What Is Long-Term Care Insurance?

Kawasaki City

HelloLong-Term Care

Insurance(FY2016 edition)

With the advent of a society that is undeniably aging, the number of people in Japan who need nursing care continues to rise, and families are finding it increasingly difficult to take care of aging family members on their own.

The long-term care insurance program aims to reduce any worries concerning the need for nursing care that may arise, and to create a mutually supportive society in which both those who provide nursing care and those who receive it enjoy peace of mind.

Long-Term Care InsuranceHelping Each Other and Widening Our Circle of Friends

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FY2016 Long-Term Care Insurance System Revision

Eligibility for Long-Term Care Insurance

As of April 2016Nursing/preventive care and daily support comprehensive programs will begin.

Home nursing care and commuting nursing care are included in the nursing/preventive care services covered by long-term care insurance and until recently were conducted in the same manner across the nation. Now, however, the nursing/preventive care and daily support service programs follow standards the city designates.

Along with general nursing/preventive care programs, nursing/preventive care and daily support service programs will be conducted as nursing/preventive care and daily support comprehensive programs (hereafter referred to as “comprehensive programs”).

Kawasaki City residents 40 years of age or older are eligible to enroll in Kawasaki City long-term care insurance. They are called members.

○ Members 65 years of age or older (Category 1 members)Note: Kawasaki City will send you a long-term care insurance membership card at the end of the month before you reach 65 years of age. (The day before your 65th birthday will be considered the day you reach 65.)

○ Members 40 to 64 years of age enrolled in medical health insurance (Category 2 members) Note: Long-term care insurance membership cards are issued only to Category 2 members approved for nursing care/nursing assistance due to one of sixteen specially designated illnesses (such as a cerebrovascular disorder) and members who apply to receive the card.

Special case: Those institutionalized (living) in a long-term care insurance facilityWhen a member enrolled in Kawasaki City long-term care insurance moves into (becomes

institutionalized in) a long-term care insurance facility located in another municipality, he/she continues to be a member of Kawasaki City, not the municipality where the facility is located (address special case).

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Handle Your Long-Term Care Insurance Membership Card Properly

The Difference between Long-Term Care Insurance and Medical Health Insurance Membership Cards

Long-Term Care Insurance Membership Card

Medical Health Insurance Membership Card

After you receive your membership card, please make sure the information on it is correct. If there are any mistakes, please report them immediately.

Please keep your card in a safe and convenient place so that you can show it to your service provider whenever you apply for nursing care/nursing assistance or use the card for other services.

You cannot use a copy of your membership card, only the original, when applying for nursing care/nursing assistance and/or services.

Do not lend your membership card to anyone or borrow anyone else’s card.

If any of the information written on your card changes, please bring your membership card and file a notification with the city within 14 days after the change.

If a member loses eligibility because of a move out of the city or death, a notification must be filed and the membership card must be returned immediately.

If you lose your membership card, or if it is too damaged or dirty to use, please apply for a new card.

You must submit your long-term care insurance membership card when applying for nursing care/nursing assistance. A person who is bedridden or suffering from dementia must also show his or her membership card and long-term care insurance copayment certificate, to the service provider to take advantage of services based on the care plan, such as long-term care, nursing, or physical therapy services, whether at home or at an institution.

Please direct inquiries and notifications about your long-term care insurance membership card to the insurance annuity service counter at your local Ward Office or branch office kumin center.

Note: Please keep the following points in mind regarding your long-term care insurance membership card:

You must show your medical health insurance membership card at the service counter of the medical institution you are visiting when receiving medical services—such as an examination, treatment/therapy, or medicine—for an illness or injury.

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Long-Term Care Insurance Premiums

As a rule, long-term care insurance premiums must be paid by everyone 40 years of age or older; however, payment procedures are different for those 65 years of age or older and for those between 40 and 64 years old.

Long-term care insurance benefits are covered by insurance premiums and public funds (see the chart at right); the insurance premiums of members 65 years of age or older account for about one-fourth of all insurance benefits.

