{
  "ids": {
    "program": "6RHREMZE93RGS4Q53BG7CZW4CE",
    "edition": "7V7077GNTM2Z5JFYGSNJEZYCJE"
  },
  "summary": {
    "publicId": "11hd4raq",
    "name": "高額医療・高額介護合算療養費",
    "kind": "benefit",
    "level": "city",
    "issuerName": "荒川区",
    "scopeAreaCode": "13118",
    "fiscalYear": 2026,
    "applicationStart": null,
    "applicationEnd": null,
    "applyTiming": null,
    "reception": "unknown",
    "isStale": false,
    "lastVerifiedAt": "2026-10-13T23:26:45Z",
    "capYen": null,
    "officialUrl": "https://www.city.arakawa.tokyo.jp/a031/kenkouhoken/koukikoureisha/kouki2.html"
  },
  "edition": {
    "fiscalYear": 2026,
    "applicationPeriodText": null,
    "requiresPreRegistration": null,
    "requiresAgentApplication": null,
    "combinableWithNational": null,
    "combinableNote": null,
    "contactDept": "福祉部国保年金課後期高齢者医療係",
    "contactPhone": "03-3802-4148",
    "summary": "1年間（毎年8月から翌年7月）の後期高齢者医療制度の自己負担額と介護保険の利用者負担額の世帯での合算額が、世帯の自己負担限度額を超えた場合（500円以下は支給対象外）は、申請により超えた額を後期高齢者医療制度と介護保険のそれぞれから支給します。",
    "visibleFields": [
      "contact_dept",
      "contact_phone",
      "summary"
    ]
  },
  "benefitRules": [],
  "eligibilityRules": [],
  "steps": [
    {
      "stepNo": 1,
      "title": "支給が見込まれる方には、毎年3月頃に東京都後期高齢者医療広域連合から申請書を送付します。",
      "body": null,
      "deadlineText": null
    },
    {
      "stepNo": 2,
      "title": "前年に申請した方も改めて申請が必要です。",
      "body": null,
      "deadlineText": null
    }
  ],
  "requiredDocs": [],
  "documents": [],
  "changes": [
    {
      "occurredAt": "2026-11-01T01:04:57Z",
      "changeType": "new",
      "summary": "新しい制度：高額医療・高額介護合算療養費",
      "programPublicId": "11hd4raq",
      "programName": "高額医療・高額介護合算療養費",
      "issuerName": "荒川区",
      "scopeAreaCode": "13118"
    }
  ],
  "topics": [
    "hoken-kyufu"
  ]
}