# 健康保険法 / Health Insurance Act — 第八十四条 (Article 84)

- 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: 第八十四条 (Article 84)（保険者が指定する病院等における療養の給付） — address `art-84`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act/art-84
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/211AC0000000070/art-84
- 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.

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### 第八十四条（保険者が指定する病院等における療養の給付） — (Benefits for Medical Treatment at Hospitals Designated by Insurers)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-84 · https://japanlaw.org/ja/health-insurance-act/art-84 · https://japanlaw.org/l/211AC0000000070/art-84</sup>

    **第一項**  第六十三条第三項第二号及び第三号に掲げる病院若しくは診療所又は薬局において行われる療養の給付及び健康保険の診療又は調剤に関する準則については、第七十条第一項及び第七十二条第一項の厚生労働省令の例による。
    <sup>art-84/par-1 · https://japanlaw.org/ja/health-insurance-act/art-84/par-1 · https://japanlaw.org/l/211AC0000000070/art-84/par-1</sup>
    Rules on benefits for medical treatment, and on medical care and prescription services covered by health insurance and provided by hospitals, clinics, and pharmacies listed in Article 63, paragraph (3), items (ii) and (iii) are governed by Order of the Ministry of Health, Labour and Welfare referred to in Article 70, paragraph (1) and Article 72, paragraph (1).
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **第二項**  第六十三条第三項第二号に掲げる病院若しくは診療所又は薬局から療養の給付を受ける者は、その給付を受ける際、第七十四条の規定の例により算定した額を、一部負担金として当該病院若しくは診療所又は薬局に支払わなければならない。ただし、保険者が健康保険組合である場合においては、規約で定めるところにより、当該一部負担金を減額し、又はその支払を要しないものとすることができる。
    <sup>art-84/par-2 · https://japanlaw.org/ja/health-insurance-act/art-84/par-2 · https://japanlaw.org/l/211AC0000000070/art-84/par-2</sup>
    A person who receives benefits for medical care from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (ii) must pay the amount calculated pursuant to the provisions of Article 74 as co-payment to the hospital, clinic, or pharmacy upon receiving the benefits; provided, however, that if the insurer is a health insurance society, the amount of the co-payment may be decreased or payment thereof may not be required, pursuant to the insurer's constitution.
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

    **第三項**  健康保険組合は、規約で定めるところにより、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の給付を受ける者に、第七十四条の規定の例により算定した額の範囲内において一部負担金を支払わせることができる。
    <sup>art-84/par-3 · https://japanlaw.org/ja/health-insurance-act/art-84/par-3 · https://japanlaw.org/l/211AC0000000070/art-84/par-3</sup>
    A health insurance society may, pursuant to its constitution, have a person who receives benefits for medical treatment from a hospital, clinic, or pharmacy listed in Article 63, paragraph (3), item (iii) pay the amount of co-payment within the extent of the amount calculated pursuant to the provisions of Article 74.
    <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-84/par-1: 第六十三条第三項第二号 → 健康保険法 第六十三条第三項第二号 (Article 63, paragraph (3), item (ii)), art-63/par-3/item-2 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-2
- art-84/par-1: 第三号 → 健康保険法 第六十三条第三項第三号 (Article 63, paragraph (3), item (iii)), art-63/par-3/item-3 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3/item-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-3
- art-84/par-1: 第七十条第一項 → 健康保険法 第七十条第一項 (Article 70, paragraph (1)), art-70/par-1 — https://japanlaw.org/ja/health-insurance-act/art-70/par-1 · https://japanlaw.org/l/211AC0000000070/art-70/par-1
- art-84/par-1: 第七十二条第一項 → 健康保険法 第七十二条第一項 (Article 72, paragraph (1)), art-72/par-1 — https://japanlaw.org/ja/health-insurance-act/art-72/par-1 · https://japanlaw.org/l/211AC0000000070/art-72/par-1
- art-84/par-2: 第六十三条第三項第二号 → 健康保険法 第六十三条第三項第二号 (Article 63, paragraph (3), item (ii)), art-63/par-3/item-2 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3/item-2 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-2
- art-84/par-2: 第七十四条 → 健康保険法 第七十四条 (Article 74), art-74 — https://japanlaw.org/ja/health-insurance-act/art-74 · https://japanlaw.org/l/211AC0000000070/art-74
- art-84/par-3: 第六十三条第三項第三号 → 健康保険法 第六十三条第三項第三号 (Article 63, paragraph (3), item (iii)), art-63/par-3/item-3 — https://japanlaw.org/ja/health-insurance-act/art-63/par-3/item-3 · https://japanlaw.org/l/211AC0000000070/art-63/par-3/item-3
- art-84/par-3: 第七十四条 → 健康保険法 第七十四条 (Article 74), art-74 — https://japanlaw.org/ja/health-insurance-act/art-74 · https://japanlaw.org/l/211AC0000000070/art-74

## Cited by

5 provisions cite this one. No official source publishes this direction.

- 健康保険法 第八十五条第九項（入院時食事療養費） — https://japanlaw.org/ja/health-insurance-act/art-85/par-9 · https://japanlaw.org/l/211AC0000000070/art-85/par-9
- 健康保険法 第八十五条の二第五項（入院時生活療養費） — https://japanlaw.org/ja/health-insurance-act/art-85-2/par-5 · https://japanlaw.org/l/211AC0000000070/art-85-2/par-5
- 健康保険法 第八十六条第四項（保険外併用療養費） — https://japanlaw.org/ja/health-insurance-act/art-86/par-4 · https://japanlaw.org/l/211AC0000000070/art-86/par-4
- 健康保険法 第百十条第七項（家族療養費） — https://japanlaw.org/ja/health-insurance-act/art-110/par-7 · https://japanlaw.org/l/211AC0000000070/art-110/par-7
- 健康保険法 第百四十九条第一項（準用） — https://japanlaw.org/ja/health-insurance-act/art-149/par-1 · https://japanlaw.org/l/211AC0000000070/art-149/par-1

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## 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
