{"id":"m4e603408b09ec3ff","name":"在宅ターミナルケア加算・看取り加算（医療保険）","aka":[],"category":{"slug":"iryo","name":"医療・健康"},"provider":{"level":"national","name":"国（厚生労働省）","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":"auto","apply_note":null,"eligibility":"在宅で死亡した患者に対し、死亡日および死亡日前14日以内に規定の訪問診療等を行った場合","amount_unit":"yen","amount_period":null,"amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"summary":"国（厚生労働省）による個人向けの補助金。対象は在宅で死亡した患者に対し、死亡日および死亡日前14日以内に規定の訪問診療等を行った場合。所得制限あり。申請不要（自動適用）、随時、窓口はご利用の医療機関、または加入している医療保険者。","fields":{"amount_max":{"status":"not_applicable","basis":"not_applicable（医療・介護サービス提供側の報酬/診療報酬等で、住民への現金給付ではない）"},"amount_min":{"value":10,"status":"ok","method":"deep_research"},"rate_percent":{"status":"not_verified"},"has_income_limit":{"value":0,"status":"actual_zero","basis":"対象者欄に「所得制限: なし」と明示"},"age_min":{"status":"not_verified"},"age_max":{"status":"not_verified"},"deadline":{"value":"随時","status":"ok","kind":"rolling"}},"income_limits":[],"notes":[{"kind":"context","title":"看取り加算3万円、在宅医療充実体制加算で2万円上乗せ","body":"2026年度診療報酬では、死亡日に往診等を行い在宅で看取った場合の看取り加算が3,000点（30,000円）、看取り加算を算定しない場合の死亡診断加算が200点（2,000円）。さらに新設の在宅医療充実体制加算により在宅ターミナルケア加算に2,000点（20,000円）が上乗せされる。在宅医療充実体制加算そのものは、重症患者・看取り等を担う体制を持つ医療機関が算定するもので、単一建物診療患者1人の場合800点（8,000円）、2人〜9人の場合400点（4,000円）。看取り加算3,000点の患者自己負担は1割で3,000円、2割で6,000円、3割で9,000円だが高額療養費制度の対象になる。ほかに訪問診療時の光熱費等補填として1日につき3点（30円）が算定できるようになった。医療保険で自動的に算定されるため特別な申請は不要だが、看取りの月は医療費が跳ね上がるので、限度額適用認定証を先に用意しておくと窓口負担を抑えられる。","severity":"high"}],"schedules":[],"editorial":null,"completeness":{"level":"complete","missing":[],"has_source":true},"usability":{"level":"actionable","who_known":true,"what_known":true,"next_step":"公式ページで確認できます","substitutes":["対象者の説明文","金額の概念が無い制度"]},"contact":{"department":"ご利用の医療機関、または加入している医療保険者。","phone":null},"source":{"url":"https://www.mhlw.go.jp/index.html","original_url":"https://www.mhlw.go.jp/","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":"在宅ターミナルケア加算看取り加算医療保険","public_no":3967,"slug":"3967"}