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About large amount of nursing care service costs

Last Updated September 2, 2021

1 Outline of the System

If the total amount of the user's burden (10%, 20% or 30%) for the monthly The Long-term Care Insurance service and comprehensive business (care prevention and life support service) exceeds a certain upper limit (2) If the amount exceeds the amount, the excess amount will be paid as a large amount of nursing care service costs (*1) upon application. However, part of the care prevention and life support service business, food expenses such as facility services and room charges, purchase of specific welfare equipment, and housing renovation expenses are not covered by the large nursing care service expenses.
※1 The cost of The Long-term Care Insurance services is high-cost nursing care (prevention) service costs
   Expenses for comprehensive business services are mainly paid as operating expenses equivalent to large-scale care prevention service costs.

2 Maximum amount of high-cost nursing care service costs, etc.

Maximum amount of out-of-pocket expenses
Income Category Maximum amount (monthly basis)

Households with income equivalent to active duty III (Municipal taxable households * 1 with taxable income of 6.9 million yen or more)

140,100 yen (household) ※3

Households with income equivalent to active duty II (Municipal taxable households with taxable income of 3.8 million yen or more and less than 6.9 million yen)

93,000 yen (household) ※3

Households with income equivalent to active duty I (municipal taxable households with taxable income of less than 3.8 million yen)

44,400 yen (household)
All households are not subject to municipal tax 24,600 yen (household)

Among those whose households are not subject to municipal tax
○Those who receive the old-age welfare pension
○Those whose sum of “Public pension, etc.” and “Other total income*2” in the previous year was 800,000 yen or less per year

24,600 yen (household)
15,000 yen (individual)

Those who have received social security, etc. 15,000 yen (individual) ※4

※1 “Household” refers to the upper limit of the total burden on all members of the Basic Resident Register who have used the nursing care service. 
  "Individual" refers to the upper limit of the burden on the individual using the nursing care service.
※2 Other Total Income…Miscellaneous income related to public pension, etc. from total income (public pension, etc.)
  Amount obtained by subtracting the deduction for pension, etc.) (in the case of minus, calculate as 0 yen.)
※3 Stages will be added from the service usage in August 2021.
※4 For those who are not protected by social security due to the reduction of the upper limit to 15,000 yen, the household will be charged 15,000 yen.
  Sir.

3 Flow of Use

It is necessary to apply to ward office to receive payment such as large amount of care service costs.
In addition, in the case of a refund after the second time, in principle, it will be transferred to the account where you applied for the first time. (Automatic redemption)

4 Major items required for application procedures

1 Application for payment of large amount of nursing care service expenses
 (If you think this is the case, we will send it here.)
2 The Long-term Care Insurance Insured Card
3 private seal (using vermilion). No stamp is allowed. Required only when transferring to an account other than the applicant)
4. Transfer destination can be confirmed
 ※For more information about the application procedure, please contact your ward office Insurance and Pension Division.

Inquiries to this page

(Procedures to the ward office) Insurance and Pension Division each ward

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

Telephone: 045-671-4255

Telephone: 045-671-4255

Fax: 045-550-3614

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

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Page ID: 765-000-813

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