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High-cost total nursing care expenses system

Last Updated January 20, 2025

If both the medical insurance burden and the The Long-term Care Insurance burden occur on a household basis, and the total amount for one year (the calculation period is from August 1 to the end of July of the following year) exceeds the standard amount, the excess amount will be refunded.
We will send an application form to those who are eligible for payment, so please apply to the ward office Insurance and Pension Division National Health Insurance Section. It will be shipped sequentially from March to July every year. You need to apply for a large sum of nursing care expenses for each applicable year.
In addition, in some cases, such as moving in from outside the prefecture during the calculation period, it may not be possible to grasp that it is eligible for payment, so if the copayment amount seems to have exceeded the standard amount, first of all, the medical insurance counter of the municipalities before moving in Please contact the The Long-term Care Insurance counter regarding the issuance of a “copayment certificate”. (If two years have passed since the day after the application notification was received, in principle, the statute of limitations will expire and payment will not be possible.)

Kanagawa Prefecture Senior Citizens' Medical Wide Area Alliance Homepage (summary nursing care expenses) (outside site)

About base amount

Total amount of long-term care
Income CategoryTotal nursing care calculation standard amount (August to July of the following year)
Income equal to active duty 32.12 million yen
Income equal to active duty 21.41 million yen
Active-income earner 1670,000 yen
General 2560,000 yen
General 1
Low-income individuals 2310,000 yen
Low-income 1190,000 yen

※Please refer to the following page for details of income classification.
When going to a medical institution

About application procedure

Applications will be accepted at each ward office, Insurance and Pension Division National Health Insurance Section.

What is required for application

・Medical insurance card (elderly medical care insured person card) or qualification confirmation
・Long-term care insurance card
・(When specifying the transfer account other than the insured person) The insured person's seal (using vermilion)
 ※If the insured is dead, the heir's seal
・Deposit passbook (those specified as the transfer account)
・(When an adult guardian, etc. has been appointed) Certificate of entry
・(If there is a change in insurance, etc.) Out-of-pocket certificate

Inquiries to this page

Medical Aid Division, Ministry of Life and Welfare, Health and Social Welfare Bureau

Telephone: 045-671-2409

Telephone: 045-671-2409

Fax: 045-664-0403

Email address: kf-iryoenjo@city.yokohama.lg.jp

Return to the previous page

Page ID: 991-721-158

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