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Revision of the system for insurance premiums

Last update date April 1, 2024

Regarding the 2024 premium system revision

1.Increase in premium limit

In response to the revision of the government ordinance, the premium levy limit has been raised by 20,000 yen for support.

Expense limit
Medical expenses650,000 yen (no change)
Support portion220,000 yen ⇒ 240,000 yen
Nursing care170,000 yen (no change)

2.About review of reduction standard of insured person's per capita rate

 When calculating the amount of insurance premiums, 70%, 50% or 20% of the insured person's per capita rate for medical care, support and nursing care for households that fall below the income standard amount stipulated by law. Reduce We review income standard amount from premium in 2024 and expand target household.

Fiscal 2024 Base Amount (after revision)
"Aggregate amount of gross income, etc." during 2023 calculated for the head of household and all insured persons belonging to the household (including specific same household members (to the terminology page)) Households that are less than the following amountAmount to be reduced
430,000 yen (basic deduction) + 100,000 yen x (number of salary earners (* 1) - 1)70% of insured person's per capita rate
430,000 yen (basic deduction) + 295,000 yen x number of insured persons (* 2) + 100,000 yen x (number of salary earners (* 1) - 1)50% of insured person's per capita rate
430,000 yen (basic deduction) + 545,000 yen x number of insured persons (* 2) + 100,000 yen x (number of salary earners (* 1) - 1)20% of insured person's per capita rate

※1 Of the head of the household and all insured persons belonging to the household (including those belonging to the specified same household), certain salary earners (those whose salary income exceeds 550,000 yen) and public pension income earners (Public pension, etc. whose income exceeds 600,000 yen, or those under 65 years of age or older whose public pension etc. exceeds 1.25 million yen).
※2 Includes specific same household members (to the terminology description page).
(Note) The bold part in the table is calculated only when the number of salary earners etc. is two or more.

[Reference] FY2023 base amount (before revision)
The total amount of gross income, etc. during 2022 (to the terminology page) calculated for the head of household and all insured persons belonging to the household (including specific same household members (to the terminology page) is less than the following amount:Amount to be reduced
430,000 yen (basic deduction) + 100,000 yen x (number of salary earners (* 1) - 1)70% of insured person's per capita rate
430,000 yen (basic deduction) + 290,000 yen x number of insured persons (* 2) + 100,000 yen x (number of salary earners (* 1) - 1)50% of insured person's per capita rate
430,000 yen (basic deduction) + 535,000 yen x number of insured persons (* 2) + 100,000 yen x (number of salary earners (* 1) -1)20% of insured person's per capita rate

※1 Of the head of the household and all insured persons belonging to the household (including those belonging to the specified same household), certain salary earners (those whose salary income exceeds 550,000 yen) and public pension income earners (Public pension, etc. whose income exceeds 600,000 yen, or those under 65 years of age or older whose public pension etc. exceeds 1.25 million yen).
※2 Includes specific same household members (to the terminology description page).
(Note) The bold part in the table is calculated only when the number of salary earners etc. is two or more.

About the 2023 premium system revision

Increase in premium limit

In response to the revision of the government ordinance, the premium levy limit has been raised by 20,000 yen for support.

Expense limit
Medical expenses650,000 yen (no change)
Support portion200,000 yen ⇒ 220,000 yen
Nursing care170,000 yen (no change)

For inquiries to this page

Health and Social Welfare Bureau Living and Welfare Department Insurance and Pension Division

Phone: 045-671-2422

Phone: 045-671-2422

Fax: 045-664-0403

Email address: kf-hokennenkin@city.yokohama.jp

Return to the previous page

Page ID: 337-003-208

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