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

The last update date:

When the totals of self burden for one year (from August 1 to next year July 31) exceed limit (list shown below) using both medical insurance and care insurance about person taking out the same medical insurance in household, sum that we exceeded is refunded.

Only for application of 2009, we can choose either from (2) April 1, 2008 to July 31, 2009 (for 16 months) among (1) August 1, 2008 on July 31, 2009 (for 12 months) during calculation period.

 

 

■Self-pay limit (annual sum)

We calculate each in National Health Insurance, health insurance of the workplace, elderly aged 75 or over medical insurance in the same household.

 

[elderly aged 75 or over medical insurance + care insurance]

Division
(burden ratio of identification of person insured)

75 years or older
(65 years or older with constant obstacle)

30%

670,000 yen (890,000 yen)

10%: Household where municipal tax is imposed

560,000 yen (750,000 yen)

10%: Household where municipal tax is not imposed

310,000 yen (410,000 yen)

10%: Household where municipal tax is not imposed
(household with a few incomes in particular)

190,000 yen (250,000 yen)

※() Inner ha, calculation period are limits in case of share for 16 months

 

[National Health Insurance or health insurance + care insurance of the workplace]

As for the medical expenses of people under 70, only self-burdens 21,000 yen or more become a target of adding up with each medical institution for one month.

Division

Under 70 years old

Household with many incomes in particular

1.26 million yen (1.68 million yen)

Household where municipal tax is imposed

670,000 yen (890,000 yen)

Household where municipal tax is not imposed

340,000 yen (450,000 yen)

 

Division
(burden ratio of identification of old recipient)

Under 70 years or older 75 years old

30%

670,000 yen (890,000 yen)

10%: Household where municipal tax is imposed

560,000 yen (750,000 yen)

10%: Household where municipal tax is not imposed

310,000 yen (410,000 yen)

10%: Household where municipal tax is not imposed
(household with a few incomes in particular)

190,000 yen (250,000 yen)

※() Inner ha, calculation period are limits in case of share for 16 months

 

■Application method

Application becomes window of medical insurance that we took out in basic date (principle July 31).

In people who took out National Health Insurance or elderly aged 75 or over medical insurance in basic date, we will tell person insured targeted for supply from each medical care insurer in around January, 2010.

If notification of news arrives, please apply to the following window.

But, to person corresponding to next (1) or (2), it may not be possible for announcement of becoming a target of application. Between April 1, 2008 and July 31, 2009

  1. Person who moved into from other municipalities
  2. Person whom medical insurance system that we took out turned into

 

■Reference

Tagawa-shi insurance section

Person in charge of National Health Insurance (extension 116.117)

Person in charge of elderly person insurance (extension 113.114)

Person in charge of care insurance (extension 140.141)

〒825-8501 1-1, Chuomachi, Tagawa-shi, Fukuoka

TEL: 0947-44-2000 FAX: 0947-47-1324

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Tagawa-shi government office
〒825-8501  1-1, Chuomachi, Tagawa-shi, Fukuoka   Tel: 0947-44-2000 (main)   Fax: 0947-46-0124  
[open agency time] From 8:30 a.m. to 5:00 p.m. (except Saturdays, Sundays and holidays, New Year holidays)
※Only citizen's section window (various certificate issuance) extends every Thursday at time until 7:00 p.m.
Copyright (C) City of Tagawa

Tagawa-shi government office

〒825-8501
1-1, Chuomachi, Tagawa-shi, Fukuoka
Tel: 0947-44-2000 (main)
Copyright (C) City of Tagawa