{
 "protocol": "verified-facts/0.2",
 "key": "jp/benefits/high-cost-medical-under-70-from-2027-08",
 "label": "High-cost medical expense benefit: monthly ceiling and annual cap, under 70, 13 income bands (care from August 2027)",
 "value": {
  "over_16.5m": {
   "formula": "342,000円＋(医療費－1,140,000)×1%",
   "multi_month": 140100,
   "annual_cap": 1680000,
   "band": "標報127万円以上"
  },
  "14.1m_to_16.5m": {
   "formula": "303,000円＋(医療費－1,010,000)×1%",
   "multi_month": 140100,
   "annual_cap": 1680000,
   "band": "標報103万～121万円"
  },
  "11.6m_to_14.1m": {
   "formula": "270,300円＋(医療費－901,000)×1%",
   "multi_month": 140100,
   "annual_cap": 1680000,
   "band": "標報83万～98万円"
  },
  "10.4m_to_11.6m": {
   "formula": "209,400円＋(医療費－698,000)×1%",
   "multi_month": 93000,
   "annual_cap": 1110000,
   "band": "標報71万～79万円"
  },
  "9.5m_to_10.4m": {
   "formula": "194,400円＋(医療費－648,000)×1%",
   "multi_month": 93000,
   "annual_cap": 1110000,
   "band": "標報62万～68万円"
  },
  "7.7m_to_9.5m": {
   "formula": "179,100円＋(医療費－597,000)×1%",
   "multi_month": 93000,
   "annual_cap": 1110000,
   "band": "標報53万～59万円"
  },
  "6.5m_to_7.7m": {
   "formula": "110,400円＋(医療費－368,000)×1%",
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報44万～50万円"
  },
  "5.1m_to_6.5m": {
   "formula": "98,100円＋(医療費－327,000)×1%",
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報36万～41万円"
  },
  "3.7m_to_5.1m": {
   "formula": "85,800円＋(医療費－286,000)×1%",
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報28万～34万円"
  },
  "2.6m_to_3.7m": {
   "amount": 69600,
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報20万～26万円"
  },
  "2.0m_to_2.6m": {
   "amount": 65400,
   "multi_month": 44400,
   "annual_cap": 530000,
   "band": "標報16万～19万円"
  },
  "under_2.0m": {
   "amount": 61500,
   "multi_month": 34500,
   "annual_cap": 410000,
   "band": "標報15万円以下"
  },
  "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": "2027-08-01",
 "effectiveTo": null,
 "source": "https://www.mhlw.go.jp/content/001726232.pdf",
 "quote": "（令和９年８月～） 約1,650万円 ～ 127万円以上 342,000 ＋（医療費－1,140,000）× 1％",
 "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": "sha256:45ca22f125b1664fcfeeada6c947ed82fa3af2493889526f7021904cc48a57ee",
 "signature": {
  "alg": "EdDSA",
  "kid": "db-2026-10",
  "jws": "eyJhbGciOiJFZERTQSIsImtpZCI6ImRiLTIwMjYtMTAifQ..ki36BJt-a9GIO4DWVM166jrEas4sDRNrcDNVWDxL-HHuXy5QbCfLDjLXfEtP1WlR0B54Qqm-Xq8YrUYqjOCbCg",
  "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-2027-08",
  "text": "databutler.dev, verified 2026-10-24 against https://www.mhlw.go.jp/content/001726232.pdf"
 }
}