Financial Resources for Long-Term Care Insurance Benefits

Insurance premiums of members 65 years of age and older: 24.3%

Funding from the national government/Kanagawa prefectural government:

35.2%

Funding from Kawasaki City government:

12.5%

Insurance premiums of members between 40 and 64 years of age: 28.0%

Members 65 Years of Age and Older (Category 1 Members)

Long-Term Care Insurance PremiumsInsurance premiums for those 65 years of age and older are divided into 14 levels according to

their level of municipal inhabitant tax (see pages 5 and 6).The municipal government determines these insurance premiums every three years after reviewing

its financial plans involving long-term care insurance and based on standards designated by the national government.

How to Pay Your Long-Term Care Insurance PremiumsAs a rule, the insurance premiums for members receiving a public pension are deducted from their

pension (a system known as special collection). However, premiums cannot be immediately deducted from the pensions of individuals who have just reached 65 years of age or for those who have recently moved to Kawasaki City. (It takes about eight months for these deductions to begin.) During that period, you will need to pay your insurance premiums using the invoices provided or via account transfer (referred to as regular collection).

Note: Even if a member had insurance premiums deducted from the pension before moving to Kawasaki City, the automatic deductions will be temporarily halted on procedural grounds.

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Members between 40 and 64 Years of Age (Category 2 Members)

Members between 40 and 64 years of age enrolled in medical health insurance pay their long-term care insurance premiums together with their medical insurance premiums. The amount of insurance premiums and the payment method vary depending on the type of medical insurance they join.

Category 1 or 2 members who need nursing care because they are weak, bedridden, or suffering from dementia, etc., are eligible for long-term care insurance services.

Note: Category 2 members must have one of sixteen specially designated illnesses (such as a cerebrovascular disorder) in order to be eligible.

Reduction/Exemption of Long-Term Care Insurance PremiumsIf you are 65 years of age or older and are having difficulty paying your long-term care insurance

premiums due to a disaster or similar reason, long-term care insurance premium reduction/exemption programs are available. Please consult the staff at the insurance and annuity service counter at your local Ward Office or branch office kumin center.

If You’re Behind on Your Long-Term Care Insurance Premium Payments

If you are behind in paying your long-term care insurance premium payments for no special reason, use of long-term care services will be restricted.

Notes:* If you do not pay your insurance premiums by the designated deadline, you will be mailed a

reminder. If you fail to pay after the due date written on the reminder, an extension fee will be added based on the number of days from the deadline until the date of payment.

* If you continue to avoid payment over a long period, your assets (such as your savings) may be legally seized.

Members Who Can Use Long-Term Care Insurance Services

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How Premiums Are Determined for Members65 Years of Age and Older

Eligible Members Income Level Annual Insurance Premiums

Estimated Monthly Amount

The person is receiving public assistance or a support benefit for Japanese war orphans left behind in China.The applicant is an old-age welfare annuity recipient, and the entire household is exempt from municipal inhabitant tax. Level 1 ¥29,920 ¥2,493All household members are exempt from municipal inhabitant tax, and the applicant had ¥800,000 or less in total annual income and taxable pensions during the previous year. Level 2 ¥29,920 ¥2,493All household members are exempt from municipal inhabitant tax, but the applicant is other than level 1 or 2 and had ¥1,200,000 or less in total annual income and taxable pensions during the previous year. Level 3 ¥43,210 ¥3,601All household members are exempt from municipal inhabitant tax, but the applicant is other than level 1, 2, or 3. Level 4 ¥49,860 ¥4,155The applicant is exempt from municipal inhabitant tax, but other household members pay the tax, and he/she had ¥800,000 or less in total annual income and taxable pensions during the previous year. Level 5 ¥59,830 ¥4,986The applicant is exempt from municipal inhabitant tax, but other household members pay the tax, and he/she does not belong to level 5. Level 6 ¥66,480 ¥5,540The applicant pays municipal inhabitant tax and had less than ¥1,250,000 in total income during the previous year. Level 7 ¥76,460 ¥6,372The applicant pays municipal inhabitant tax and had between ¥1,250,000 and ¥1,899,999 in total income during the previous year. Level 8 ¥83,100 ¥6,925The applicant pays municipal inhabitant tax and had between ¥1,900,000 and ¥2,899,999 in total income during the previous year. Level 9 ¥99,730 ¥8,311The applicant pays municipal inhabitant tax and had between ¥2,900,000 and ¥3,499,999 in total income during the previous year. Level 10 ¥106,380 ¥8,865The applicant pays municipal inhabitant tax and had between ¥3,500,000 and ¥4,999,999 in total income during the previous year. Level 11 ¥113,020 ¥9,418The applicant pays municipal inhabitant tax and had between ¥5,000,000 and ¥6,999,999 in total income during the previous year. Level 12 ¥126,320 ¥10,527The applicant pays municipal inhabitant tax and had between ¥7,000,000 and ¥9,999,999 in total income during the previous year. Level 13 ¥139,620 ¥11,635The applicant pays municipal inhabitant tax and had ¥10,000,000 or more in total income during the previous year. Level 14 ¥152,920 ¥12,743

