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Table 1 The amounts of catastrophic coverage

From: Impact of the 2014 coinsurance rate revision for the elderly on healthcare resource utilization in Japan

 

Average annual income

Catastrophic coverage: maximum out-of-pocket expenditure per month (yen)

Aged under 70 years

Over approximately 11,600,000 yen

252,600 + (medical expenditure – 842,000) × 1%

 

About 7,700,000 to 11,600,000 yen

167,400 + (medical expenditure – 558,000) ×1%

 

About 3,700,000 to 7,700,000 yen

80,100 + (medical expenditure – 267,000) ×  1%

 

Under approximately 3,760,000 yen

57,600

 

Exempted from residence tax

35,400

 

Income levels

Outpatient

Inpatient

Aged 70 to 74 years

High income

(Comparable to current workforce)

44,400

80,100 + (medical expenditure −267,000) × 1%

 

Regular income

12,000

44,400

 

Low income II

(Exempt from residence tax)

8000

24,600

 

Low income I

(Particularly low income)

15,000