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.

INDEX

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.
** Those whose standard monthly remuneration is 530,000 yen or more do not fall in the category of persons with low income, even if they are exempt from paying municipal tax.
** To be regarded as belonging to the category of persons with low income, you must make an application in advance by submitting a Request for Issuance of Certificate of Application of Maximum Copayment Amount together with a tax exemption certificate or similar document, even if you use a Myna health insurance card.

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.

Category	Cost-Sharing Maximum Amounts
Persons with low income	340,000 yen

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	210 yen
Persons with low income	Beginning with the 91st day hospitalized over the past 12 months prior to the month of application	160 yen

Category		Cost-Sharing Maximum Amounts
Persons with low income	Those with low degrees of medical necessity (Medical Care Category I)	Meal expenses: 210 yen/meal Accommodation expenses: 370 yen/day
Persons with low income	Those with high degrees of medical necessity (Medical Care Categories II or III)	Meal expenses: 210 yen/meal Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases)

** 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.
** Those in the category of persons with the same income level as active workers do not fall in the category of persons with low income, even if they are exempt from paying municipal tax.
** To be regarded as belonging to the category of persons with low income, you must make an application in advance by submitting a Request for Issuance of Certificate of Application of Maximum Copayment Amount together with a tax exemption certificate or similar document, even if you use a Myna health insurance card.

Category	Cost-Sharing Maximum Amounts (outpatient)	Cost-Sharing Maximum Amounts (per household)
Low income II (Elderly benefits card copayment rate: 20%)	8,000 yen	24,600 yen
Low income I (Elderly benefits card copayment rate: 20%)	8,000 yen	15,000 yen

Category	Cost-Sharing Maximum Amounts
Low income II	310,000 yen
Low income I	190,000 yen

Category		Cost-Sharing Maximum Amounts
Low income II	Through the 90th day hospitalized over the past 12 months prior to the month of application	210 yen
Low income II	Beginning with the 91st day hospitalized over the past 12 months prior to the month of application	160 yen
Low income I	100 yen

Category		Cost-Sharing Maximum Amounts
Low income II	Those with low degrees of medical necessity (Medical Care Category I)	Meal expenses: 210 yen/meal Accommodation expenses: 370 yen/day
Low income II	Those with high degrees of medical necessity (Medical Care Categories II or III)	Meal expenses: 210 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: 130 yen/meal Accommodation expenses: 370 yen/day
Low income I	Those with high degrees of medical necessity (Medical Care Categories II or III)	Meal expenses: 100 yen/meal Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases)

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