Long-Term Care Insurance Burden Limit Certification

Overview

For those who have received long-term care certification and whose entire household is exempt from resident tax, a certificate will be issued that sets a cap on the amount of self-payment for living expenses (stay expenses) and food expenses when applying for admission to a long-term care insurance facility or using short-stay services.

Note: From August 2024, the limit on the burden of living expenses will be increased (the limit on food expenses will remain unchanged). For details, please refer to the table below "Burden Limit Application Table (per day) (from August 2024)".

Eligible Persons

Those who meet all of the following three criteria are eligible.

1. All household members are exempt from resident tax
2. Confirmation that the spouse is exempt from resident tax (including cases where the household on the Certificate of Residence is different)
3. It must meet the monetary standards for assets (savings, etc.) according to income status. Please refer to the table below "Limit Amount Application Table (per day) (until July 2024)" and "Limit Amount Application Table (per day) (from August 2024)".

Limit of Burden Amount Application Table (per day) (until July 6th, Reiwa)

User Burden Level (Note 1)	Target: Income Status	Target: Status of assets (savings, etc.) (Note 2)	Limit on housing costs and other burdens: Unit-type private room	Limit on living expenses and other burdens: Unit-type multi-bed room	Limit on housing costs and other burdens: Conventional individual room (Note 3)	Limit on burden for living expenses: Multi-bed room	Limit on Food Expenses (Note 4)
Phase 1	Public Assistance Recipients	-	820 yen	490 yen	490 yen (320 yen)	0 yen	300 yen
Phase 1	All household members are exempt from resident tax and are recipients of Senior Welfare Pension.	For single individuals, it is below 10 million yen, and for couples, it is below 20 million yen.	820 yen	490 yen	490 yen (320 yen)	0 yen	300 yen
Stage 2	Those whose total income amount and pension income amount (including non-taxable pensions) minus the "amount of miscellaneous income related to public pensions" is 800,000 yen or less, and all household members are exempt from resident tax.	For single individuals, it is below 6.5 million yen, and for couples, it is below 16.5 million yen.	820 yen	490 yen	490 yen (420 yen)	370 yen	390 yen (600 yen)
Stage 3 (1)	Those whose total income amount and pension income amount (including non-taxable pensions) minus the "miscellaneous income amount related to public pensions" is more than 800,000 yen and less than or equal to 1,200,000 yen, and all household members are exempt from resident tax.	For single individuals, it is below 5.5 million yen, and for couples, it is below 15.5 million yen.	1,310 yen	1,310 yen	1,310 yen (820 yen)	370 yen	650 yen (1,000 yen)
Stage 3 (2)	Those whose total income amount, excluding the "miscellaneous income amount related to public pensions" from the total income amount and pension income amount (including non-taxable pensions), exceeds 1.2 million yen, and all household members are exempt from resident tax.	For single individuals, it is below 5 million yen, and for couples, it is below 15 million yen.	1,310 yen	1,310 yen	1,310 yen (820 yen)	370 yen	1,360 yen (1,300 yen)

Limit of Burden Amount Application Table (per day) (from August 2024)

User Burden Level (Note 1)	Target: Income Status	Target: Status of assets (savings, etc.) (Note 2)	Limit on housing costs and other burdens: Unit-type private room	Limit on living expenses and other burdens: Unit-type multi-bed room	Limit on housing costs and other burdens: Conventional individual room (Note 3)	Limit on burden for living expenses: Multi-bed room	Limit on Food Expenses (Note 4)
Phase 1	Public Assistance Recipients	-	880 yen	550 yen	550 yen (380 yen)	0 yen	300 yen
Phase 1	All household members are exempt from resident tax and are recipients of Senior Welfare Pension.	For single individuals, it is below 10 million yen, and for couples, it is below 20 million yen.	880 yen	550 yen	550 yen (380 yen)	0 yen	300 yen
Stage 2	Those whose total income amount and pension income amount (including non-taxable pensions) minus the "amount of miscellaneous income related to public pensions" is 800,000 yen or less, and all household members are exempt from resident tax.	For single individuals, it is below 6.5 million yen, and for couples, it is below 16.5 million yen.	880 yen	550 yen	550 yen (480 yen)	430 yen	390 yen (600 yen)
Stage 3 (1)	Those whose total income amount and pension income amount (including non-taxable pensions) minus the "miscellaneous income amount related to public pensions" is more than 800,000 yen and less than or equal to 1,200,000 yen, and all household members are exempt from resident tax.	For single individuals, it is below 5.5 million yen, and for couples, it is below 15.5 million yen.	1,370 yen	1,370 yen	1,370 yen (880 yen)	430 yen	650 yen (1,000 yen)
Stage 3 (2)	Those whose total income amount, excluding the "miscellaneous income amount related to public pensions" from the total income amount and pension income amount (including non-taxable pensions), exceeds 1.2 million yen, and all household members are exempt from resident tax.	For single individuals, it is below 5 million yen, and for couples, it is below 15 million yen.	1,370 yen	1,370 yen	1,370 yen (880 yen)	430 yen	1,360 yen (1,300 yen)

• Note 1: For those other than Stage 1 to Stage 3 (2), the burden amount will be set according to the contract with the facility.
• Note 2: Regarding the status of assets (savings, etc.) from Stage 2 to Stage 3 (2), for insured persons of Type 2, regardless of the user burden stage, it will be 10 million yen or less for single individuals and 20 million yen or less for couples.
• Note 3: The amounts in parentheses for conventional private rooms are the maximum burden amounts when using nursing care welfare facilities and short-term stay life care / preventive short-term stay life care.
• Note 4: The amounts in parentheses for the limit on food expenses are the limits when utilizing short-term stay life care, preventive short-term stay life care, short-term stay medical care, and preventive short-term stay medical care.