“Total income” refers to the sum of all income, including pension, wages, and business revenues after subtracting the necessary expenses from earnings.

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Eligible Members Income Level Annual Insurance Premiums

Estimated Monthly Amount

The person is receiving public assistance or a support benefit for Japanese war orphans left behind in China.The applicant is an old-age welfare annuity recipient, and the entire household is exempt from municipal inhabitant tax. Level 1 ¥29,920 ¥2,493All household members are exempt from municipal inhabitant tax, and the applicant had ¥800,000 or less in total annual income and taxable pensions during the previous year. Level 2 ¥29,920 ¥2,493All household members are exempt from municipal inhabitant tax, but the applicant is other than level 1 or 2 and had ¥1,200,000 or less in total annual income and taxable pensions during the previous year. Level 3 ¥43,210 ¥3,601All household members are exempt from municipal inhabitant tax, but the applicant is other than level 1, 2, or 3. Level 4 ¥49,860 ¥4,155The applicant is exempt from municipal inhabitant tax, but other household members pay the tax, and he/she had ¥800,000 or less in total annual income and taxable pensions during the previous year. Level 5 ¥59,830 ¥4,986The applicant is exempt from municipal inhabitant tax, but other household members pay the tax, and he/she does not belong to level 5. Level 6 ¥66,480 ¥5,540The applicant pays municipal inhabitant tax and had less than ¥1,250,000 in total income during the previous year. Level 7 ¥76,460 ¥6,372The applicant pays municipal inhabitant tax and had between ¥1,250,000 and ¥1,899,999 in total income during the previous year. Level 8 ¥83,100 ¥6,925The applicant pays municipal inhabitant tax and had between ¥1,900,000 and ¥2,899,999 in total income during the previous year. Level 9 ¥99,730 ¥8,311The applicant pays municipal inhabitant tax and had between ¥2,900,000 and ¥3,499,999 in total income during the previous year. Level 10 ¥106,380 ¥8,865The applicant pays municipal inhabitant tax and had between ¥3,500,000 and ¥4,999,999 in total income during the previous year. Level 11 ¥113,020 ¥9,418The applicant pays municipal inhabitant tax and had between ¥5,000,000 and ¥6,999,999 in total income during the previous year. Level 12 ¥126,320 ¥10,527The applicant pays municipal inhabitant tax and had between ¥7,000,000 and ¥9,999,999 in total income during the previous year. Level 13 ¥139,620 ¥11,635The applicant pays municipal inhabitant tax and had ¥10,000,000 or more in total income during the previous year. Level 14 ¥152,920 ¥12,743

0.45 times

0.45 times

0.65 times

0.75 times

0.90 times

Standard Amount

1.15 times

1.25 times

1.50 times

1.60 times

1.70 times

1.90 times

2.10 times

2.30 times

Compared to the standard amount, your

long-term care insurance premiums are:

“Total income” is prescribed by Article 292, Paragraph 1-13 of the Local Tax Act.

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Procedures for Using Long-Term Care Insurance

Application for nursing care/nursing

assistance*

The applicant or his/her family member applies for authorization at the long-term care insurance service counter of their local Ward Office or District Health and Welfare Station.

An examiner will conduct an interview to assess the physical and mental state of the applicant. (Physical mobility is checked as well.)

The city office will ask the applicant’s family doctor to write a statement on his/her general condition.

