Mechanism of User Burden

Person who used obstacle welfare service will, in principle, bear 10% of expense required for offer of service (fixed rate burden). In addition, actual expenses such as utilities expenses and food 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 expenses burden).
However, various mitigation measures have been established so that the burden on people with low incomes does not increase in both fixed rate burden and actual expenses.

In principle, 10% of the cost required to provide services, but households receiving social security and municipal tax-exempt households are free, and municipal tax-exempt households have an upper limit on monthly user burden.

＊"Household" refers to

• Adults (at home: 18 years old or older, when entering a facility: 20 years old or older), 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 user burden in the household exceeds a certain threshold

• Services to be included in the total

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 the combined use of services based on the Comprehensive Support for Persons with Disabilities Act)
(Example) Home-visit nursing, home-visit bathing, tsusho rehabilitation, lending of welfare equipment, etc.

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

○Out-of-pocket expenses for assistive devices

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

• Base amount: 37,200 yen

However, if the siblings of the child with a disability uses the service or if one child with a disability uses multiple recipient IDs, the upper limit (4,600 yen, 9,300 yen) (37,200 yen), whichever is higher.

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

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

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

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

social security (or receiving support benefits under the Act on Support for Japanese Residents in China), municipal tax exemption and municipal tax income percent less than 160,000 yen (less than 280,000 yen for children with disabilities and residents of facilities under 20 years old) Reduce the amount of food expenses equivalent to labor costs.