{"id":"m0f072141cfabe6d7","name":"限度額適用認定証（限度額適用・標準負担額減額認定証）（0歳～74歳）","aka":["限度額適用認定証","限度額適用認定証（限度額適用・標準負担額減額認定証）"],"category":{"slug":"iryo","name":"医療・健康"},"provider":{"level":"national","name":"東京都新宿区（国民健康保険）","municipalities":[{"code":"134023","name":"青ヶ島村"},{"code":"132276","name":"羽村市"},{"code":"133817","name":"三宅村"},{"code":"132144","name":"国分寺市"},{"code":"131113","name":"大田区"},{"code":"131211","name":"足立区"},{"code":"132250","name":"稲城市"},{"code":"131130","name":"渋谷区"},{"code":"131202","name":"練馬区"},{"code":"132110","name":"小平市"},{"code":"134015","name":"八丈町"},{"code":"132217","name":"清瀬市"},{"code":"131148","name":"中野区"},{"code":"133647","name":"神津島村"},{"code":"132098","name":"町田市"},{"code":"134210","name":"小笠原村"},{"code":"132225","name":"東久留米市"},{"code":"131229","name":"葛飾区"},{"code":"131121","name":"世田谷区"},{"code":"131172","name":"北区"},{"code":"132063","name":"府中市"},{"code":"133639","name":"新島村"},{"code":"132136","name":"東村山市"},{"code":"131181","name":"荒川区"},{"code":"132209","name":"東大和市"},{"code":"133621","name":"利島村"},{"code":"131059","name":"文京区"},{"code":"131156","name":"杉並区"},{"code":"132071","name":"昭島市"},{"code":"132101","name":"小金井市"},{"code":"131237","name":"江戸川区"},{"code":"132047","name":"三鷹市"},{"code":"132021","name":"立川市"},{"code":"132284","name":"あきる野市"},{"code":"131164","name":"豊島区"},{"code":"132055","name":"青梅市"},{"code":"132128","name":"日野市"},{"code":"131024","name":"中央区"},{"code":"133825","name":"御蔵島村"},{"code":"133078","name":"檜原村"},{"code":"132012","name":"八王子市"},{"code":"132233","name":"武蔵村山市"},{"code":"132152","name":"国立市"},{"code":"131083","name":"江東区"},{"code":"133035","name":"瑞穂町"},{"code":"132080","name":"調布市"},{"code":"132292","name":"西東京市"},{"code":"131041","name":"新宿区"},{"code":"132187","name":"福生市"},{"code":"133051","name":"日の出町"},{"code":"131032","name":"港区"},{"code":"132039","name":"武蔵野市"},{"code":"133086","name":"奥多摩町"},{"code":"131016","name":"千代田区"},{"code":"132241","name":"多摩市"},{"code":"131105","name":"目黒区"},{"code":"132195","name":"狛江市"},{"code":"131075","name":"墨田区"},{"code":"131067","name":"台東区"},{"code":"131199","name":"板橋区"},{"code":"133612","name":"大島町"},{"code":"131091","name":"品川区"}]},"status":"active","fiscal_year":2026,"audience":"personal","benefit_kind":"subsidy","apply_method":"window","apply_note":null,"eligibility":"公的医療保険加入者","amount_unit":null,"amount_period":null,"amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"summary":"東京都新宿区（国民健康保険）による個人向けの補助金。対象は公的医療保険加入者。年齢・所得区分により限度額が異なる。70歳以下。窓口申請、随時、窓口は新宿区役所本庁舎4階 医療保険年金課国保給付係。","fields":{"amount_max":{"status":"not_verified"},"amount_min":{"status":"not_verified"},"rate_percent":{"status":"not_verified"},"has_income_limit":{"value":"所得区分により自己負担限度額を適用","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_found","basis":"公式ページで確認（2026-09-04）"},"age_max":{"value":70,"status":"ok","method":"deep_research"},"deadline":{"value":"随時","status":"ok","kind":"rolling"}},"income_limits":[],"notes":[{"kind":"context","title":"限度額適用認定証の発行手数料は0円","body":"限度額適用認定証（限度額適用・標準負担額減額認定証）の発行手数料は0円。事前に取得しておけば医療機関の窓口で高額療養費の自己負担限度額までの支払いで済み、後から払い戻しを受ける手間と一時的な立替が不要になる。無料で取得できるので入院や高額治療が見込まれる時点で申請しておく価値がある。","severity":"medium"},{"kind":"context","title":"限度額適用認定証は無料。ただし本庁舎4階でしか手続きできない","body":"新宿区国民健康保険の限度額適用認定証（限度額適用・標準負担額減額認定証）の発行手数料は0円。窓口申請は新宿区役所本庁舎4階の医療保険年金課国保給付係で行い、各特別出張所では手続きできない。マイナ保険証を使えば認定証なしで限度額が適用されるが、使わない場合は事前に取得しておくと医療機関の窓口で高額療養費の限度額までの支払いで済む。","severity":"medium"},{"kind":"context","title":"マイナ保険証なら限度額適用認定証の事前申請は原則不要","body":"限度額適用認定証は加入している公的医療保険の保険者（各区市町村、全国健康保険協会、健康保険組合、共済組合等）に事前申請するが、マイナンバーカードの保険証利用登録をしていればオンライン資格確認導入医療機関では事前申請・認定証提示が原則不要になる。申請する場合の必要書類は、本人または同一世帯員なら①健康保険限度額適用認定申請書（保険者所定様式）②申請者の本人確認書類（マイナンバーカード、運転免許証、パスポート等）③被保険者証または資格確認書。別世帯の代理人が申請する場合はこれに委任状または対象者本人の資格確認書原本（郵送時は写し）と代理人の本人確認書類が加わる。住民税非課税世帯は「限度額適用・標準負担額減額認定申請書」を提出し、マイナンバー等による税情報連携ができない場合は非課税証明書が必要。急な入院ではマイナ保険証を持っているかどうかで手続きの手間が大きく変わる。","severity":"medium"}],"schedules":[],"editorial":null,"completeness":{"level":"partial","missing":["支給額（上限）"],"has_source":true},"usability":{"level":"actionable","who_known":true,"what_known":false,"next_step":"公式ページで確認できます","substitutes":["対象者の説明文"]},"contact":{"department":"新宿区役所本庁舎4階 医療保険年金課国保給付係","phone":null},"source":{"url":"https://www.mhlw.go.jp/index.html","original_url":null,"checked_at":"2026-08-20","title":"ホーム｜厚生労働省"},"successor":null,"verification":{"verified_at":null,"data_updated_at":"2026-09-04","confidence":"high","verified_fields":3},"index":{"indexable":true,"reasons":[]},"legacy_slug":"限度額適用認定証限度額適用標準負担額減額認定証0歳74歳","public_no":1575,"slug":"1575"}