Application related: Guidance of welfare for the elderly

• Click here for the application for certification for long-term care
• Click here for home / care prevention service plan creation request notification related

・Transfer to The Long-term Care Insurance registration form (PDF: 65KB)
　　[Example of entry] The Long-term Care Insurance transfer registration form (PDF: 119KB) (if he died)

・Notification of application, change, and termination of the The Long-term Care Insurance Address area exception (PDF: 186KB) (only for those who fall under the Address area exception system)　　
　　[Example of entry] Notification of application, change, end of special case of The Long-term Care Insurance Address area (PDF: 122KB)
　　※Please refer to the “Guide to Address Special Exception System” for details of the system.
　　※The format for business establishments can be found on the “Information page for business establishments (11. Special case for Address)”.

・The Long-term Care Insurance Insured Card Reissue Application Form (PDF: 229KB)　
　　[Example of entry] Re-grant application such as identification of care insured person (PDF: 240KB)

For an overview of the system, please refer to "Reducing the burden of food and room charges <The Long-term Care Insurance burden limit certificate>" (PDF: 523KB).
In addition, please confirm judgment whether it corresponds to system in "flow figure (PDF: 135KB)".
・The Long-term Care Insurance Burden Limit Certification Application Form (PDF: 119KB) 　
[Example: For FY2024]　The Long-term Care Insurance Burden Limit Certification Application Form (PDF: 333KB)
[Example: For FY2023]　The Long-term Care Insurance Burden Limit Certification Application Form (PDF: 826KB)
　

・Application Form
・Documents that can confirm the amount of assets of the insured and spouse (if any)
※At the time of submission, please check the “Submission Check Sheet (PDF: 592KB)”.

　　＜Self-pay for nursing care services and reduction of low-income Long-term Care Insurance Premium＞
　　　Please confirm system guidance handbill (PDF: 1,061KB) about system of care service self-pay furtherance.
　　　・Download of Yokohama-shi care service self-pay subsidy authorization application and Yokohama-shi Long-term Care Insurance Premium reduction of taxes application (Excel: 93KB)
　　　・Download of income and asset status report and consent form (Excel: 230KB)
　　　・Download of Yokohama-shi care service self-pay subsidy transfer registration form (PDF: 98KB)

　　<Expensive nursing care service costs, etc.>
　　　Please confirm this page about system, procedure such as large amount care service costs.

　　<High-cost medical care service costs, etc.>
　　　Please refer to this page for systems and procedures such as high-cost medical combined nursing care service costs.

　　　Person using home service, facility service by repayment payment submits when claiming insurance benefit.
　　　The main required documents is (1) an application for payment of nursing care benefits, (2) a service provision certificate, and (3) a receipt (paid by the individual (100%)).
　　　For details on how to apply, please contact Insurance and Pension Division in each district.

　　　・Download of payment application such as care payment costs (PDF: 97KB)
　　　・Please download the service provision certificate from "(3) About service provision certificate" on this page.
　　　・Download of petition pertaining to insurance payment application (in the case of application by heirs, etc.) (PDF: 92KB)

　　<Renovation of The Long-term Care Insurance Housing>
　　　Please refer to this page for details on the The Long-term Care Insurance Housing Renovation System, procedures and application documents.
　　<Purchase of specific welfare equipment>
　　　Please refer to this page for the system and procedures for purchasing specific welfare equipment.
　　<Lending welfare equipment for mild persons>
　　　Please refer to this page for the system, procedures, and application documents for lending welfare equipment to mild people.

　　　In cases where it is difficult to pay the The Long-term Care Insurance user's burden due to earthquakes, storms and floods, fires, death or unemployment of livelihood maintainers, etc.
　　　You may be able to reduce or exempt.
　　　For more information, please contact Insurance and Pension Division in each district.
　　　Download of a set of documents related to the reduction and exemption of The Long-term Care Insurance user burden (PDF: 362KB)

　　　Please refer to this page for procedures when using The Long-term Care Insurance due to acts of a third party (perpetrator) such as traffic accidents.

　　　About Long-term Care Insurance Premium

　　　・Please refer to this page for the application form for “Long-term Care Insurance Premium Low-income Reduction Exemption” and income and asset status declaration and consent form.
　　　　(It is a common style with the nursing care service self-pay subsidy.)
　　　・You may be entitled to a reduction in Long-term Care Insurance Premium if it is difficult to pay insurance premiums due to disasters, unemployment, bankruptcy or other circumstances.
　　　　For more information, please contact the ward office Insurance and Pension Division.
　　　　Please use this reduction application form (PDF: 109KB) when filling out the application form in advance.