Those who need

authorization for nursing

care/nursing assistance

Authorization process for nursing care/nursing assistance*

Authorization interview and family doctor’s statement on general health

Authorization interview results

Doctor’s statement

Eligibility Screening Using the Basic Checklist

This checklist consists of a simple questionnaire of twenty-five items concerning everyday life. It checks the functions necessary for everyday life, such as physical and mental energy.(Community comprehensive assistance centers administer this.)

Those eligible for nursing/preventive care and daily support service programs

Those who lead independent lives (not applicable)

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* If a person or one of the person’s family members is unable to apply for certification as someone who requires care or assistance, he/she can have someone else apply on the person’s behalf at the Community Comprehensive Assistance Center. The cost of the certification exam and the primary care doctor’s report will be covered by the city, so there is no burden on the patient.

Doctors and health and welfare specialists examine and determine the level of nursing care/nursing assistance needed based on the result of an authorization interview and family doctor’s statement.

Nursing care authorization screening committee

Authorizationresults

Nursing carelevel 5

Nursing carelevel 4

Nursing carelevel 3

Nursing carelevel 2

Nursing carelevel 1

Nursing assistancelevel 2

Nursing assistancelevel 1

Not applicable

For those authorized for nursing care levels 1–5

For those authorized for nursing assistance levels 1 or 2

You can use nursing care services of long-term care

insurance.

You can use nursing care preventative services

provided through long-term care insurance.

A care plan will be prepared for you at a Home Nursing

Care Support Center.

A Community Comprehensive Assistance Center will prepare

a nursing care preventative care plan for you.

Community comprehensive assistance centers create care plans used for nursing/preventive care and daily support service programs.

Nursing/preventive care and daily support service programs (page 14)

General nursing/preventive care programs (pages 14 and 15)

Nursing/preventive care management

Nursing/preventive care and daily support comprehensive programs (comprehensive programs)

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Persons Authorized for Nursing Care Levels 1–5

Home nursing care (home help service)A home helper visits your home to provide physical care and/or assist with household chores.

Home bathing serviceA vehicle equipped with a portable bath is brought to your home to provide bathing services.

Home nursingUnder the instructions of a doctor, a registered nurse visits your home to provide treatment and nursing

services.

Home rehabilitationA physical therapist visits your home to offer physical rehabilitation.

Home medical adviceA doctor, dentist, or pharmacist visits your home to provide medical instruction or advice.

Commuting nursing care (day service)A daycare service facility provides nursing care services such as bathing, the supply of meals, and physical

rehabilitation.

Commuting rehabilitation (day care)A physical therapist at an elderly nursing care health facility or medical institution provides physical

rehabilitation.

Short-term stay nursing care (short stay)Daily life nursing care and physical therapy are provided during short-term institutionalization in a special

nursing home for the elderly.

Short-term stay medical care (short stay)Nursing care and physical therapy are provided under medical supervision during short-term

institutionalization in an elderly nursing care health facility.

Services Available at Home

You can use nursing care services provided through long-term care insurance.

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Nursing care for persons admitted to special facilitiesPay nursing homes and other such facilities provide daily life nursing care and physical therapy

services.

Welfare nursing homes (special homes for the elderly)Services are provided to persons who need constant nursing care and who have difficulty doing

everyday activities at home.Note: In principle, new enrollees must be of a nursing care level of 3 or greater.

Medical nursing care facilities (such as sanatorium wards)Nursing care, physical therapy, and medical treatment are provided under medical supervision to those

requiring long-term medical treatment after they have received acute medical treatment and are in stable condition.

Health facilities for the elderlyThese facilities provide rehabilitation to enable members to return to their own homes and assistance

for daily living to those who received acute medical treatment and are in stable condition.

Health care equipment rentalWheelchairs, special beds (nursing care beds), walking frames and the like can be rented as needed.

Note: As a rule, persons authorized for nursing care level 1 are not eligible to use items such as wheelchairs and special beds (nursing care beds) that appear unnecessary for their level of need.

Reimbursement on purchases of special health care equipmentPart of the expense incurred when purchasing equipment for assisting in bathing or using the toilet will

be reimbursed. (The maximum reimbursement per year is ¥100,000.)Notes:* Only equipment bought from designated dealers is eligible.* There are restrictions on the items that are eligible for reimbursement, so please check in advance to

confirm details.

