Example of payment by high medical costs (1)

Here is an example of payment for households under the age of 70.
For an example of high medical costs calculation for households with younger elderly and National Health Insurance members under 70, see high medical costs calculation for households with younger elderly and National Health Insurance members under 70.

• When the amount of the monthly co-payment exceeds the co-payment limit

• When the total exceeds the co-payment limit by the same household

• If you receive high medical costs at least four times a year

If the co-payment paid by the same person to the same medical institution in the same month exceeds the limit, the surplus will be paid.

If the same household pays more than 21,000 yen co-payment twice or more in the same month, the sum exceeding them will be paid in excess of the limit.

If high medical costs receives 4 or more payments from the same household within the past 12 months, the 4th and subsequent payments will be made to the high medical costs.

Please contact Insurance and Pension Division National Health Insurance Section in your ward office.