borne by the user of long-term care service), and the amount to be borne by a user of a service to prevent long-term care prescribed in Article 61, paragraph (1) of the same Act (if expenses for high-cost service to prevent long-term care referred to in the same paragraph are to be paid, the amount obtained by deducting the amount so paid from the amount to be borne by the user of the service to prevent long-term care) is extremely large, expenses for high-cost medical treatment combined with long-term care are paid to the person who received benefits for medical treatment to which the amount of the co-payment pertained, or payment of 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. 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-115-2/par-2 · https://japanlaw.org/ja/health-insurance-act/art-115-2/par-2 · https://japanlaw.org/l/211AC0000000070/art-115-2/par-2 The provisions of paragraph (2) of the preceding Article apply mutatis mutandis to the payment of expenses for high-cost medical treatment combined with long-term care. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-115-2/par-1: 前条第一項 → 健康保険法 第百十五条第一項 (Article 115, paragraph (1)), art-115/par-1 — https://japanlaw.org/ja/health-insurance-act/art-115/par-1 · https://japanlaw.org/l/211AC0000000070/art-115/par-1 - art-115-2/par-1: 介護保険法第五十一条第一項 → e-Gov law 409AC0000000123, 第五十一条第一項 (Article 51, paragraph (1)), art-51/par-1 — not held in this collection - art-115-2/par-1: 同法第六十一条第一項 → e-Gov law 409AC0000000123, 第六十一条第一項 (Article 61, paragraph (1)), art-61/par-1 — not held in this collection - art-115-2/par-2: 前条第二項 → 健康保険法 第百十五条第二項 (Article 115, paragraph (2)), art-115/par-2 — https://japanlaw.org/ja/health-insurance-act/art-115/par-2 · https://japanlaw.org/l/211AC0000000070/art-115/par-2 ## Cited by 1 provision cites this one. No official source publishes this direction. - 健康保険法 第百十五条第一項（高額療養費） — https://japanlaw.org/ja/health-insurance-act/art-115/par-1 · https://japanlaw.org/l/211AC0000000070/art-115/par-1 --- ## Sources - 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 - This site's parser, version 189 — 健康保険法 — structure, counts, cross-references and defined terms, computed 2026-10-10