Reimbursement for home remodelingPart of the expense is reimbursed for home remodeling, such as the installation of handrails or for

eliminating differences in floor levels between rooms. (The maximum reimbursement is ¥200,000.)Notes:* Application must be filed before the remodeling is done. * There are restrictions on the types of remodeling that you can be reimbursed for.

* Reimbursements for special health care equipment or home remodeling are made after you pay the total cost, and apply later to receive an insurance benefit reimbursement (80 or 90 percent of the cost). However, when you use a proxy payment program—in which Kawasaki City pays the portion covered by insurance to the company that handles the remodeling, etc.—you only need to pay 10 or 20 percent of the total cost from the beginning.

Institutionalization Services at Facilities

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Periodic rotational/continual home nursingServices are provided through regular rounds conducted during the day and night, as well as through

occasional visits, as necessary.

Community-based commuting nursing careNursing care services such as bathing, the supply of meals and physical rehabilitation are provided at a

small-scale daycare service center.

Commuting nursing care at facilities for members with dementiaNursing care services such as bathing, the supply of meals, and physical rehabilitation are provided at

a daycare service center for elderly members with dementia.

Small-scale multifunctional home nursing careUsers mainly visit the facility to receive services. Depending on the situation, users may stay at the

facility overnight, or staff may visit the users’ home.

Combined services (nursing care/small-scale multifunctional home nursing care services)Services are flexible to meet the needs of users and include a combination of small-scale multifunctional

home nursing care services and home nursing services.

Communal nursing care for persons with dementia (group home)Nursing care services such as bathing, the supply of meals, and physical rehabilitation are provided

for persons who have dementia but are in comparatively stable condition and living together in a group home.

Nursing care at community-based elderly welfare nursing facilitiesNursing care services are provided at a small-scale special home for the elderly (with a capacity of up

to 29 people) to those who need constant nursing care in everyday life and have difficulty with everyday activities in their own home. Note: In principle, new enrollees must be of a nursing care level of 3 or greater.

Nighttime home nursing careHome nursing care services are provided regularly at night, as well as on an on-call basis with a special

notification system.

Community-Based ServicesCommunity-based services help persons who require nursing care lead life as independently as possible in

their own communities. As a rule, only insurance members living in Kawasaki City can use these services.

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Home bathing serviceA vehicle equipped with a portable bath is brought to the home to provide home bathing services.

Home rehabilitation serviceA physical therapist visits the home to conduct home rehabilitation service.

Home medical treatment guidance and adviceA doctor, dentist, or pharmacist visits the home to provide medical guidance and advice.

Commuting nursing care (day service)Note: As a rule, this will be provided as part of the nursing/preventive care and daily support service program (see page 14). Nursing care services such as bathing, the supply of meals, and physical rehabilitation (gymnastic

exercises, resistance training, etc.) are provided at a day care service center.

Commuting rehabilitation (day care)Physical rehabilitation is provided by a physical therapist at a long-term care health facility or medical

institution.

Short-term stay nursing care (short stay)During the short-term institutionalization in a special nursing home for the elderly, everyday life nursing

care, physical therapy, etc., are provided.

Short-term stay medical nursing care (short stay)During the short-term institutionalization in a long-term care health facility, nursing care, physical

therapy, etc., are provided under medical supervision.

Home nursing serviceUnder the instructions of a doctor, a registered nurse visits the home to provide medical treatment and

nursing services.

Persons Authorized for Nursing Assistance Levels 1 or 2

Visiting care (home help service)Note: As a rule, this will be provided as part of the nursing/preventive care and daily support service program (see page 14).A home helper visits the home to help the person with household chores.

Nursing/preventive Care Services Available while Staying at Home

You can use nursing/preventive care services provided through long-term care insurance.

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Rental of welfare equipmentWelfare equipment for nursing/preventive care that is recognized as necessary for the user can be

rented when needed.Note: As a rule, items such as wheelchairs and special beds (nursing care beds) that are difficult to consider as necessary for the level of need are not applicable.

Reimbursement for purchase of special nursing/preventive care welfare equipmentPart of the expense incurred when purchasing welfare equipment for assisting in bathing or using toilet

will be reimbursed. (The maximum reimbursement per year is ¥100,000.)Notes:* Only equipment bought from designated dealers is applicable.* Since the applicable items are restricted, please check in advance to confirm details.

