{"id":"m20a13a1129a886d7","name":"特定医療費（指定難病）助成制度","aka":[],"category":{"slug":"iryo","name":"医療・健康"},"provider":{"level":"national","name":"国（厚生労働省）\n（窓口: 都道府県・指定都市）","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":"指定難病にり患し、症状の程度が一定以上の方、または高額な医療費を支払っている方","amount_unit":null,"amount_period":"monthly","amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"summary":"国（厚生労働省）\n（窓口: 都道府県・指定都市）による個人向けの補助金。対象は指定難病にり患し、症状の程度が一定以上の方、または高額な医療費を支払っている方。 所得制限: なし。月額・所得制限あり。随時、窓口は各保健所、または都道府県・指定都市の難病担当課。","fields":{"amount_max":{"value":"医療費の自己負担を所得区分等に応じた月額上限まで軽減（上限額は個別）","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）"},"amount_min":{"status":"not_verified"},"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。ただし、世帯の市町村民税所得割額に応じて自己負担上限額が変動する。」と明示"},"age_min":{"status":"not_verified"},"age_max":{"value":"年齢制限なし（疾病・重症度等の認定要件）","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":"随時","status":"ok","kind":"rolling"}},"income_limits":[{"subject":"applicant","dependents":null,"limit_yen":820000,"increment_yen":null,"basis":"低所得Ⅰ（住民税非課税）の本人年収の上限（約82万円）。月額自己負担上限2,500円","note":"これを超える住民税非課税者は低所得Ⅱで5,000円"},{"subject":"household","dependents":null,"limit_yen":71000,"increment_yen":null,"basis":"一般所得Ⅰの市町村民税所得割額の上限（月額上限10,000円）","note":"7.1万円〜25.1万円未満は一般所得Ⅱで20,000円"},{"subject":"household","dependents":null,"limit_yen":251000,"increment_yen":null,"basis":"一般所得Ⅱと上位所得の境目となる市町村民税所得割額","note":"25.1万円以上は上位所得で月額上限30,000円"}],"notes":[{"kind":"context","title":"指定難病の月額上限は0円から30,000円の6段階","body":"特定医療費（指定難病）助成制度は医療費の自己負担割合を2割に下げたうえで、世帯の市町村民税所得割額に応じた月額自己負担上限額を設定する。令和8年度は生活保護0円、低所得Ⅰ（住民税非課税・本人年収約82万円まで）2,500円、低所得Ⅱ（住民税非課税・本人年収約82万円超）5,000円、一般所得Ⅰ（所得割7.1万円未満）10,000円、一般所得Ⅱ（所得割7.1万円〜25.1万円未満）20,000円、上位所得（所得割25.1万円以上）30,000円。さらに「高額かつ長期」や「人工呼吸器等装着者」の特例があり、上限額が1,000円〜20,000円に軽減される。訪問看護等の在宅療養関連費用も助成対象。制度自体に所得制限はないが上限額が所得で変わる。申請は管轄の保健所に臨床調査個人票（医師作成）、住民票、課税証明書等を提出する。人工呼吸器を装着したら特例該当の届出をしないと、上限3万円のまま払い続けることになる。","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","金額の原文（数値化はしていない）"]},"contact":{"department":"各保健所、または都道府県・指定都市の難病担当課。","phone":null},"source":{"url":"https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000084783.html","original_url":null,"checked_at":"2026-08-24","title":"指定難病 ｜厚生労働省"},"successor":null,"verification":{"verified_at":null,"data_updated_at":"2026-09-04","confidence":"high","verified_fields":2},"index":{"indexable":true,"reasons":[]},"slug":"特定医療費指定難病助成制度"}