Frequently Asked Questions (Long-Term Care Insurance)

QuestionPlease tell me about the payment for high-cost nursing care (nursing care prevention) services.

Response

If the user burden amount for nursing care services (monthly) exceeds the upper limit shown in the table below when combined for the household, the excess amount will be provided later as "High-cost nursing care (preventive) service expenses."
An "Application Form for High-Cost Nursing Care (Preventive Nursing Care) Service Fee Payment" will be sent to eligible individuals.
Once you apply, subsequent payments will be automatically deposited.

Notice

• Housing costs, food expenses, and daily living expenses at the facility are not covered.
• The self-funded portion of specific welfare equipment purchases and housing renovations is not eligible.
• Amounts exceeding the payment limit for the level of care required are not eligible.
• After two years from the day following the payment of the user's share for the use of nursing care services, you will no longer be able to apply due to the statute of limitations.

User Burden Level Classification	Maximum Amount (Total for Household) (The term 'individual' refers to the maximum amount per individual unit)
Those with taxable income of 6.9 million yen or more	140,100 yen
Those with taxable income of 3.8 million yen or more but less than 6.9 million yen	93,000 yen
Those with a taxable income under 3.8 million yen in a household subject to resident tax	44,400 yen
Those who are not subject to household non-taxation of resident tax and do not fall under the following categories	24,600 yen
Household exempt from resident tax, recipients of Senior Welfare Pension	15,000 yen (individual)
Household exempt from resident tax, whose total other income amount and taxable pension income amount in the previous year is 809,000 yen or less	15,000 yen (individual)
Public Assistance Recipients	15,000 yen (individual)
Those who do not become Public Assistance Recipients by reducing the user burden limit to 15,000 yen	15,000 yen