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Opinion, inquiry 0156-25-2142 asho2141@town.ashoro.hokkaido.jp

Medical system for elder senior citizens

Hokkaido elderly aged 75 or over interjurisdictional affiliation is system that come to-centered, and was founded newly of administration to build sustainable medical system that elderly person feels relieved as for the medical system for elder senior citizens for the future, and medical care is received.

When we take out medical system for elder senior citizens, we will withdraw from National Health Insurance or employed insurance that we took out by then and will join every individual. We return health insurance card which we used to each insurer and we show "identification of elderly aged 75 or over person insured" to medical institution and will receive medical act till then. It does not apply to person who is on welfare.

Person who is targeted for system

・One 75 years or older
※We become a target from 75-year-old birthday.

We explain system at window about one to join newly and, in Honcho, ask for necessary submission of documents.


・Person who received obstacle authorization above a certain level at 65 years old - 74 years old

※We become a target of qualification from application day.

 For more details, please consult with charge window.

・When we take out medical system for elder senior citizens, we withdraw from National Health Insurance or social insurance that we took out till then and will join in individuals.
・We return health insurance card which we used to each insurer and we show "identification of elderly aged 75 or over person insured" to medical institution and will receive payment till then.
・It does not apply to person who is on welfare.

Self-pay with medical institution

・It is 10% burden, but, in the one with income at the same level as active play, 30% is charged basically.
 We call person insured of elderly aged 75 or over medical care with more than 1,450,000 yen of residence tax taxable income "one with income at the same level as active play" in the same household. But 10% is charged when applicable one receives authorization next.   ・Household with less than 2,100,000 yen of net total of old proviso income                     (we apply to person insured born in after January 2, 1945 and person insured of the belonging household). 
・One where person insured is below 3,830,000 yen in sum of income of the person only in the case of one in the same household.
・One where person insured is below 5,200,000 yen in net total of income of person insured in the case of two people in the same household.

Contents of medical payment

Kind of payment We are received at such time To receive payment
Payment of medical treatment When we were treated for disease and injury We show identification of person insured with medical institution
(application is unnecessary)
Temporary nursing at home allowance for family medical expenses When we received temporary nursing at home service
Allowance for family medical expenses When we paid our own total amount of medical expenses out of necessity
Uninsured combination allowance for family medical expenses When we received offer of special sickroom by the choice of user
Hospitalization meal allowance for family medical expenses Meal charges when we were hospitalized We show identification of person insured with medical institution (person of residence tax tax exemption household needs application beforehand)
Hospitalization life allowance for family medical expenses Food expenses, residence costs when we were admitted to medical treatment bed
Allowance for family medical expenses When we paid our own total amount of medical expenses out of necessity To charge window
Application is necessary
Special allowance for family medical expenses When person who received grant of qualification was treated for disease and injury
Transportation costs When transportation was necessary by urgent hospitalization and changing hospital
Large amount allowance for family medical expenses When patient's share of medical expenses for a month became large
Funeral costs When person insured died and carried out funeral of the one
Large amount care adding up allowance for family medical expenses We refer to the following

Large amount of allowance for family medical expenses, meal charges when we were hospitalized

Target person Outpatient department Foreign + hospitalization In the case of general ward In the case of medical treatment bed
Meal charges Meal charges Residence costs

High rank (30%)

57,600 yen

80,100 yen
When it is more than
a total of 267,000 yen, we add 1% of sums that we exceeded

360 yen

※1

460 yen 320 yen
The public (10%) 14,000 yen ※3

57,600 yen

※2

Low-income person 2 8,000 yen 24,600 yen 210 yen 210 yen

90 days or more are 160 yen

Low-income person 1 15,000 yen 100 yen 130 yen

In the case of hospitalization of low-income person (residence tax tax exemption household), "ceiling application, standard burden reduction certificate" is necessary.
In Honcho, we mail to one authorized by past. Person authorized newly comes to need application.

※1: Designated intractable disease is 260 yen

※2: We correspond to supply of large amount of allowance for family medical expenses in household unit more than three times for the past 12 months, and, as for the self-pay ceiling, it is 44,400 yen when it is supply after the fourth.

※The ceiling of total foreign self-burdens on (from August 1 to next year July 31) is 144,000 yen a year at 3:1.

Large amount care adding up allowance for family medical expenses

When net totals of burden and care insurance service use burden of elderly aged 75 or over medical insurance that person insured of the same household paid a year exceeded the ceiling, we are provided with sum that we exceeded as large amount care adding up allowance for family medical expenses.
Application to government office window is necessary, but we extract applicable person here beforehand and send document of application encouragement.

Division The ceiling
Income earner at the same level as active play 670,000 yen
The public 560,000 yen
One not to correspond to in townsman tax tax exemption household as follows 310,000 yen
Townsman tax tax exemption household which receives one with less than 800,000 yen of pension receipt total sum and old-age welfare pension in one 190,000 yen

Rule of elderly aged 75 or over medical care premium

Public money (country, way, the municipalities) is premium that 50%, money of elderly aged 75 or over support (expenditure from premium of young fellow) have people insured put 40%, remainder 10%, and, in expenses to affect elderly aged 75 or over medical care, the system is such that we bear.
Each person insured pays premium. As a general rule, one that was support of health insurance of the workplace will pay premium until now.
Each one will pay depending on burden ability fairly, and premium is comprised of "per capita rate" and "income percent" and performs review every two years.


