About burden ratio
Updated: December 2, 2024
The proportion of medical expenses you pay at the hospital will vary depending on your age.
Self-pay rate by age
Pre-compulsory education (until the first March 31 after reaching the age of 6)
20% burden
Under 70 after entering elementary school
30% burden
Over 70 and under 75
20% or 30% burden Note: Those who turned 70 by April 1, 2014 will have to pay 10% or 30% of the burden due to special measures.
| income category | burden ratio | Applicable criteria |
|---|---|---|
| Income equivalent to working income 3 (taxable income of 6.9 million yen or more) Income equivalent to working income 2 (taxable income of 3.8 million yen or more) Income equivalent to working income 1 (taxable income 1,450,000 yen or more) |
30% | National Health Insurance insured persons between the ages of 70 and 75 with residence tax taxable income of 1,450,000 yen or more in the same household including). However, if the total income of the applicable person is less than 5.2 million yen for 2 or more people, and less than 3.83 million yen for 1 person, the burden ratio will be the same as the "general" category. |
| General (taxable income less than 1,450,000 yen) | 20% | Those who do not fall under income earners above a certain amount, low income earners 2, or low income earners 1. |
| low income 2 | 20% | The head of household and the insured person of National Health Insurance are exempt from residence tax. |
| low income 1 | 20% | The head of the household and the insured person of the National Health Insurance are exempt from residence tax, and their income after deducting necessary expenses and deductions for each income category is 0 yen. (Public pension deduction is calculated at 800,000 yen) |
If you turn 70 years old, you will be issued a certificate of eligibility or a notice of eligibility information.
If you turn 70 years old, the self-pay percentage for medical expenses you pay at hospitals will change from the month following your birthday (or the month for those born on the 1st). Your self-pay percentage will be determined based on your income, so don't forget to declare your income.
At the end of the month in which you turn 70 years old (or at the end of the previous month for those born on the 1st), you will be sent a confirmation of eligibility or a notice of eligibility information with your share of the burden. After December 2, 2024, no new Elderly Beneficiary Certificates will be issued.
Elderly beneficiary certificates issued by December 1, 2024 can be used until their expiration date. In July 2025, we plan to send you a confirmation of eligibility or a notice of eligibility information by mail, which will state the burden ratio from August 1, 2025 onwards.
About reduction/exemption of co-payment
If life becomes extremely difficult due to a disaster or special circumstances, co-payments may be reduced or waived depending on the circumstances.
Inquiries regarding this page
Inagi City Citizens Department Insurance and Pension Division
2111 Higashi-Naganuma, Inagi-shi, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781