Reimbursement for home remodeling meant to help prevent the need for nursing carePart of the expense is reimbursed for home remodeling, such as the installation of handrails or for

eliminating differences in floor levels between rooms. (The maximum reimbursement is ¥200,000.)Notes:* Application must be filed before remodeling is done. * Applicable items are restricted.

Nursing care for persons admitted to nursing/preventive care special facilitiesEveryday life nursing care and physical therapy services are provided at pay nursing homes and other

such facilities.

* For reimbursements for special nursing/preventive care welfare equipment or home remodeling, you must first pay the entire cost, and receive an insurance benefit reimbursement (80 or 90 percent of the cost) upon application at a later date. However, when you use a proxy payment program, you only need to pay 10 or 20 percent of the total cost from the beginning.

Commuting care at facilities for persons with dementiaDay care services such as bathing, the supply of meals, and physical rehabilitation are provided at a

day care service center for the elderly with dementia.

Small-scale multi-functional home careUsers mainly visit the facility to receive services. Depending on the situation and user requests, users

may stay at the facility overnight or staff may visit the users’ home.

Communal care for persons with dementia (group home)Day care services such as bathing, the supply of meals, and physical rehabilitation are provided for

persons with dementia who are in a comparatively stable condition and living together in a group home.Note: Only those authorized for nursing assistance level 2 are eligible for this service.

Community-Based Nursing/preventive Care ServicesCommunity-based nursing/preventive care services are designed to help users lead life as independently

as possible in the community they are accustomed to living in. As a rule, these services can be used only by insurance members living in Kawasaki City.

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Eligibility● Members approved for nursing assistance level 1 or 2● Members found to have decreasing skills for everyday living as a result of the basic checklist and

evaluated as needing to use service programs provided by community comprehensive assistance centers

Fee● The municipality designates the fee and copayment, depending on the type of service.

Visiting care servicesIf there are daily tasks a person cannot do himself/herself, a home helper visits to help the

member with such household chores.Note: You can use services equivalent to the visiting care that nursing care service companies previously provided as nursing/preventive care services.

Commuting care servicesNursing care services to support everyday living—such as for bathing, using the bathroom

and the supply of meals—can be received at a nursing care facility providing daycare. Optional services are also available, such as help in improving motor functions, nutrition and oral functions.Note: You can use services equivalent to the commuting nursing care that nursing care service companies previously provided as nursing/preventive care services.

Nursing/preventive care managementCommunity comprehensive assistance centers manage nursing/preventive care to ensure that

the services of comprehensive programs are provided properly.Care plans are created based on the requests of the user and the member’s family—as well

as the conditions of the user’s everyday functions—to help the member live as independently as possible. The member’s condition is also evaluated as needed after services are provided.

Everyone 65 years of age or older is eligible for these programs. These are conducted as nursing/preventive care programs in the community as follows:

(1) Nursing/preventive care awareness programsThese programs distribute pamphlets and conduct health classes and lectures on nursing/preventive care to make members aware of the importance of nursing/preventive care activities that will help them lead more independent lives.

(2) Community nursing/preventive care support programsThese programs support nursing/preventive care activities that are mainly conducted by community residents and train volunteers to support such activities.

Services for Those Approved for Level 1 or Level 2 Nursing Assistance, and Others (Not Applicable)

● Nursing/preventive Care and Daily Support Service Programs (hereafter referred to as “service programs”)

● General Nursing/Preventive Care Programs

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Ikoi Genki Plaza (Recreation and Revitalizing Plaza) Programs All of the city’s Ikoi-no-Ie (Home of Recreation) facilities offer strength-enhancement exercises by

specialized trainers to help prevent falls, and brief lectures on nursing/preventive care and health maintenance once a week. This six-month program is offered to Kawasaki City residents 65 years of age and older.Note: Members who are prohibited by their doctors from exercising and those approved for nursing care (levels 1 through 5) are not eligible for this program.

In general, the user pays 10 or 20 percent of the cost of services used.Note: Please note that expenses for some services are not covered by long-term care insurance.

