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If you are late for insurance premiums

Last Updated January 22, 2020

Insurance premiums are an important source of funding for The Long-term Care Insurance services, so it is important to pay insurance premiums in order to maintain the long-term care insurance system.
Therefore, if you have been late for a long time, the following measures will be taken based on laws and regulations when using nursing care services in order to ensure fairness with the person who pays the premium. There is.

1 If you have not paid your insurance premium for more than one year from the due date ...

  • If you do not pay insurance premiums for more than one year from the due date without special circumstances, such as when you are damaged by a disaster, you will usually pay 10%, 20% or 30% of the cost when using the nursing care service. You will have to pay the full amount once. This is called "Change in Payment method."
  • Once paid, you apply to the ward office, your insurance benefits will be refunded at a later date.

Figure (redemption payment)

※The figure is an example of a 10% burden.

2. If you have not paid the premium for more than one year and six months from the due date ...

  • If you do not pay your premium for at least one year and six months from the due date, the payment of the reimbursed insurance benefits will be suspended.
  • In addition, delinquent premiums may be deducted from the suspended insurance benefits.

Figure (Injunction of Benefits)


※The figure is an example of a person who pays 10% burden.

3 If you have not paid your insurance premium for more than two years from the due date ...

Insurance premiums for those aged 65 and over cannot be paid due to prescription after two years from the day following the day when the dunning letter arrives (the date of prescription). If there is an insurance premium that can no longer be paid due to prescription, depending on the period, 30% for those who have a self-pay ratio of 10% or 20% will be 30%, and those who have a 30% out-of-pocket ratio will be 40%. In addition, during this time, refunds for high-cost nursing care (care prevention) service costs and reduction of living expenses (staying expenses) and food expenses will not be received. At the same time, the out-of-pocket expenses during this period are not included in the sum of the high-priced medical care and high-cost nursing care combined medical expenses system. This is called "reduction of benefits."

Figures (reduction of benefits)


※The figure is an example of a person who pays 10% burden.

4 Measures other than the above

● Seizure of property, etc.
Regardless of the period of non-payment of insurance premiums or the use of nursing care services, we may seize assets such as deposits and savings and life insurance as delinquent disposal prescribed by law.
● Those who are obliged to pay solidarity
If the payment method is normally collected, the spouse and head of household of the insured are obliged to pay the premium jointly and severally, as required by law. If the insured is late for insurance premiums, the taxpayer may request insurance premiums or dispose of them in arrears based on laws and regulations to the person obliged to pay solidarity.
● No. 2 insured person and has not paid medical insurance
If the second insured person (medical insurance member between the ages of 40 and 64) has not paid medical insurance premiums, along with the change of Payment method, temporary suspension of some or all of the insurance benefits may be taken.

For inquiries to this page

Health and Social Welfare Bureau Senior Health and Welfare Department The Long-term Care Insurance Division

Phone: 045-671-4254

Phone: 045-671-4254

Fax: 045-550-3614

Email address: kf-kaigohoken@city.yokohama.jp

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Page ID: 210-362-056

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