Mechanism of user burden

Persons who use disability welfare services will, in principle, bear 10% of the cost required to provide services (fixed rate burden). In addition, the actual expenses and food expenses such as utilities expenses associated with facility entrance and daytime activity services will be borne by the user in order to ensure fairness with those living at home (actual cost burden).
However, various mitigation measures have been set up so that the burden on people with low incomes does not increase in both the fixed rate and actual expenses.

In principle, 10% of the cost required to provide services, but households receiving social security and households exempt from municipal tax are free, and households subject to municipal tax are limited to monthly user burden.

＊"Household" means

• Adults (for home: 18 years old or older, for facility entrance: 20 years old or older) are only the person and spouse.
• For users of children with disabilities (other than the above), in principle, households in the Basic Resident Register.

A part of the user's burden paid in the following cases will be refunded. (Application is required at the ward office, etc.)
①When the total amount of user burden in a household exceeds a certain threshold

• Services subject to summation

The user's burden (10% burden) for using the following services is eligible.

○Service usage fee based on the Nursing Care Insurance Law (limited to combined use of services based on the Comprehensive Support for Persons with Disabilities Act)
(Example) Visiting nursing care, visiting nursing, visiting bathing, tsusho rehabilitation, lending of welfare equipment, etc.

○Service usage fees based on the Comprehensive Support for Persons with Disabilities Act
(Example) Home care, severe home care, short-term entrance, work transition / continuation support, etc.

○Out-of-pocket expenses for assistive devices

○Service usage fee for "support for children with disabilities (entrance / tsusho)" based on the Child Welfare Law
(Example) Support for daycare centers for children with disabilities (elementary school studenｔ Development Support, after-school day service (elderly day care), etc.), support for admission to children with disabilities, etc.

• Standard amount: 37,200 yen

However, if the siblings of the child with a disability use the service, or if one child with a disability uses multiple beneficiary certificates, the upper limit indicated on the beneficiary certificate (4,600 yen, 9,300 yen, 37,200 yen) Will be the higher one.

②Those who have received specific disability welfare services for 5 years before reaching the age of 65 and whose income status, degree of disability, etc. fall under the provisions of a Cabinet Order, currently need nursing care 1-5 If you are using the following The Long-term Care Insurance services:
○Visiting care, day care, short-term entrance life care, community-based day care, small-scale multifunctional home care

You will be responsible for the actual expenses for food and utilities expenses (including medical expenses and daily necessities) at the facility, and for food expenses for tsusho services. This ensures that the cost burden is fair even if you live at home or at a facility. However, there is a reduction or exemption depending on your income.

Even if low-income earners pay the user's burden and the actual cost burden, they will be exempted so that a certain amount (*) will remain at hand.
*For more information, please contact Health and Welfare Center in your district.

For group home users (excluding municipal inhabitant taxable households), rent is subsidized up to 10,000 yen per month.

For households with social security (or receiving support benefits under the Support Act for Japanese Residents in China), municipal tax exemption and municipal tax income percent less than 160,000 yen (children with disabilities and residents under the age of 20 are less than 280,000 yen) To reduce the amount of food expenses equivalent to personnel expenses.