{"id":"mf1e959645e15891e","name":"医療の給付","name_broken":false,"aka":[],"category":{"slug":"iryo","name":"医療・健康"},"provider":{"level":"municipal","name":"多摩市","municipalities":[{"code":"132241","name":"多摩市"}],"listed_by":null},"local_only":true,"own_doubt":null,"municipal_spread":1,"status":"active","fiscal_year":2026,"audience":"personal","benefit_kind":"subsidy","apply_method":null,"apply_note":"医療機関で国保資格を確認して保険診療を受ける。やむを得ず全額払った場合は、市役所保険年金課へ療養費支給申請を行う。","application_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html","eligibility":null,"amount_unit":null,"amount_period":"per_use","amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"rate_basis":null,"beneficiary_kind":null,"beneficiary_target":null,"amount_in_text":null,"summary":"多摩市による個人向けの補助金。窓口は保険年金課 国保担当。利用ごと。療養費の申請は、療養を受けた日の翌日から2年以内。","fields":{"amount_max":{"status":"not_applicable","basis":null},"amount_min":{"status":"not_verified"},"rate_percent":{"status":"not_verified"},"has_income_limit":{"value":"制度による｜所得要件の有無は公式ページ本文で個別確認","status":"described","basis":"公式ページの記述（数値にしていないため比較には入れていない）"},"age_min":{"status":"not_verified"},"age_max":{"value":"制度要件による ～ 制度要件による","status":"described","basis":"公式ページの記述（数値にしていないため比較には入れていない）"},"deadline":{"value":"療養費の申請は、療養を受けた日の翌日から2年以内。","status":"ok","kind":"text"}},"income_limits":[],"notes":[],"schedules":[],"editorial":null,"completeness":{"level":"partial","missing":["対象条件"],"has_source":true},"usability":{"level":"contactable","who_known":false,"what_known":true,"next_step":"公式案内で対象条件を確認してください","substitutes":["金額の概念が無い制度"]},"contact":{"department":"保険年金課 国保担当","phone":"042-338-6824"},"source":{"url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html","original_url":null,"checked_at":"2026-08-24","title":"医療の給付｜多摩市公式ホームページ"},"successor":null,"verification":{"first_seen_at":"2026-08-24","verified_at":null,"data_updated_at":"2026-10-11","content_changed_at":"2026-10-06","confidence":"high","verified_fields":1},"index":{"indexable":false,"reasons":["確認済み項目が2件未満"]},"legacy_slug":"医療の給付-多摩市","public_no":9807,"slug":"9807","seido":{"slug":"154","name":"医療給付","count":3},"research_findings":[{"field":"対象の年齢","status":"確認済み","sub":"本体","text":"国民健康保険の被保険者。就学前、就学後～69歳、70～74歳で負担割合が異なる。75歳以降等の後期高齢者制度とは区別。","source_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html\nhttps://www.city.tama.lg.jp/kurashi/kokuho/kufu/1002003.html","checked_at":"2026-10-01","fy":"現行国保給付／一部負担割合2025年7月更新"},{"field":"所得の条件","status":"確認済み","sub":"本体","text":"国保療養給付自体の所得上限ではない。70～74歳は世帯の課税総所得145万円以上等で3割、算定基礎額合計210万円以下等は2割。3割判定でも収入単身383万円未満又は複数520万円未満等の基準で2割となる場合がある。","source_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1002003.html","checked_at":"2026-10-01","fy":"現行国保給付／一部負担割合2025年7月更新"},{"field":"金額・給付の内容","status":"確認済み","sub":"本体","text":"保険診療は就学前2割負担（8割給付）、就学後～69歳3割負担（7割給付）、70～74歳2割又は現役並み3割負担。保険外診療等は対象外。","source_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html","checked_at":"2026-10-01","fy":"現行国保給付／一部負担割合2025年7月更新"},{"field":"支給の回数・頻度","status":"該当なし","sub":"本体","text":"この制度では「支給の回数・頻度」は該当しません。（診療時の保険給付で定期定額現金支給ではない。療養費例外の支払回数は個別申請。）","source_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html","checked_at":"2026-10-01","fy":"現行国保給付／一部負担割合2025年7月更新"},{"field":"申請の方法","status":"確認済み","sub":"本体","text":"受診時にマイナ保険証又は資格確認書等で国保資格を示し、表示された負担割合を支払う。やむを得ず全額払った場合は療養費払戻の別申請が必要。古い本文の「保険証」表記は2025更新の資格確認書案内で補完。","source_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html\nhttps://www.city.tama.lg.jp/kurashi/kokuho/kufu/1002003.html","checked_at":"2026-10-01","fy":"現行国保給付／一部負担割合2025年7月更新"},{"field":"担当窓口・問い合わせ","status":"確認済み","sub":"本体","text":"多摩市保険年金課国保担当（資格・給付）042-338-6824、関戸6-12-1。","source_url":"https://www.city.tama.lg.jp/kurashi/kokuho/kufu/1001998.html","checked_at":"2026-10-01","fy":"現行国保給付／一部負担割合2025年7月更新"}]}