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Major medical service, large amount of care adding up medical expenses system

Last update date March 22, 2019

 When net totals of one year (from every year August to next year July) of "self-burden (※ 1) of National Health Insurance" in same household and "user burden (※ 2) of The Long-term Care Insurance" exceed self-pay limit, it is system to be provided with sum that we exceeded when we apply as "large amount care adding up medical expenses".

 ※In any of 1 high medical costs, it is for amount of money of self-pay limit of high medical costs. In addition, co-payments 21,000 yen or more apply to people under 70 for each one medical institution for one month.
 ※In any of 2 large amount care services costs, it is for amount of money of self-pay limit of large amount of care service costs. The food expenses, the hotel charges, house repair costs, the welfare tool purchase costs are not included.

  • We apply to medical insurance (National Health Insurance, elderly aged 75 or over medical care, the employed insurance) taking out as of basic date (July 31).
  • When all the person insured in household adds up "medical insurance" and self burden of "The Long-term Care Insurance" that they paid for one year (every year from August to the end of July), and they exceed the amount of standard, we provide with the amount of money that we exceeded.
  • Please apply to medical insurer joining for the employed insurance such as health insurance union.

Burden is reduced in this way

Example (together 72 years old low place profit II) of couple two household

Example: By when pay 150,000 yen in 200,000 yen, The Long-term Care Insurance in medical insurance (annual self-burden (※) 350,000 yen), in one year, applying, the amount of standard: We are paid amount of money (40,000 yen) beyond 310,000 yen (when municipal tax is tax-free all the households).

※As for the self-burden, food expenses, residence costs, hospital room not covered by a health insurance plan charges are excluded. In addition, we subtract high medical costs, large amount care service costs and calculate.

About the amount of standard

(people 70 years or older)

It is former self-pay limit for July, 2018 medical treatment
Income divisionIncome requirementsSelf-pay limit (a year) of National Health Insurance + The Long-term Care Insurance
Income earner at the same level as active playRegular which belongs to household where person is alone with income (taxable income of residence tax 1.45 million yen or more) active for National Health Insurance people insured (as follows "elderly person") 70 years or older670,000 yen
The publicPerson who comes under none of "low income 1" "low income 2" "income earner at the same level as active play"560,000 yen
Low income IIResidence tax tax exemption household310,000 yen
Low income IHousehold (we calculate public pension deduction as 800,000 yen.) in residence tax tax exemption household for all the members of household without income190,000 yen
It is following self-pay limit for August, 2018 medical treatment
 
Income divisionIncome requirementsSelf-pay limit (a year) of National Health Insurance + The Long-term Care Insurance
Income earner III at the same level as active playRegular which belongs to household where person is alone with income (taxable income of residence tax 6.9 million yen or more) active for National Health Insurance people insured (as follows "elderly person") 70 years or older2.12 million yen
Income earner II at the same level as active playRegular which belongs to household where person is alone with income (taxable income of residence tax 3.8 million yen or more) active for National Health Insurance people insured (as follows "elderly person") 70 years or older1.41 million yen
Income earner I at the same level as active playRegular which belongs to household where person is alone with income (taxable income of residence tax 1.45 million yen or more) active for National Health Insurance people insured (as follows "elderly person") 70 years or older670,000 yen
The publicPerson who comes under none of "low income 1" "low income 2" "income earner at the same level as active play"560,000 yen
Low income IIResidence tax tax exemption household310,000 yen
Low income IHousehold (we calculate public pension deduction as 800,000 yen.) in residence tax tax exemption household for all the members of household without income190,000 yen


(people under 70)

Self-pay limit
Income divisionIncome requirementsSelf-pay limit (a year) of National Health Insurance + The Long-term Care Insurance
AIncome amount of money
More than 9.01 million yen
2.12 million yen
iIncome amount of money
9.01 million yen or less more than 6 million yen
1.41 million yen
CormorantIncome amount of money
6 million yen or less more than 2.1 million yen
670,000 yen
OhIncome amount of money
2.1 million yen or less
600,000 yen
oFamily nurturer and National Health Insurance member
All the members are residence tax tax exemption
340,000 yen

※Income amount of money is amount of money that subtracted 330,000 yen and the amount of carrying forward of basic deduction of net loss from total income amount of money.
In addition, amount of money to use for division judgment becomes net total of income amount of money of all the National Health Insurance members in household.
※Household which we cannot confirm income, and there is becomes a for ward.

