medical expenses, who is over 70 years old

• medical expenses, who is over 70 years old

• Benefits for those over 70 years old

• About window burden ratio of person 70 years or older

From the month following the 70th birthday (from the current month if the birthday is 1st day) according to the household income situation (January to July is the previous year, August to December is the previous year), the window of medical institutions The burden ratio at is 20% or 30%.

※Households that meet all of the primary conditions have a self-pay ratio of "20%". （※２）

1. One household is 70 years or older who has taken out National Health Insurance, and that person is an active earner.
2. In same household, there are those who have transitioned from the National Health Insurance to the Medical System for the Elderly (limited to those who continue to belong to the same household from the date of transition to the Medical System for the Elderly).
3. 1.The total income of all those who are eligible for 2. is less than 5.2 million yen.

※2 This system is originally changed by the application of the insured person, but in Yokohama City, if the applicable conditions of those who are considered eligible can be confirmed, the burden is changed to 20% without application in principle.

At the end of the month of the 70th birthday (for those born on the 1st, the end of the month before the birthday month), you will be mailed the "Insured Card and Elderly Recipient Card". From the month following your birthday (for those born on the 1st, from the month of your birthday), please show your "Insured Card and Elderly Recipient Card" at the window of a medical institution.

If you are 70 years of age or older, you can only pay 20% or 30% of medical expenses by presenting your insured card and senior citizen card at the window of the hospital, clinics, etc. (limited to medical expenses for insurance medical treatment). In addition, there is an upper limit on the monthly co-payment. However, meals at the time of admission (standard amount) must be paid separately from medical expenses's out-of-pocket expenses.

• For mealsTo the page of dietary treatment at admission and living treatment at admission
• Regarding the co-payment limit for those aged 70 and over, please refer to the following:To the high medical expenses payment system

※For outpatients aged 70 or older (general and low-income individuals), if the total amount of outpatient co-payment for one year (from August to July of the following year) exceeds the annual limit (144,000 yen), the excess amount will be paid by employee health insurance as "high medical costs." The application method, etc. will be notified separately to those who apply.
※Households with those who cannot confirm their income will not be low income 1.

If a member over the age of 70 presents an insured person's card and an elderly recipient's card with a burden ratio of 30% at the window of the medical institution, 30% of the medical expenses for insurance medical treatment will be paid to the medical institution. It becomes. In this case, if you have a 20% out-of-pocket ratio retroactively, you can get a refund of the difference by applying to the ward office Insurance and Pension Division. However, it will take 3-4 months to get a refund.

<Required for Application>

• Identification of insured person and identification of elderly recipient
• Deposit passbook or transfer destination can be confirmed

※After 5 years of payment to the medical institution, the statute of limitations will expire and you will not be able to receive a refund. Please be careful.
※If you want to transfer money to an account other than the head of household, you need private seal (the name of the head of household using vermilion).

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