Proportion of Medical Expenses

The percentage of medical expenses that you pay out of pocket at the hospital varies by age.

Age-specific Self-burden Ratio

Before compulsory education (until the first March 31 after reaching the age of 6)

20% burden

Under 70 years old after entering elementary school

30% burden

Aged 70 and over but under 75

20% or 30% co-payment

Income Category	Burden Ratio	Applicable Standards
Active Income Earners 3 (Taxable Income of 6.9 million yen or more) Active Income Earners 2 (Taxable Income of 3.8 million yen or more) Active Income Earners 1 (Taxable Income of 1.45 million yen or more)	30%	Those who have a National Health Insurance beneficiary aged 70 to under 75 in the same household with taxable income of 1.45 million yen or more. However, if the total income of the applicable individuals is less than 5.2 million yen for two or more people, or less than 3.83 million yen for one person, the burden ratio will be the same as the "General" category when applying.
General (Taxable Income under 1.45 million yen)	20%	Individuals who do not fall under the categories of high-income earners, low-income earners 2, or low-income earners 1.
Low Income Group 2	20%	Household heads and National Health Insurance beneficiaries who are exempt from resident tax.
Low Income Person 1	20%	The head of the household and National Health Insurance insured persons are exempt from resident tax, and the income for each income category after deducting necessary expenses and deductions is 0 yen. (The public pension deduction amount is calculated as 806,700 yen)

A qualification confirmation document or qualification information notice will be issued to those who turn 70 years old.

For those who turn 70 years old, the percentage of Medical Expenses that you pay out of pocket will change starting from the month after your birthday (for those born on the 1st, it will change in that month). Since the out-of-pocket percentage is determined based on income, please remember to declare your income.
In the latter part of the month when you turn 70 years old (for those born on the 1st, in the latter part of the previous month), we will mail you a qualification confirmation document or qualification information notice that includes your burden ratio.

About Reduction and Exemption of Partial Payment

In cases where life becomes significantly difficult due to disasters or special circumstances, a portion of the burden fee may be reduced or exempted depending on the situation.