Individuals 65 and older whose income exceeds a certain amount are responsible for a co-payment of 20% of long-term care insurance services utilized. All individuals authorized to receive nursing care/nursing assistance will be issued a long-term care insurance copayment certificate noting the percentage to be paid by the individual (either 10% or 20%).

● Users will need both their long-term care insurance membership card and their long-term care insurance copayment certificate to access services.

● The long-term care insurance copayment certificate will be sent to recipients in July every year.

When using home services and other services covered by long-term care insurance, a monthly limit is decided according to the nursing care level.Note: If nursing care services above the limit are used, the user must bear the portion exceeding the designated amount of benefits.

Level of Nursing Care Needed Amount of Monthly Limit

Nursing assistance level 1 5,003 points (approx. ¥60,000)

Nursing assistance level 2 10,473 points (approx. ¥120,000)

Nursing care level 1 16,692 points (approx. ¥180,000)

Nursing care level 2 19,616 points (approx. ¥210,000)

Nursing care level 3 26,931 points (approx. ¥290,000)

Nursing care level 4 30,806 points (approx. ¥330,000)

Nursing care level 5 36,065 points (approx. ¥390,000)

Note: Independent limits apply for such matters as facility services.

Cost of Long-Term Care Insurance Services

Maximum Limit of Long-Term Care Insurance Services

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Service Fee Reduction Programs

High-Cost Nursing Care (Nursing/preventive Care) Service BenefitIf the total copayment for services for one month exceeds the designated limit, a high-cost nursing

care (nursing/preventive care) service benefit is provided upon application according to the amount borne.Note: The copayment for purchase of welfare equipment or remodeling expenses for nursing/preventive care are not covered.

Eligible individuals will receive notification reminding them to apply.

High-Cost Medical and Nursing Care (Nursing/preventive Care) Service BenefitIf your total copayment for medical treatment and nursing care services exceeds the designated

limit of your health insurance and long-term care insurance for one year, you can apply for a high-cost medical and nursing care (nursing/preventive care) service benefit.

Notifications will be sent to all eligible persons. (Apply at the Medical Insurance Desk with your details current as of July 31 every year.)

Nursing Care Service Benefit for Specified Persons Admitted to FacilitiesThe upper limit on copayments is set to avoid placing a heavy financial burden on service users

whose income is below the designated level. Upon application, the cost for living and meals for those who use facility services is reduced according to their income level.

As of August 2016, nontaxable pensions will be considered as income when determining the copayment level of the user.

Overview of the payment reduction system on social welfare corporation costsndividuals whose income and assets fall below a certain level, and who wish to use services offered

by social welfare corporations, are eligible for reduced service, housing, and meal costs by applying for these reductions.

Other Copayment Reduction Programs● For individuals whose income and assets are below a certain specified level, and who wish to use

the services, Kawasaki City has its own system for reducing service costs as well as housing and food costs. Such individuals are free to apply for this system.

● There are fee reduction programs for services other than those abovementioned. For details, please inquire at the Long-Term Care Insurance service counter at your local Ward Office or District Health and Welfare Station for more information.

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This is a local consultation center for the elderly, where public health nurses, care managers, social workers, and other professionals offer consultation services on nursing care, welfare, health, medical concerns, and other topics, so that older residents can lead self-sustaining lives in their own community. (Each center is in charge of a designated local community.)

Community Comprehensive Assistance Centers

What Is a Community Comprehensive Assistance Center?

Comprehensive Consultation and Assistance, Human Rights

Programs

General consultation services including long-term care insurance are avai lable, such as var ious s u p p o r t p r o g r a m s f o r a b u s e prevention and other human rights issues.

Comprehensive and Continuous Management

Support

L o g i s t i c a l s u p p o r t o f c a r e management is offered to enable the elderly to lead healthy lives in their own community.

Nursing/preventive Care Management

C a r e p l a n s a r e c r e a t e d t o ensure that services of fered by comprehens ive p rograms are provided properly, and the member’s condition is evaluated as needed after services are provided.

Main Services

Ward Name Telephone No. Fax No.

