The top of page

Link for movement in page
We move to global navigation
We move to the text
We move to footer menu
It is jumped to the text - Top menu|Search
It is global navigation from here
It is the text from here

Important news

Update information

Topics

Page of Yokohama-shi National Health Insurance

<medical expenses of one 70 years or older>


Contents


About medical expenses of one 70 years or older

 

 Burden ratio at window of medical institution becomes 10%, 20%, 30% depending on the income situation (as for year, from August to December as for from January to July before last last year) of household (birthday in the one of the day from this month) from the next month on 70-year-old birthday.  

Division Burden ratio  
Income earner at the same level as active play 30% Regular which belongs to household where one is alone with income (taxable income of residence tax more than 1,450,000 yen) active for National Health Insurance person insured (called "elderly person" as follows) 70 years or older.
But case that included application of income of elderly person being less than amount of uniformity (with less than 5,200,000 yen in yearly income of the total yearly income 3,830,000 yen, more than 2 cases in the case of one elderly person) is excluded.
The public (※ 1) 10% or
20%
(※ 2)
One that comes under none of "low income 1." "low income 2." "income earner at the same level as active play."
Low income 2. Residence tax tax exemption household
Low income 1. Household (we calculate public pension deduction as 800,000 yen) in residence tax tax exemption household for all the members of household without income
※When household corresponding to all next conditions from 1 January, 2009 performs application application of income amount of money, self-pay ratio becomes "10% or 20%".
 1. Person taking out National Health Insurance 70 years or older is alone in household, and the person is active play regular income earner.
 2. There is one (we limit to one that continues from day when it shifted to medical system for elder senior citizens, and belongs to same household.) transferred to medical system for elder senior citizens in same household by National Health Insurance.
 3. 1.Total amount of income of all the to be for of this is within 5,200,000 yen one and 2 of this.

※2 burden ratios vary according to birthdays.
 1.One ... 20% to reach 70-year-old birthday after April 2, 2014
  2.One ... 10% that reached 70-year-old birthday before April 1, 2014

Grant of identification of old recipient

 We mail "identification of old recipient" for the end (in the one born in 1st the last month end of month on birthday) of month on 70-year-old birthday. Please show (in the one born in 1st from month on birthday), health insurance card and "identification of old recipient" at windows such as medical institutions from the next month on birthday.  


Payment of one 70 years or older

 

Medical expenses (payment at window of hospital)

When member 70 years or older shows two of health insurance card and identification of old recipient in windows such as hospital, clinics , we only pay our own 10%, 20%, 30% of medical expenses which we suffered from then and finish (limited to medical expenses for medical service under health insurance). Furthermore, the upper limit is established in self-burden for a month. But it is necessary for meal charges (standard burden) at admission to pay sum determined separately from self-burden of medical expenses .   

★About meal charges to page of hospitalization meal medical treatment, hospitalization life medical treatment


DivisionBurden ratio at windowOutpatient department
(personal unit)
Foreign + hospitalization
(household unit)
Income earner at the same level as active play 30% 57,600 yen  80,100 yen + (medical expenses -267,000 yen) *1%
(after the fourth ceiling 44,400 yen)
The public 10% or
20%
 14,000 yen 57,600 yen
(after the fourth ceiling 44,400 yen)
Low income 2 8,000 yen 24,600 yen
Low income 1 15,000 yen
※ After that we are provided with thing that exceeded from employee health insurance as "high medical costs" for August, 2017 medical treatment when the totals of foreign self-burden of one year (from August next year July) exceed the ceiling (144,000 yen) 70 years old or older a year newly about outpatient department of (general income earner and low-income person). We notify person whom we corresponded to of application methods separately.

※ Household where there is person who cannot confirm income does not become low income 1.

※ Burden ratio varies according to birthdays.
 1.One ... 20% to reach 70-year-old birthday after April 2, 2014
  2.One ... 10% that reached 70-year-old birthday before April 1, 2014

 Balance application of burden ratio

 When member 70 years or older shows only health insurance card in window of medical institution and we put identifications of old recipient together and do not show, regardless of original self-pay ratio, we will pay 30% of medical expenses for medical service under health insurance to medical institution.  In this case refund of the balance is received when one corresponding to 10% or 20% burden is originally applied to ward office Insurance and Pension Division of ward to live for. (※)  But it takes 3-4 months before we receive refund. When medical institution is consulted, please show both health insurance card and identification of old recipient by all means.
※ It is statute of limitations after paying to medical institution when it is past five years and cannot receive refund. Please be careful.
 <thing necessary for application>
● Health insurance card
● Identification of old recipient
● Private seal (by family nurturer name thing using vermilion)
● Receipt
● We can confirm bank book or transfer  

 

About review of window burden on person ratio 70 years or older

Purpose of review

Window burden on 74-year-old person became 20% from  70 years old legally, but was done with 10% burden by special measures until now. These special measures will be reviewed to assume fairer structure from 2014.
 In review, it will be carried out progressively by old one to invite 70-year-old birthday to not to make any big influence occurring for life on after April 2, 2014.

Contents of review

Person who reaches 70-year-old birthday after 1 April 2, 2014
From medical treatment of the next month (month but for each one a month day in the one on birthday) of the  70-year-old birth moon, window burden becomes 20%.

※ One with constant income is 30% burden according to to this.

Person who reached 70-year-old birthday by 2 April 1, 2014
 Window burden of medical expenses does not change as 10% after April, 2014 either.

※ One with constant income is 30% burden according to to this.

 

It is footer menu from here