databutler.dev · /facts — every fact · Verified Facts protocol · /.well-known/facts.json · /changes
{"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}} JPY/month per household (formula or amount; multi_month = 4th and later month in 12; annual_cap = per year)
from 2027-08-01 · verified 2026-10-24 against the official source · next expected change 2027-08-01
（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％
jp/benefits/high-cost-medical-under-70-from-2027-08sha256:45ca22f125b1664fcfeeada6c947ed82fa3af2493889526f7021904cc48a57eedb-2026-10 — keyscurl -s https://databutler.dev/f/jp/benefits/high-cost-medical-under-70-from-2027-08?max_age=30d — schema; verify with npx verified-facts verify https://databutler.dev/f/jp/benefits/high-cost-medical-under-70-from-2027-08
{
"protocol": "verified-facts/0.3",
"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",
"changeCadence": "irregular",
"nextExpectedChange": "2027-08-01",
"sourceCheckedAt": "2026-11-02",
"status": "fresh",
"ageDays": 13,
"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/facts/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"
}
}