Reduction of co-payment
Reduction of living expenses and food expenses when using facility services (admission / short-term admission) (Certificate of maximum burden amount)
When using services (admission, short-term admission) such as long-term care insurance welfare facilities (special nursing homes for the elderly) and long-term care health facilities, the co-payment of living expenses (stay expenses) and food expenses will be reduced. An application to the Nursing Care Insurance Division is required. After applying, we will issue a certificate of maximum copayment amount to the eligible person.
If you are applying, please refer to "Application for Certificate of Contribution Limit".
| User-paid stage * Note 1 | Target audience | living expenses | food expenses | ||||
|---|---|---|---|---|---|---|---|
| income requirement | asset requirements | unit type private room | Unit-type private multi-floor room | Traditional private room | multi-bed room | ||
| 1st stage | Public assistance recipients, etc. | none | 820 yen | 490 yen | 490 yen (320 yen) *Note 4 |
0 Yen | 300 yen [300 yen] *Note 5 |
| Old-age welfare pension recipients who are exempt from special ward tax *Note 2 | Single: 10 million yen or less Couple: 20 million yen or less | ||||||
| 2nd stage | Individuals who are exempt from special ward tax for the individual, their separated spouse, and all members of the household, and whose total annual income, taxable pension income, and non-taxable pension income are 800,000 yen or less | Single: 6.5 million yen or less Couple: 16.5 million yen or less *Note 3 | 820 yen | 490 yen | 490 yen (420 yen) *Note 4 |
370 yen | 390 yen [600 yen] Annotation 5 |
| Stage 3-1 | The individual, the separated spouse, and all members of the household are exempt from special ward tax, and the annual sum of the individual's total income, taxable pension income, and non-taxable pension income exceeds 800,000 yen 120 10,000 yen or less |
Single: 5.5 million yen or less Couple: 15.5 million yen or less *Note 3 | 1310 yen | 1310 yen | 1310 yen (820 yen) *Note 4 |
370 yen | 650 yen [1000 yen] *Note 5 |
| 3rd stage-2 | Those who are exempt from special ward tax for the individual, their separated spouse, and all members of the household, and whose annual total income, taxable pension income, and non-taxable pension income total more than 1.2 million yen. | Single: 5 million yen or less Couple: 15 million yen or less *Note 3 | 1310 yen | 1310 yen | 1310 yen (820 yen) *Note 4 |
370 yen | 1360 yen [1300 yen] *Note 5 |
*Note 1: The “user-paid stage” is different from the “long-term care insurance premium stage”.
* Note 2: "Old-age welfare pension" is a pension received by those born before April 1, 1911 (Meiji 44).
* Note 3: For Category 2 insured persons, the amount is 10 million yen or less for a single person (20 million yen for a couple).
* Note 4: The figures in parentheses are the amounts when using long-term care insurance welfare facilities for the elderly and short-term residential care.
* Note 5: [ ] is the amount when using short-term residential care and short-term medical care.
Special reduction measures for special ward tax taxable households
If you are a household subject to special ward tax and use long-term care insurance facility services, if you meet certain requirements (Table 1), the cost of living and meals will be reduced. For details, please contact the Nursing Care Insurance Division Benefits Section.
| (1) In the case of a household with two or more people who are subject to municipal tax, or if there is a spouse of another household, the number of members of the household plus one must be two or more. (2) When a household member or spouse of another household enters a nursing-care insurance facility, the living expenses and meal expenses do not fall under any of the user-paid stages (stages 1 to 3-2) above. . (3) Household income or total annual income with a spouse of another household (*) minus the facility user's burden (10%, 20% or 30% burden, living expenses, food expenses) is Must be 800,000 yen or less. (4) The total amount of savings, etc. (including securities, bonds, etc.) with the household or spouse of another household is 4.5 million yen or less. (5) The household or the spouse of another household does not own any usable assets other than the house used for residence and other assets necessary for daily life. (6) Do not be behind in payment of long-term care insurance premiums. *Annual income is the sum of taxable pension income and total income (excluding miscellaneous income related to public pensions, etc.). |
|---|
Reduction of copayments for people with financial difficulties, etc.
If a low-income person who meets certain requirements uses eligible long-term care insurance services at a business that implements a reduction, the self-pay amount (10% of the service cost, food expenses, living expenses (living expenses )) will be reduced to about three-fourths (about one-half for old-age welfare pensioners). You need to apply to the Nursing Care Insurance Division. After applying, a “Certificate of Reduction of User Burden” will be issued to the eligible person.
| (1) All households are exempt from special ward tax. (2) The total annual income of the household (including tax-exempt pensions and remittances) is 1.5 million yen or less. (Add 500,000 yen for each additional household member) (3) Currently, the amount of savings, securities, bonds, etc. of the household is 3.5 million yen or less. (Add 1 million yen for each additional household member) (4) Households do not share any assets other than a house used for residence or other assets necessary for daily life. (5) Not being supported by relatives who can afford it. (6) Do not be behind in payment of long-term care insurance premiums. |
|---|
| (1) Welfare facility for the elderly (special nursing home for the elderly) (2) Home-visit care (3) Outpatient care (4) Short-term residential care (5) Home-visit bathing care (6) Home-visit nursing (7) Home-visit rehabilitation (8) Outpatient Rehabilitation (9) Short-term inpatient medical care (10) Small-scale multifunctional in-home care (11) Outpatient care for dementia (12) Community-based outpatient care (13) Nighttime home-visit care (14) Regular visits / as needed Responsive Home-visit Nursing Nursing (15) Nursing Small-scale Multifunctional In-Home Care (16) The first home-visit business equivalent to preventive home-visit nursing care and the first outpatient business equivalent to preventive outpatient nursing care Business (Limited to those whose out-of-pocket ratio is the same as insurance benefits.) |
|---|
* Note: (4) to (11) can also be used with preventive care services.
* For welfare recipients, when using a private room at a special nursing home for the elderly or a short-term nursing care service (limited to establishments that implement this reduction system), only the living expenses will be covered by this reduction system. Reduced.
Reduction or exemption of self-payment when there are special circumstances such as disasters
If it becomes difficult to pay the self-pay due to special reasons such as a disaster, 10% of the service fee may be reduced or exempted by application. For details, please contact the Nursing Care Insurance Division.
inquiry
Elderly Policy Department Nursing Care Insurance Division Benefits Organization Details
Phone: 03-5984-4591
Send an email to this department (opens a new window) 