{
 "protocol": "verified-facts/0.2",
 "key": "jp/benefits/high-cost-medical-under-70",
 "label": "High-cost medical expense benefit: monthly out-of-pocket ceiling per household, under 70, by income band (care until July 2026)",
 "value": {
  "a_over_11.6m": {
   "formula": "252,600円＋(医療費－842,000)×1%",
   "multi_month": 140100,
   "band": "年収約1,160万円～ 標報83万円以上/旧ただし書き所得901万円超"
  },
  "b_7.7m_to_11.6m": {
   "formula": "167,400円＋(医療費－558,000)×1%",
   "multi_month": 93000,
   "band": "標報53万～79万円/旧ただし書き所得600万～901万円"
  },
  "c_3.7m_to_7.7m": {
   "formula": "80,100円＋(医療費－267,000)×1%",
   "multi_month": 44400,
   "band": "標報28万～50万円/旧ただし書き所得210万～600万円"
  },
  "d_under_3.7m": {
   "amount": 57600,
   "multi_month": 44400,
   "band": "標報26万円以下/旧ただし書き所得210万円以下"
  },
  "e_resident_tax_exempt": {
   "amount": 35400,
   "multi_month": 24600
  }
 },
 "unit": "JPY/month per household (formula or amount; multi_month = 4th and later month in 12; annual_cap = per year)",
 "period": null,
 "effectiveFrom": "2018-08-01",
 "effectiveTo": "2026-07-31",
 "source": "https://www.mhlw.go.jp/content/000333280.pdf",
 "quote": "ア 252,600円＋(医療費－842,000)×１% … エ 57,600円 オ 住民税非課税者 35,400円",
 "verifiedDate": "2026-10-24",
 "nextScheduledRefresh": "2026-11-28",
 "status": "fresh",
 "ageDays": 1,
 "maxAgeDays": null,
 "scope": "児童手当 amounts from 令和6年10月分 (no income limit; paid in even months for the previous two months). 出産育児一時金 from April 2023. 高額療養費 for patients under 70: the table for care up to July 2026, the August 2026 – July 2027 table with the new 年間上限, and the 13-band table from August 2027 (健保 bands by 標準報酬月額; 国保 by 旧ただし書き所得 — see the PDF). 70歳以上 tables are not included.",
 "hash": "sha256:a3accdc6f9791128862a757f9291ee0d4d29bba6861d04893c8029725b89b085",
 "signature": {
  "alg": "EdDSA",
  "kid": "db-2026-10",
  "jws": "eyJhbGciOiJFZERTQSIsImtpZCI6ImRiLTIwMjYtMTAifQ..IT5aOHOAB61-8WAhmAv5HiK0gJMbOgRhb9cxHkTEuzaZWvktXYbrc1lubRpr9RKSb0skNiNXjO5XMEzCJWkaDA",
  "keys": "https://databutler.dev/.well-known/jwks.json"
 },
 "publisher": {
  "name": "Data Butler",
  "url": "https://databutler.dev/"
 },
 "cite": {
  "url": "https://databutler.dev/f/jp/benefits/high-cost-medical-under-70",
  "text": "databutler.dev, verified 2026-10-24 against https://www.mhlw.go.jp/content/000333280.pdf"
 }
}