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When an individual aged 65-74 is hospitalized at a convalescent facility  |
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When an individual aged 65-74 is hospitalized at a convalescent facility, the patient must cover the standard personal cost burden for living expenses. The Health Insurance Society will pay amounts in excess of the standard personal cost burden as inpatient living expenses. The standard personal cost burden is 460 yen/meal up to three meals/day for meal expenses and 370 yen/day for accommodation expenses.
However, as with long-term care, insurance measures are available
to reduce the personal cost burdens of low-income earners, depending
on their income status. In addition, the burden corresponding
to meal expenses is reduced for patients who remain in high need
of hospitalization, such as patients suffering from an intractable
disease or spinal cord injury, and for patients hospitalized
in rehabilitation facilities. |
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 Standard
personal cost burden for living expenses
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Meal expenses: these correspond to food costs and preparation
costs |
460 yen per meal |
Accommodation expenses: these
correspond to utility charges |
370 yen per day |
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Some medical institutions require payment of 420 yen per
meal for meal expenses, depending
on the system they use for providing meals.
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The standard personal cost burden for living expenses
is the same for insured persons and their dependents. The
system for covering high-cost medical care benefits does
not apply to this personal cost burden.
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Benefits for living expenses of hospitalized dependents
are paid as dependents' care expenses. |
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For patients with designated intractable diseases, the copayment for meal expenses is 260 yen, while the copayment for accommodation expenses is 0 yen.
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Measures
to reduce personal cost burdens depending on income
status
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Persons with low income less than 70 years of age *1
Persons with low income II *2 |
Those with low degrees of medical necessity (Medical Care Category I) |
Meal expenses: 210 yen per meal
Accommodation expenses:
370 yen per day |
Those with high degrees of medical necessity (Medical Care Categories II or III) |
Meal expenses: 210 yen/meal
Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases) |
| Low-income I *3 |
Those with low degrees of medical necessity (Medical Care Category I) |
Meal expenses: 130 yen per meal
Accommodation expenses:
370 yen per day |
| Those with high degrees of medical necessity (Medical Care Categories II or III) |
Meal expenses: 100 yen/meal
Accommodation expenses: 370 yen/day (0 yen for patients with designated intractable diseases) |
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*1: |
Ex.: Persons with low income refer to insured persons and dependents exempted from municipal tax or to insured persons and dependents who do not require public assistance if they are approved as eligible for measures for reducing cost burdens for persons with low income. |
*2: |
Ex.: Persons aged 70-74 who are insured persons and dependents, and exempt from paying municipal tax |
*3: |
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Ex.: Persons aged 70 or above in households whose insured persons and dependents are all exempt from paying municipal tax and whose incomes meet certain standards (e.g., annual pension income of no more than 800,000 yen) |
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Measures
to reduce personal cost burdens depending on degree
of medical condition and content of treatment
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Patients who remain in high need of hospitalization,
such as patients suffering from an intractable
disease or spinal cord injury
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Patients hospitalized in rehabilitation facilities
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These patients are required to pay only the
burden corresponding to meal expenses, at the same amount
as Inpatient meal standard expenses.
* See here for details. >> "Meal
service while you are hospitalized"
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What are medical treatment facilities? |
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