Measures for reducing cost burdens for persons with low income
Measures are available to reduce financial burdens for persons who find it difficult to pay medical care costs due to low income.
- Description
- FAQ
Less than 70 years of age
- * Persons with low income refer to insured persons and dependents exempted from municipal tax or to insured persons and dependents who do not require public assistance if they are approved as eligible for measures for reducing cost burdens for persons with low income.
- * To be placed in one of the low-income categories, you must apply in advance for a maximum copayment/reduced standard copayment certificate for health insurance, even when using a Myna health insurance card.
Cost-Sharing Maximum Amounts for High-Cost Medical Care Benefits
| Category | Cost-Sharing Maximum Amounts | Frequent qualification of expenditures |
|---|---|---|
| Persons with low income | 35,400 yen | 24,600 yen |
- ** If you qualified for High-Cost Medical Care Benefits for three months or longer during the most recent 12-month period, the amount will be reduced to the amount for frequent qualification of expenditures starting with the fourth month.
Cost-Sharing Maximum Amounts for High Aggregate Cost for Long-term Care Service
| Category | Cost-Sharing Maximum Amounts |
|---|---|
| Persons with low income | 340,000 yen |
- Reference link
- When you incur high medical care costs
Inpatient meal standard expenses during hospitalization (per meal, up to three meals/day)
| Category | Cost-Sharing Maximum Amounts | |
|---|---|---|
| Persons with low income | Through the 90th day hospitalized over the past 12 months prior to the month of application | 230 yen |
| Beginning with the 91st day hospitalized over the past 12 months prior to the month of application | 180 yen |
Standard copayment when hospitalized at a convalescent facility
| Category | Cost-Sharing Maximum Amounts | |
|---|---|---|
| Persons with low income | Those with low degrees of medical necessity (Medical Care Category I) | Meal expenses: 230 yen/meal Accommodation expenses: 370 yen/day |
| Those with high degrees of medical necessity (Medical Care Categories II or III) | Meal expenses: 230 yen/meal Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases) |
|
- Reference link
- If you become sick or are injured
Ages 70-74
- ** Low income II: Persons aged 70 or above who are insured persons and dependents etc., and exempt from paying municipal tax
- ** Low income I: Persons aged 70 or above in households whose insured persons and dependents are all exempt from paying municipal tax and whose incomes meet certain standards (e.g., pension income not exceeding 800,000 yen), etc.
- ** To be placed in the low income I or Ⅱ category, you must apply in advance for a maximum copayment/reduced standard copayment certificate for health insurance, even when using a Myna health insurance card.
Cost-Sharing Maximum Amounts for High-Cost Medical Care Benefits
| Category | Cost-Sharing Maximum Amounts (outpatient) | Cost-Sharing Maximum Amounts (per household) |
|---|---|---|
| Low income II | 8,000 yen | 24,600 yen |
| Low income I | 8,000 yen | 15,000 yen |
- *No frequent qualification of expenditures applies.
Cost-Sharing Maximum Amounts for High Aggregate Cost for Long-term Care Service
| Category | Cost-Sharing Maximum Amounts |
|---|---|
| Low income II | 310,000 yen |
| Low income I | 190,000 yen |
- Reference link
- If you incur high medical care costs
Inpatient meal standard expenses during hospitalization (per meal, up to three meals/day)
| Category | Cost-Sharing Maximum Amounts | |
|---|---|---|
| Low income II | Through the 90th day hospitalized over the past 12 months prior to the month of application | 230 yen |
| Beginning with the 91st day hospitalized over the past 12 months prior to the month of application | 180 yen | |
| Low income I | 110 yen | |
Standard copayment when hospitalized at a convalescent facility
| Category | Cost-Sharing Maximum Amounts | |
|---|---|---|
| Low income II | Those with low degrees of medical necessity (Medical Care Category I) | Meal expenses: 230 yen/meal Accommodation expenses: 370 yen/day |
| Those with high degrees of medical necessity (Medical Care Categories II or III) | Meal expenses: 230 yen/meal Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases) |
|
| Low income I | Those with low degrees of medical necessity (Medical Care Category I) | Meal expenses: 140 yen/meal Accommodation expenses: 370 yen/day |
| Those with high degrees of medical necessity (Medical Care Categories II or III) | Meal expenses: 110 yen/meal Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases) |
|
- Reference link
- If you become sick or are injured
There is no frequently asked questions and answers that have been registered.