Social insurance system medical care
health insurance | The insurance
"Health insurance"
* Government management health insurance (an underwriter): Social
Insurance Agency)
An object: A medium and small-sized business employee
* Association management health insurance (an underwriter): Health
insurance union)
The establishment: I can establish the independent union of the
corporation more than one corporation, similar same profession 2
"Payment"
* Benefit in kind: Medical care itself
* Cash payment: Treatment costs individual payment: It is 30% with
a person insured, the person supported
Person supported 20% under 3 years old
More than 70 years old with a person insured, a person supported
10% (30%): Income earner) (the 10% application pivot) at the same
level as active play more than taxable income amount of money 1,450,000
yen: Under and household 3,830,000 are less than it alone couple
household 5,200,000)
* A person supported standard: Under 50% of the income of under
yearly income 1,300,000 (over-sixties or handicapped person 1,800,000)
and the person insured
(1) Illness
The payment of the medical treatment(Family allowance for family
medical expenses)
Allowance for family medical expenses(Family allowance for family
medical expenses)
Combination allowance for family medical expenses out of insurance(Family
allowance for family medical expenses)
* Evaluation medical treatment: The medical treatment that I used
a high medical technology for(The Labor Minister establishes it)
* Choice medical treatment: A special sickroom offer, the medical
treatment large amount allowance for family medical expenses that,
in addition, the Labor Minister establishes of the person insured
choice: Payment when a self-burden exceeded a constant sum for one
month
* A large amount allowance for family medical expenses loan
system(Large allowance for family medical expenses provision possibility
sum less than 80-90%, no interest)
* The individual payment ceiling: An amount of money to pay
to one medical institution in January(The adding up of plural medical
institutions is impossible)
Meal charges, the bed charges do not include it
* It is individual payment ceiling reduction compensation for
injuries and diseases from same household 1 3 times a year, the
fourth: An allowance for injuries and diseases(It is 1 year 6 months
for provision, standard pay day's sum two-thirds, a period from
suspension of business, the fourth day more than person insured
object, four days)
(2) Delivery / the death
Delivery
A delivery child care lump sum: 350,000 per one child
* The person insured delivery of the person insured is referred
to a family delivery child care lump sum
* After resignation (work more than one year) within six months
in the case of the delivery a delivery child care lump sum a provision
delivery allowance, Two-thirds of the standard pay day's sum
The death
50,000 family burials charges are provided with the provision person
supported death 50,000 burials charges the burial charges burial
costs (family burial costs) person insured death uniformly uniformly
"Resignation"
An arbitrary continuation person insured
* It is limitation, a premium total amount individual burden after
resignation for two years
* I apply to less than 20 from a resignation (the qualification
loss) day
* There be person insured periods more than continuation two months
until a day before a resignation (the qualification loss) day
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