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About high-cost nursing care service costs

Last update date September 2, 2021

1 Outline of the System

The sum 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) is a certain upper limit (2. If you exceed the upper limit), the excess amount will be paid as a large amount of nursing care service expenses (* 1) upon application. However, the cost of purchasing specific welfare equipment, such as part of the nursing care prevention and life support service business, food expenses and room charges for facility services, etc., are not covered by the large amount of nursing care service expenses.
※1 Expenses for The Long-term Care Insurance services are high-cost nursing care (prevention) services
   Expenses for comprehensive business services are mainly paid as operating expenses equivalent to high-cost care prevention service expenses.

2 Upper limit of high-cost nursing care service costs

Maximum amount of self-pay
Income classification Maximum amount (monthly)

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

140,100 yen (household) ※3

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

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

All households are not subject to municipal tax
○Person who receives old-age welfare pension
○Those whose total income of "public pension income" and "other total income * 2" in the previous year is 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 persons who have used nursing care services. 
  "Individual" refers to the upper limit of the burden on the individual who uses the nursing care service.
※2 Other total income…Miscellaneous income pertaining to public pension, etc. (Public income from public pension, etc.)
  Amount obtained by subtracting deductions such as pension) (In case of minus, calculate as 0 yen)
※3 Stages will be added from the service usage in August 2021.
※4. Those who are not protected by social security by reducing the upper limit to 15,000 yen per household.
  Yes.

3 Flow of usage

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 Main items required for application procedures

1 High-cost nursing care service expenses payment application
 (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). Stamps are not allowed. Required only when transferring to an account other than the applicant)
4. Those whose transfer destination can be confirmed
 ※For more information about the application procedure, please contact the ward office Insurance and Pension Division.

For inquiries to this page

(Procedures to ward office) Insurance and Pension Division

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

Phone: 045-671-4255

Phone: 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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