{
  "ids": {
    "program": "75B4T3F6W3JH54N5FV7TSY0GS9",
    "edition": "26TPYZK3F6TDH339ZCBMT5Z365"
  },
  "summary": {
    "publicId": "m38ejm16",
    "name": "高額療養費",
    "kind": "benefit",
    "level": "city",
    "issuerName": "浜松市",
    "scopeAreaCode": "22130",
    "fiscalYear": 2026,
    "applicationStart": null,
    "applicationEnd": null,
    "applyTiming": "after_completion",
    "reception": "unknown",
    "isStale": false,
    "lastVerifiedAt": "2026-10-13T23:39:44Z",
    "capYen": 2120000,
    "officialUrl": "https://www.city.hamamatsu.shizuoka.jp/kokuho/kokuho_nenkin/kokuho/kyufu.html"
  },
  "edition": {
    "fiscalYear": 2026,
    "applicationPeriodText": null,
    "requiresPreRegistration": null,
    "requiresAgentApplication": null,
    "combinableWithNational": null,
    "combinableNote": null,
    "contactDept": "国保給付担当",
    "contactPhone": null,
    "summary": "医療費が高額になった世帯に介護保険の受給者がいる場合、国保と介護保険の限度額をそれぞれ適用後に自己負担の年額を合算して、定められた限度額を超えた場合に、超えた分が「高額介護合算療養費」として支給されます。",
    "visibleFields": [
      "apply_timing",
      "contact_dept",
      "summary"
    ]
  },
  "benefitRules": [
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 2120000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "ア",
      "sourceQuote": "限度額\n212万円\nア"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 1410000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "イ",
      "sourceQuote": "限度額\n141万円\nイ"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 670000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "ウ",
      "sourceQuote": "限度額\n67万円\nウ"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 600000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "エ",
      "sourceQuote": "限度額\n60万円\nエ"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 340000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "オ",
      "sourceQuote": "限度額\n34万円\nオ"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 2120000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "現役並みIII",
      "sourceQuote": "限度額\n212万円\n現役並みIII"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 1410000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "現役並みII",
      "sourceQuote": "限度額\n141万円\n現役並みII"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 670000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "現役並みI",
      "sourceQuote": "限度額\n67万円\n現役並みI"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 560000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "一般",
      "sourceQuote": "限度額\n56万円\n一般"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 310000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "II 市民税非課税世帯",
      "sourceQuote": "限度額\n31万円\nII 市民税非課税世帯"
    },
    {
      "targetLabel": "限度額",
      "calcType": "rate",
      "rateNum": null,
      "rateDen": null,
      "capYen": 190000,
      "fixedYen": null,
      "unitYen": null,
      "unitLabel": null,
      "isAddition": false,
      "conditionText": "I 市民税非課税世帯",
      "sourceQuote": "限度額\n19万円\nI 市民税非課税世帯"
    }
  ],
  "eligibilityRules": [
    {
      "reqType": "other",
      "valueText": "医療費が高額になった世帯に介護保険の受給者がいる場合",
      "isMandatory": true,
      "sourceQuote": "医療費が高額になった世帯に介護保険の受給者がいる場合"
    }
  ],
  "steps": [],
  "requiredDocs": [],
  "documents": [],
  "changes": [
    {
      "occurredAt": "2026-11-04T02:03:08Z",
      "changeType": "new",
      "summary": "新しい制度：高額療養費",
      "programPublicId": "m38ejm16",
      "programName": "高額療養費",
      "issuerName": "浜松市",
      "scopeAreaCode": "22130"
    }
  ],
  "topics": [
    "hoken-kyufu"
  ]
}