total medical care system expensive expensive accepting applications has been initiated

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Upper limit annual 670,000 Yen of individual payment summing up

When the amount which with the public medical system and the public nursing system, provides individual payment limit amount in the amount which is paid to medical care and nursing respectively with income, exceeds that is paid, there is a system which provides the amount which exceeds individual payment limit amount.As for medical care “large amount medical treatment expense”, as for nursing you call “large amount nursing service expense”.The individual payment limit which as for the person who receives nursing service from nursing insurance is many also the fact that it depends on the medical institution, passes through year the present catches as a heavy burden in housekeeping expenses.Then, the upper limit was provided in individual payment total amount of medical expense and the nursing expense which are borne in 1 years August 1st – July 31st.That is the “large amount medical large amount nursing summing up system”.You started in 2008 April, application acceptance was started from August 1st of 21.

With this system, there is both burden of medical insurance and nursing insurance concerning the member of identical medical insurance (health insurance, national health insurance and senior citizen medical system etc) inside household, when the individual payment total amount exceeds one fixed amount, the amount which it exceeds with application is provided.Individual payment limit amount of the “large amount medical large amount nursing summing up system” is as follows.

2009 November Onuma drew up.

Household division is as follows.

2009 November Onuma drew up.

calculation procedure

procedure for the calculation of the amount paid is as follows:.

  1. amount of medical expenses was borne by the year=1medical expenses of the year (minutes only apply to insurance) -1the total grant amount of high-cost medical care of the year · (there)
  2. 1copayment care costs were borne by the year=1total annual cost of nursing care (minutes only apply to insurance) -1the total amount paid high costs of care services · year (i)
  3. (there) + (i) > the maximum amount borne by (the table on the previous page) +500yen

  • 70household over the age of the general classification: (there) 53ten thousand280yen (i) 44ten thousand6400yen
  • if you do not use a combined system 1total annual burden of self-97ten thousand9200yen
  • with the combined system 1total annual burden of self-56million yen (about42reduce the burden million yen)

flow from application to payment

this system is, from both the long-term care insurance and medical insurance, is a mechanism will be paid in accordance with the ratio of copayment. therefore, must apply to the office of both long-term care insurance and medical insurance are enrolled in. can get a bit cumbersome.

application procedure is as follows:.

  1. apply at the office of municipal. long-term care insurance copayment certificate be issued by.
  2. the maximum amount borne by long-term care insurance certificate to apply for a medical insurer and attach the.
  3. the amount paid from the long-term care insurance and medical insurance will be determined.
  4. medical insurance, long-term care insurance will be paid from each.

it should be noted, by municipalities, medical system for the elderly subscribers subscribers and late of the national health insurance medical insurance at the counter of a place, you can apply for both long-term care insurance.

i live in the city, in public relations heisei22years1around, of interest paid to insured, more information about the application to send the payment so, please apply at the counter of insurance and pension section and is calling. 40have you started is close to those who use care services in public over the age, will try to check how.