Please tell me about the expenses that a National Health Insurance policyholder must pay when hospitalized.
Update date: February 7, 2020
The cost burden for hospitalization for National Health Insurance subscribers is as follows.
For details, please see the related pages below.
- medical expenses
30% of health insurance coverage. However, children who have not yet entered compulsory education will pay 20%, and those aged 70 and over will pay the proportion indicated on the Elderly Beneficiary Certificate.
In addition to insurance coverage, you may also have to pay your own expenses (document fees, bed charges, etc.). Out-of-pocket expenses are not covered by High-Cost Medical Care Benefits.
→ High-Cost Medical Expenses <br id="5"/>When the co-payment of medical expenses becomes high within the same month, if the application is approved, the co-payment amount (depending on age and income) will be exceeded. The amount will be paid as High-Cost Medical Care Benefits.
In addition, we will send an application form for high-cost medical expenses to the head of the household about three months after receiving medical treatment.
→ Certificate of eligibility for ceiling amount , etc.<br id="10"/>If you show the certificate at the counter of a medical institution, your monthly medical expenses will become high. However, the amount to be paid to each medical institution will be up to the self-pay limit for each household.
In addition, if there is unpaid insurance tax, the ceiling application certificate may not be issued.
For meals during hospitalization, the insured person will bear the standard cost. The standard burden is 460 yen per meal. If you are a household exempt from residence tax, the standard burden amount will be reduced if you apply in advance.
Inquiries about this page
Inagi City Citizens Department Insurance and Pension Division
2111 Higashi-Naganuma, Inagi-shi, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781