About announcement of application encouragement

We send news of application encouragement every year about household which is more likely to be targeted for supply of major medical service, large amount care adding up medical expenses system in joining National Health Insurance, elderly aged 75 or over medical care to continue in Yokohama-shi, and to live until July in the next year from August (as for the National Health Insurance as for March, the elderly aged 75 or over medical care after May).
But notice of encouragement may not be shipped next about applicable household.

  • Between every year August and the next year end of July,
    • Where was moved to in Yokohama-shi from other municipalities
    • Person whom it was moved to in National Health Insurance, medical system for elder senior citizens by other medical insurance

About application procedure

  • About person joining Yokohama-shi National Health Insurance and elderly aged 75 or over medical care, we accept application in each ward office Insurance and Pension Division National Health Insurance Section.
  • When the employed insurance has self-burden of The Long-term Care Insurance in household to apply for, we will issue "self burden certificate" of The Long-term Care Insurance by each ward office Insurance and Pension Division National Health Insurance Section.

You attach "self-burden certificate" of The Long-term Care Insurance, and please apply to the employed insurance.

Thing which is necessary at the time of application


Self burden certificate which insurer who joined private seal (thing to use vermilion for), health insurance card (national health insurance card, elderly aged 75 or over Medical Certificate, social health insurance card), care health insurance card, bankbook before when insurer changed during thing to understand of transfer previous engagement seat number, calculation period issued
※In the case of application, medical care, receipt of care are not necessary.

Inquiry about procedure

Please refer to ward office Insurance and Pension Division National Health Insurance Section of ward to live.

List of references of each ward office Insurance and Pension Division National Health Insurance Section
Inquiry by emailPhone number
Tsurumi Ward Insurance and Pension Division National Health Insurance Section045-510-1810
Kanagawa Ward Insurance and Pension Division National Health Insurance Section045-411-7126
Nishi Ward Insurance and Pension Division National Health Insurance Section045-320-8427, 045-320-8428
Naka Ward Insurance and Pension Division National Health Insurance Section045-224-8317, 045-224-8318
Minami Ward Insurance and Pension Division National Health Insurance Section045-341-1128
Konan Ward Insurance and Pension Division National Health Insurance Section045-847-8423
Hodogaya Ward Insurance and Pension Division National Health Insurance Section045-334-6338
Asahi Ward Insurance and Pension Division National Health Insurance Section045-954-6138
Isogo Ward Insurance and Pension Division National Health Insurance Section045-750-2428
Kanazawa Ward Insurance and Pension Division National Health Insurance Section045-788-7838, 045-788-7839
Kohoku Ward Insurance and Pension Division National Health Insurance Section045-540-2351
Midori Ward Insurance and Pension Division National Health Insurance Section045-930-2344
Aoba Ward Insurance and Pension Division National Health Insurance Section045-978-2337
Tsuzuki Ward   Insurance and Pension Division National Health Insurance Section045-948-2336, 045-948-2337
Totsuka Ward Insurance and Pension Division National Health Insurance Section045-866-8450
Sakae Ward Insurance and Pension Division National Health Insurance Section045-894-8426
Izumi Ward Insurance and Pension Division National Health Insurance Section045-800-2425, 045-800-2426, 045-800-2427
Seya Ward Insurance and Pension Division National Health Insurance Section045-367-5727, 045-367-5728

Inquiry to this page

Health and Social Welfare Bureau life Welfare Division Insurance and Pension Division

Telephone: 045-671-2424

Telephone: 045-671-2424

Fax: 045-664-0403 (to ward office as for the inquiry about procedure mentioned above please contact)

E-Mail address [email protected]

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