{"id":"m525d61bb71953e26","name":"心身障害者医療費助成制度（マル障）","aka":["心身障害者医療費助成制度(マル障)","心身障害者医療費助成制度","心身障害者（児）医療費助成制度（マル障）","心身障害者医療費助成制度（マル障：都）"],"category":{"slug":"shogai","name":"障害者・障害児"},"provider":{"level":"prefecture","name":"中野区","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":null,"apply_note":null,"eligibility":null,"amount_unit":"yen","amount_period":"monthly","amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"summary":"三鷹市・中野区・八王子市など18区市町村による個人向けの補助金。対象は東京都内に住所を有し、各種公的医療保険（国民健康保険、健康保険組合、共済組合、後期高齢者医療制度等）に加入している方で、…。上限144,000円・月額・65歳以下・所得制限あり。随時（資格要件発生後に申請。償還払い・遡及には制度ごとの期限あり）、窓口は各区市町村の担当窓口。","fields":{"amount_max":{"value":144000,"status":"ok","method":"deep_research"},"amount_min":{"value":18000,"status":"ok","method":"deep_research"},"rate_percent":{"status":"not_verified"},"has_income_limit":{"value":1,"status":"ok","method":"deep_research"},"age_min":{"status":"not_found","basis":"公式ページで確認（2026-09-04）"},"age_max":{"value":65,"status":"ok","method":"deep_research"},"deadline":{"value":"随時（資格要件発生後に申請。償還払い・遡及には制度ごとの期限あり）","status":"ok","kind":"rolling"}},"income_limits":[{"subject":"applicant","dependents":null,"limit_yen":3661000,"increment_yen":null,"basis":"扶養0人の場合の本人所得上限","note":"扶養人数により基準額は変動する。精神障害者保健福祉手帳は1級のみ対象"},{"subject":"applicant","dependents":null,"limit_yen":3661000,"increment_yen":null,"basis":"扶養0人の場合の所得制限基準額","note":"心身障害者福祉手当の3,758,000円より97,000円低い。精神障害者保健福祉手帳は1級のみ対象で2級・3級は対象外。非課税者は自己負担0円、課税者は1割で外来月額上限18,000円。"}],"notes":[{"kind":"warning","title":"マル障は精神障害者保健福祉手帳1級のみ、所得366万1千円以下","body":"東京都独自の心身障害者医療費助成制度（マル障）は、身体障害者手帳1・2級、愛の手帳1・2度に加え、精神障害者保健福祉手帳では1級のみが対象で、2級・3級は入らない。所得制限があり、扶養0人の場合は所得3,661,000円以下。住民税非課税者は自己負担0円、住民税課税者は自己負担1割で、外来は月額上限18,000円、入院は月額上限57,600円（多数回該当時は44,400円）。申請窓口は各区市町村の障害福祉担当課で随時受付。精神2級以下の人は自立支援医療（精神通院医療）で通院分を1割にするしかなく、入院や精神科以外の医療費は軽減されないため、手帳の等級によって医療費負担が大きく変わる点を理解しておく必要がある。","severity":"medium"},{"kind":"context","title":"マル障の自己負担上限は通院18,000円・入院57,600円。マル親と同じ水準","body":"新宿区の心身障害者医療費助成制度（マル障）は住民税課税世帯で1割負担、自己負担上限が通院18,000円/月・入院57,600円/月。ひとり親家庭等医療費助成（マル親）の外来18,000円・入院57,600円と同じ水準に設定されている。所得制限あり。マル障とマル親は併給できないため、どちらの受給資格もある場合は選択が必要になる。","severity":"high"},{"kind":"context","title":"マル障の通院上限は年間144,000円。入院は多数回該当で44,400円に下がる","body":"新宿区のマル障（住民税課税世帯・1割負担）は通院（外来）が月額上限18,000円で年間上限144,000円。入院は月額上限57,600円だが、多数回該当（過去12か月に3回以上上限に達した場合）は44,400円に下がる。高額療養費と同じ多数回該当の仕組みが適用される。年間144,000円という上限は月18,000円×12か月ではなく別建ての年間上限として設定されている点に注意。","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":["確認済みの対象年齢","確認済みの金額"]},"contact":{"department":"各区市町村の担当窓口","phone":null},"source":{"url":"https://www.city.shinjuku.lg.jp/fukushi/file06_02_00009.html","original_url":null,"checked_at":"2026-08-20","title":"心身障害者医療費助成制度（マル障受給者証）：新宿区"},"successor":null,"verification":{"verified_at":null,"data_updated_at":"2026-09-04","confidence":"high","verified_fields":5},"index":{"indexable":true,"reasons":[]},"slug":"心身障害者医療費助成制度マル障"}