Examples of high medical costs (1)

Here is an example of payment for households under 70 years old only.
high medical costs calculation example of high medical costs for households with younger elderly and National Health Insurance members under 70 years old:

• When the amount of one month's partial contribution exceeds the copayment limit

• When the same household exceeds the copayment limit

• high medical costs is paid 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 excess is paid.

If the same household pays the copayment of 21,000 yen or more twice or more in the same month, the sum of them will be paid in excess of the limit.

If the same household receives the high medical costs four or more times within the past 12 months, the maximum amount will be paid by high medical costs for the fourth and subsequent payments.

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