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HOME > POLICIES > Enhancement of Customized Welfare Services by Life-Cycle Phase > Reduction of burden of medical expenses, and the reorganization of the system for determining health insurance premiums

Reduction of burden of medical expenses, and the reorganization of the system for determining health insurance premiums

1. Reduction of medical expenses for essential medical services by life-cycle phase

  • (Reinforcement of additional protection) The existing plan for benefit enhancement (from 2014 to 2018) is to be conducted smoothly,

    - Further, the enhancement of benefits is to be pursued concerning diseases causing high medical cost (70,000 persons with cerebral palsy, 20,000 persons with refractory epilepsy, etc.)

<Major items for which benefits are to be strengthened in 2017>

Major items for which benefits are to be strengthened in 2017
Area Name of project Detailed implementation tasks Timing
Pregnancy and childbirth Strengthening support to subfertile couples for successful pregnancy and childbirth Cost for medical procedures for infertility treatment and other related expenses to be covered by the health insurance Oct.
Young and middle aged people Insurance coverage reinforcement for dental care for early cavity treatment To reduce the out-of-pocket payment rate for cavity treatment for those aged 18 years or less Oct.
Expansion of health insurance coverage for early management of mental illness To reduce the out-of-pocket payment rate for psychological counseling, and the realization of medical insurance fees Oct.
Expansion of insurance coverage to psychotherapy treatment for which benefits have not been paid so far Oct.
High-cost examination Expansion of insurance coverage to ultrasound examination for liver diseases Insurance coverage for liver ultrasound examination Oct.
The vulnerable population Development of a health insurance support system for vulnerable areas in terms of essential medical care Establishment of a system for increasing benefits for vulnerable areas in terms of medical care, and reduction of medical costs paid for by patients Dec.

* The timing for implementation may change depending on the progress.

  • (Institutionalization of support for catastrophic health expenditure) A stable financial capacity to be secured by establishing a legal basis for utilizing public resources such as health insurance management revenues, pharmaceutical reimbursement, etc.

2. Reorganization of a system for imposing health insurance premiums

  • (Direction) Phased reorganization in consideration of fairness, acceptability, financial sustainability, etc.
  • (Measures) Improvements to be made concerning items with high burden on vulnerable groups first.

    - Insurance premiums of locally insured people imposed based on their property and vehicles to be gradually reduced, while putting a greater focus on their income

    - The scope of dependents to be gradually reduced in consideration of who will be subject to premium increases, the degree of premium increases, etc. after the reorganization.

    * Public discussions on the reorganization plan of the government to be promoted by holding public hearings, etc. at the end of January.

Last Update : 2017.4.21

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