{
 "protocol": "verified-facts/0.2",
 "key": "jp/benefits/high-cost-medical-under-70-from-2026-08",
 "label": "High-cost medical expense benefit: monthly ceiling and new annual cap, under 70, by income band (care from August 2026 to July 2027)",
 "value": {
  "over_11.6m": {
   "formula": "270,300円＋(医療費－901,000)×1%",
   "multi_month": 140100,
   "annual_cap": 1680000,
   "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"
  },
  "7.7m_to_11.6m": {
   "formula": "179,100円＋(医療費－597,000)×1%",
   "multi_month": 93000,
   "annual_cap": 1110000,
   "band": "標報53万～79万円/600万～901万円"
  },
  "3.7m_to_7.7m": {
   "formula": "85,800円＋(医療費－286,000)×1%",
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報28万～50万円/210万～600万円"
  },
  "under_3.7m": {
   "amount": 61500,
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報26万円以下/210万円以下（年収約200万円未満と確認できた者は年間上限41万円）"
  },
  "resident_tax_exempt": {
   "amount": 36900,
   "multi_month": 24600,
   "annual_cap": 290000
  }
 },
 "unit": "JPY/month per household (formula or amount; multi_month = 4th and later month in 12; annual_cap = per year)",
 "period": null,
 "effectiveFrom": "2026-08-01",
 "effectiveTo": "2027-07-31",
 "source": "https://www.mhlw.go.jp/content/001726232.pdf",
 "quote": "70歳未満 270,300 ＋（医療費－901,000）× 1％ ＜140,100＞ 1,680,000 … 住民税非課税 36,900",
 "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:a8563159857a31985fbbd3dfbe51e37ff5ca1b71a5d94a70163b5e879c90859d",
 "signature": {
  "alg": "EdDSA",
  "kid": "db-2026-10",
  "jws": "eyJhbGciOiJFZERTQSIsImtpZCI6ImRiLTIwMjYtMTAifQ..cvD3JpmZWtbhPkLB6hu46ZM4Gc674wlMqg5536WCFq6j2hBSbhSC1n-gWFnwT_u69KtLVMk2K99MFhTa545zBw",
  "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-from-2026-08",
  "text": "databutler.dev, verified 2026-10-24 against https://www.mhlw.go.jp/content/001726232.pdf"
 }
}