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Application for high-cost nursing care combined medical expenses

Updated: March 22, 2021

The total amount of the co-payments of the medical care system for the elderly paid by the household in one year (from August 1st of each year to July 31st of the following year) and the amount paid by the user of long-term care insurance is the self-pay amount in the table below. If the amount exceeds the maximum burden, if you apply and it is approved, the excess amount will be refunded from the medical care system for the elderly and the long-term care insurance system.
Applicants will receive an application form from the Regional Union around March every year. If you are not sure whether this applies to you, please contact us.

Self-pay limit for one year (one year from August to July of the following year)

From 2020 (August 2020 to July of the following year)
burden ratio　　　

income category　　　　　

 Medical care system for the latter-stage elderly + long-term care insurance system
30%

Income equivalent to that of active workers3
Taxable income of 6.9 million yen or more

 2.12 million yen

Income equivalent to working age 2
Taxable income of 3.8 million yen or more

 1.41 million yen

Income equivalent to active duty 1
Taxable income of 1,450,000 yen or more

 670,000 yen
20%

General 2
If the taxable income is 280,000 yen or more and the number of insured persons is 1 → "Pension income" + "Total other income amount" is 2 million yen or more If the number of insured persons is 2 or more → "Pension income" ” + “Total other income amount” is 3.2 million yen or more

 560,000 yen
10

General 1
Households subject to resident tax

 560,000 yen

Division 2
Resident tax exempt households and those who do not fall under Category 1

 310,000 yen

Category 1
(1) Households that are exempt from resident tax, and the income of all members of the household is 0 yen (public pension income is calculated by deducting 800,000 yen, and employment income is calculated by deducting 100,000 yen after employment income deduction)
or
(2) Those who are resident tax-exempt households and receive old-age welfare pensions.

 190,000 yen

What you need to apply

  1. Application form sent from the Tokyo Metropolitan Association for Medical Care for the Advanced Elderly

  2. insurance card

  3. The transfer destination can be confirmed

  4. Documents that can verify the identity of the applicant (My number card, driver's license, etc.)

  5. Things that can be confirmed by My Number

  6. Self-pay certificate (only if necessary for those who have moved)

Note: If someone other than the applicant brings the application form, etc., please bring something that can verify the identity of the person who brings the application form.

Possible date and time for procedures

From 8:30 a.m. to 5:00 p.m. of open agency day Note: Mailing is possible

Inquiries regarding this page

Inagi City Citizens Department Insurance and Pension Division
2111 Higashi-Naganuma, Inagi-shi, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781

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Inagi City Hall

2111 Higashinagumanuma, Inagi City, Tokyo 206-8601
Office hours: 8:30 a.m. to 5:00 p.m. Main phone: 042-378-2111 Fax: 042-377-4781
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