Required Items for Application

1. Long-Term Care Insurance Burden Limit Certification Application Form
2. Confirmation materials for savings and deposits

Points to Note When Submitting a Copy of the Passbook

• The following page is required for all accounts of the individual and their spouse.
  • Page showing the name of the financial institution, branch name, account number, and account holder's name
  • A page where you can find the final balance from the last 3 months from the application date
    (Including a page where you can find the details of the Pension if you are receiving it)
• Please be sure to record any outdated information.

Confirmation materials for savings and deposits

Scope of Deposits and Savings

Asset Items	Eligibility	Declaration Method
Savings (Ordinary/Fixed)	○	Copy of Bankbook
Internet Banking	○	Copy of Account Balance Page
Securities (stocks, government bonds, municipal bonds, corporate bonds, etc.)	○	Copy of account balance from securities companies and banks
Precious metals such as gold and silver (including accumulated purchases) can easily be assessed at market value based on the account balance of the purchase source.	○	Copy of the account balance from the purchasing bank, etc.
Investment Trust	○	Copy of account balance from banks, trust banks, securities companies, etc.
Cash Savings	○	Self-Declaration
Liabilities (Loans, Mortgages, etc.)	○	Loan documents, etc.
Life Insurance	×	―
Automobile	×	―
Precious metals (such as watches and jewelry, which are difficult to assess for market value)	×	―
Other valuable items (paintings, antiques, household goods, etc.)	×	―

Note:
Please submit copies of all relevant documents (including spouse).
If you have multiple accounts, copies of all account passbooks are required.
If you bring the original documents directly to City Hall, you can make copies at the reception.
Copies cannot be made at each Branch Office.

Notes

• Public Assistance recipients do not need to submit confirmation documents for savings and deposits.
• In cases of fraudulent receipt, in addition to the return of the benefit amount, additional charges may be imposed.

Download Form

• Long-Term Care Insurance Burden Limit Certification Application Form (PDF 157.7KB)
• Long-Term Care Insurance Burden Limit Certification Application Form (Excel 67.9KB)

Effective Date

In principle, it will take effect from the 1st of the application month. However, this does not apply in cases such as moving in.

Submission Method

Submit by mail or at the counter

Submission Destination / Contact Information

2111 Higashi-Naganuma, Inagi City, Tokyo 206-8601
Long-Term Care Insurance Section, Senior Welfare Division, Welfare Department, Inagi City Hall
(City Hall 2nd Floor, Window 4)

Special Reduction Measures for Food and Housing Expenses for Households Subject to Municipal Resident Tax

Among those who are not eligible for the aforementioned relief of food and housing costs, if one partner in an older couple household is admitted to a facility and the remaining spouse finds it difficult to make a living at home, they may apply to the city if they meet all of the following requirements, and the limit for user burden at the third stage (2) will be applied to room fees, food costs, or both. (Short stays are not eligible).

Eligible Persons

Those who meet all of the following requirements

1. The number of household members and spouses (including those in separate households) belonging to the individual must be two or more.
2. Residing in a Long-Term Care Insurance facility or a community-based long-term care welfare facility, and bearing the user burden for food and housing costs at the 4th stage.
3. For all household members and spouses, the amount remaining after deducting the estimated annual total of user burden, food expenses, and housing costs from the total amount of public Pension income and total income excluding Pension from the previous year must be 800,000 yen or less.
4. The total amount of cash, savings, etc. (Note 2) for all household members and spouses is 4.5 million yen or less.
5. All household members and spouses do not own any assets that can be utilized other than those necessary for daily life, such as houses used for residence.
6. All household members and spouses are not in arrears with Long-Term Care Insurance premiums.

• Note 1: If there is an application of special deductions for long-term capital gains or short-term capital gains, the amount to be deducted will be deducted.
• Note 2: Includes joint management trusts, publicly offered corporate bonds, and investment trusts as well as securities.

Content of Reduction

Until the above requirement 3 no longer applies, the user burden limit for the third stage (2) will be applied to room fees or meal costs, or both.

Required Items for Application

1. Long-Term Care Insurance Burden Limit Certification Application Form
2. Asset Declaration and Consent Form for Special Reduction Measures for Meal and Housing Costs in Households Subject to Municipal Resident Tax
3. Attached Documents
   • Details regarding facility usage fees, meal costs, and housing expenses at the facility where you are currently residing or plan to reside
     (such as copies of contracts, etc.)
   • Income certificate, withholding tax statement, pension payment notification, copy of tax return, and other documents certifying income
   • Copy of bankbooks and other deposit account statements

Download Form

• Application Form and Consent for Special Reduction Measures (Word 66.0KB)

Effective Date

As a result of the investigation, for those who have been determined to be eligible for the reduction measures, the reduction will generally start from the first day of the month in which the application was submitted. However, this does not apply in cases such as moving in.

Submission Method

Submit by mail or at the counter

Submission Destination / Contact Information

2111 Higashi-Naganuma, Inagi City, Tokyo 206-8601
Long-Term Care Insurance Section, Senior Welfare Division, Welfare Department, Inagi City Hall
(City Hall 2nd Floor, Window 4)