Kaw

asaki-ku

Shion 222-7792 222-7796Koshun-en 211-6313 223-1240Oshima Nakajima 276-9901 276-9902Kyomachi 333-7920 333-7938Viola Kawasaki 329-1680 322-2553Ojuen 287-2558 287-2577Daishi Chuo 270-5112 287-5562Fujisaki 270-3215 270-5682Daishi-no-Sato 266-9130 266-9131

Saiw

ai-ku

Kofuen 556-4355 511-3511Yumemigasaki 580-4765 742-8040Kashimada 540-3222 540-3220Shangri-la 520-3863 520-3861Minna-to-Kurasu Machi 520-1905 520-1906Saiwai Higashi 555-1411 555-1412

Nakah

ara-ku

Sumiyoshi 455-0980 455-0883Kodanaka 798-2332 754-7613Hirama-no-Sato 544-4012 544-3961Miyauchi 740-2814 740-2816Ida 751-6661 751-6385Todoroki 281-3666 281-3616

18

Ward Name Telephone No. Fax No.

Takatsu-ku

Waraku 799-7951 799-7952

Suenaga 861-5320 861-6194

Hidamari-no-Sono 814-5637 814-5636

Mizonokuchi 820-1133 822-0500

Hisasue 797-6531 797-6540

Ki-no-Oka 820-8401 820-8402

Re-Care Mukogaoka 865-6238 865-6239

Miyam

ae-ku

Mikado-so 777-5716 777-1193

Washigamine 978-2724 976-6470

Fujimi Plaza 740-2883 777-3239

Restore Kawasaki 976-9590 976-9591

Friend Shiboku 871-1180 877-2800

Miyamaedaira 872-7144 852-3377

Viola Miyazaki 948-5371 948-5372

Tama-ku

Nagasawa Soju-no-Sato 976-9004 976-9672

Tamagawa-no-Sato 935-5531 935-3511

Taiyo-no-Sono 959-1234 959-1233

Suge-no-Sato 946-5514 946-3432

Shukugawara 930-5151 930-5911

Yomiuri Land Hana House 969-3116 969-3112

Noborito 933-7055 933-7077

Asao

-ku

Kakio Aruna-en 989-5403 988-9774

Kurikidai 988-5160 981-5020

Niji-no-Sato 986-4088 986-1027

Katahira 986-4986 986-4646

Yurigaoka 959-6522 953-8485

Shinyuri 969-3388 969-3322

Takaishi 959-6020 959-6021Note: Please inquire at the long-term care insurance service counter at your local Ward Office or District Health and Welfare Station for information about the Community Comprehensive Assistance Center responsible for your community.

Subject of Inquiry; Ward of Your Residency

Long-Term Care Insurance

Premiums

Long-Term Care Authorization

Long-Term Care Services/Benefits

Other Services Not Covered by Long-Term Care

Insurance (Elderly Support)

Fax No.

Kawasaki-ku 201-3154 201-3282 201-3282 201-3080 201-3291

Daishi-chiku 271-0159 271-0152 271-0161 271-0157 271-0128

Tajima-chiku 322-1987 322-1990 322-1996 322-1986 322-1995

Saiwai-ku 556-6721 556-6655 556-6689 556-6619 555-3192

Nakahara-ku 744-3204 744-3179 744-3136 744-3217 744-3345

Takatsu-ku 861-3257 861-3263 861-3269 861-3255 861-3249

Miyamae-ku 856-3159 856-3245 856-3238 856-3242 856-3163

Tama-ku 935-3161 935-3185 935-3187 935-3266 935-3396

Asao-ku 965-5188 965-5198 965-5146 965-5148 965-5206

Aging Society Policy Department, Health and

Welfare BureauPremiums Unit Authorization Unit Benefits Unit

Long-Term Care Insurance Section 200-2691 200-2455 200-2687

Health and Welfare BureauConcerning community

comprehensive assistance centers

Concerning dementia and the protection of rights

Concerning nursing/preventive care and daily support service

programs

Community Care Promotion Office 200-2681 200-2470 0570-040-114

(call center)

Note: Information on companies that provide long-term care insurance services can be viewed via the Internet.

Long-Term Care Information Service Kanagawa　http://www.rakuraku.or.jp/kaigonavi/

Issued: April 2016

Long-Term Care Insurance Section, Aging Society Policy Department, Health and Welfare Bureau, Kawasaki City

● For Further Information (Area code: 044)