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 in the table below when combined for the household, the excess amount will be provided later as "High-Cost Nursing Care (Preventive) Service Fees."
Those eligible will receive the "High-Cost Nursing Care (Preventive) Service Fee Application Form."
Once you apply, subsequent payments will be automatically deposited.
From the service usage in August 2021, the classification for those with "income equivalent to that of active workers" will be subdivided, and a new burden limit will be set.
For details, please refer to the table below titled "From the service usage in August 2021."

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.
• 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.

Until the service usage for July 2021

Income Category	Maximum Amount (Total for Household) (The term "Individual" refers to the maximum amount per individual)
General (Others not listed below)	44,400 yen See the notes below
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, with the total amount of taxable pension income and total income not exceeding 800,000 yen per year	15,000 yen (individual)
Household exempt from resident tax, recipients of Senior Welfare Pension	15,000 yen (individual)
Public Assistance Recipients	15,000 yen (individual)
If the user burden is reduced to 15,000 yen, it will not result in becoming a recipient of Public Assistance.	15,000 yen (individual)

Note: Among the household taxation for resident tax, households with all individuals aged 65 and over (including those not using services) have a user burden ratio of 10%. An annual cap of 446,400 yen (equivalent to 37,200 yen x 12 months) is set to ensure that the burden amount does not increase throughout the year. (Relaxation measures for three years starting from August 2017)

From the service usage in August 2021 (the bold part is the equivalent of active income, subdivided)

Income Category	Maximum Amount (Total for Household) (The term "Individual" refers to the maximum amount per individual)
Individuals with an annual income of approximately 11.6 million yen or more for household taxation on resident tax	140,100 yen
Individuals with a household income of approximately 7.7 million yen or more, but less than 11.6 million yen for resident tax purposes	93,000 yen
Individuals with a household income of approximately 3.83 million yen to less than 7.7 million yen for resident tax	44,400 yen
Those who do not fall under the above for household taxation of 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, with the total amount of taxable pension income and total income not exceeding 800,000 yen per year	15,000 yen (individual)
Household exempt from resident tax, recipients of Senior Welfare Pension	15,000 yen (individual)
Public Assistance Recipients	15,000 yen (individual)
If the user burden is reduced to 15,000 yen, it will not result in becoming a recipient of Public Assistance.	15,000 yen