Insurance rate

  2012, 2013 2014, 2015 2016, 2017
Per capita rate 47,709 yen 51,472 yen 49,809 yen
Income percent 10.61% 10.52% 10.51%

Reduction depending on income is applied
As for the low income, per capita rate is reduced.

Household (person insured and family nurturer) with gross income amount of money less than following amount of money Reduction ratio 2016 2017
The amount of per capita rate The amount of per capita rate
One where all 330,000 yen and the people insured are pension income 800,000 yen or less, and there is not other income 90% reduction 4,980 yen 4,980 yen
330,000 yen 8.5 percent reduction 7,471 yen 7,471 yen

330,000 yen + (the number of the people insured of 270,000 yen X household) ※1

50% reduction 24,904 yen 24,904 yen
330,000 yen + (the number of the people insured of 490,000 yen X household) ※2 20% reduction 39,847 yen 39,847 yen

※ After having added up the amount of per capita rate and the amount of income percent by calculation of premium, we cut off fraction less than 100 yen

※1 2016: 330,000 yen + (the number of the people insured of 265,000 yen X household)

※2 2016: 330,000 yen + (the number of the people insured of 480,000 yen X household)

 

keigen* to job who was dependents such as health insurance

When we took out this system, as for the (association kempo, various mutual aid) who was dependent such as social insurance, the amount of per capita rate is reduced.
In 2017, it is reduced 70% the amount of per capita rate, and annual premium is 14,942 yen.

Reduction of National Health Insurance tax from National Health Insurance household to one transferred to medical system for elder senior citizens

As burdens of National Health Insurance tax of person taking out National Health Insurance do not increase suddenly, with the foundation of elderly aged 75 or over medical care, we are reduced.
1.(reduction about low income)
If constitution and income of household do not change even if National Health Insurance person insured of household decreases in the household receiving reduction of National Health Insurance tax by one 75 years or older shifting to medical system for elder senior citizens with the medical system for elder senior citizens foundation, we can receive the same reduction for five years when until now.

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2.(alone reduction for household)
When we become (alone household) one National Health Insurance member by one 75 years or older shifting to medical system for elder senior citizens with the medical system for elder senior citizens foundation, household percent becomes at half price for five years.

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Reduction for dependent of employed insurance

When dependent who is the dependent (65 years old - 74 years old) will join National Health Insurance newly by one 75 years or older switching over from employed insurance such as health insurance of company to medical system for elder senior citizens with the medical system for elder senior citizens foundation, it becomes at half price about total amount exemption, per capita rate, equality percent about income percent, assets percent.

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※Employed insurance is insurance such as health insurance union, cooperative association of health insurance and company of government management, and National Health Insurance Association does not correspond.

About reduction of taxes

Life is remarkably poor by time and other special circumstances that suffered serious damage by disasters, and it applies after the consultation about difficult at charge window to put premium and can receive measures such as reduction of taxes when we receive authorization in interjurisdictional affiliation.

End of premium

・Special collection
In payment of pension month (six times a year), elderly aged 75 or over medical care premium is deducted from pension.
In (April, June, August), premium that was temporarily calculated is collected until annual premium is settled. (the temporary collection)
※Sum deducted in February is collected for premium of August in April, June.
We divide sum that deducted sum that we collected from the amount of annual premium that we established provisionally into three times and, after October, will collect.
(this collection)
The amount of premium after October after annual premium after October was settled
When there are fewer annual premiums that we established than sum collected provisionally, it returns share that we put too much.

・The normal collection

Person with less than 180,000 yen a year in amount of pension receipt or net total with care premium will put by delivery letter of advice (payment notice) sent about amount of pension more than a half in July by town.
We divide into eight sittings until February in the next year from July and, in the case of Honcho, put like National Health Insurance tax.

・Change of payment method

About end of premium, we can switch from special collection (deduction from pension) to fund transfer.
In doing so, procedure to have you report and submit to financial institution in hope of book and fund transfer request book to stop deduction from pension is necessary.
Government office insurance person in charge has proposal book to stop deduction from pension.
There is fund transfer request book in each window of financial institution (Hokkaido Bank Ashoro Branch, Obihiro Shinkin Bank Ashoro Branch, Japan Post Bank, Ashoro-cho agricultural cooperative).
Please refer to government office insurance charge for one becoming pension deduction now.
In the case of final income tax return, we become a target of social insurance deduction.
When we put from deduction from pension or account, it becomes targeted for subtraction of the person.
When we put from account except the person, we become a target of subtraction of person who paid by fund transfer.

Must you pay premium?

When special reason is behind with premium to cry, short health insurance card (identification of short-term person insured) of validity is issued than normal health insurance card.
In addition, when nonpayment continues more than one year, we have you return health insurance card, and qualification will be issued. We hang over medical institution in qualification
At time, we pay our own medical expenses in full (95%) once, and procedure to have you provide with frame except self-burden by application later is necessary.

About medical checkup

In Honcho, we can receive medical checkup for elderly aged 75 or over by group medical examination to carry out in townsman center. Medical examination charges are free (as they do not make a contract with medical institution in the town block, they cannot have a medical examination).
 

For more details, please see that as we publicize by residents' association circulation.
※Consultation ticket is sent to National Health Insurance person insured, but does not issue consultation ticket for medical checkup of elderly aged 75 or over.