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About large amount care service costs

Last update date July 15, 2020

Summary of 1 system

When the totals of user burden (10%, 20% or 30%) applied to one-month The Long-term Care Insurance service and general business (the care prevention, life support service) exceed the amount of constant upper limit (they refer to the amount of upper limits such as 2 large amount care services costs), we are provided with sum that we exceeded for (※ 1) such as large amount care service costs by application. But a part of the care prevention, the life support service business, the specific welfare tool purchase such as the food expenses, room charges such as facility services, expense of house repair are out of large amount care service costs.
※Care (the prevention) service costs large amount of as for the expense that it cost for 1 The Long-term Care Insurance service
We are paid expense that it cost for general business service for large amount of care prevention service costs equivalency operating cost mainly.

The amount of upper limits such as 2 large amount care services costs

The amount of upper limit of self-pay
Income division The amount of upper limit (monthly basis)
Household where being equivalent is to income earner (taxable income 1.45 million yen or more people) at the same level as active play 44,400 yen (household) ※1
Household which is imposed municipal tax on who it is 44,400 yen (household) ※2
Person whom all the members of household are not imposed on in municipal tax 24,600 yen (household)

Among people whom all the members of household are not imposed on in municipal tax
○Person who receives old-age welfare pension
○Person who is with 800,000 yen a year or less of "amount of income such as public pensions" of the previous year and total of "other total income amount of money ※ 3"

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

Where social security is received 15,000 yen (individual)

※1 "household" is member of household of Basic Resident Register and points to the amount of upper limit of the total of burden on all the people using care service and points to the amount of upper limit of burden on person who used care service with "individual".
※Amount of upper limit 446,400 yen was set for the upper limit sum increase carried out in 2 August, 2017 newly a year so that the annual burden total sum did not exceed burden limit before the amount of upper limit increase in total about household only for person insured of 10% burden. But these measures become the end on July 31, 2020. <The Long-term Care Insurance latest information vol.854> (PDF: 267KB)
(period measures from August, 2017 for 3 years. As for the application period of the amount of annual upper limit from August 1 to next year July 31.)
※We call amount of money that deducted special deduction of short term, long-term capital gains to affect sale of land and building from total income amount of money (amount of money before performing carrying forward subtraction to modify transfer losses such as various deductions from income or listed stocks in the tax law with amount of money that deducted sum equivalent to necessary expenses from income amount of money of the previous year) in the tax law 3 "total income amount of money". In addition, we calculate as 0 yen when total income amount of money is minus.
"Other total income amounts of money" mean amount of money that deducted miscellaneous incomes (amount of money that deducted the amount of deduction from the pension from the amount of income such as public pensions) to affect public pensions from total income amount of money.

Flow of use of 3

It is necessary to apply to ward office to receive payment of large amount care service costs.
In addition, it is transferred to account which had principle, the first application when we correspond to refund after the second. (automatic repayment)

Main thing necessary for 4 application procedures

1 large amount care service costs supply application
(I send to person thought to be pertinence from this)
Identification of 2 The Long-term Care Insurance people insured
3 private seal (thing using vermilion)
We can confirm 4 transfer
※Please refer to ward office Insurance and Pension Division of ward to live for application procedure in detail.

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Inquiry to this page

It is each ward Insurance and Pension Division (about procedure to ward office)

It is Health and Social Welfare Bureau Nursing Care Insurance Section (about systems such as large amount care service costs)

Telephone: 045-671-4255

Telephone: 045-671-4255

Fax: 045-550-3614

E-Mail address [email protected]

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