Health, Public Insurance

• National Health Insurance（NHI）
• The Advanced Elderly Medical Service System
• Long-term Care Insurance
• National Pension
• Health
• Welfare for the Disabled

Long-term Care Insurance is a system to support those in their old age requiring long-term care and support with the society as a whole.

Enrollees of Long-term Care Insurance

Those possessing an address in Toshima City and who will stay here over three months (including those who are acknowledged as staying in the City for over three months judging from the reason of entry into Japan or living situation, even if technically staying under three months), who are 40 years old or above.

Inquiries

Certificate Granting Group, Public Nursing Insurance Section Tel: 03-3981-6376

How to Pay Insurance Premiums

Those 65 years of age or above (First level enrollee)

Everyone bears the cost based on one’s earnings and tax situation. There are two ways to pay the premium: those receiving pension as a general rule have their premium directly deducted as a “Special Collection” and others pay by “Normal Collection” through payment forms sent by the City or through bank transfer.

Those between 40 and 64 years of age (Second level enrollee)

You pay the insurance premiums for the medical insurance in which you are enrolled and for the long-term care premium together. The method and amount of calculating the insurance premium is different depending on the medical insurance. Please inquire with each medical insurance program.

Inquiries (for those 65 years of age or above)

Payment Group, Public Nursing Insurance Section Tel: 03-3981-4715

To use the Long-term Care Service

When using the long-term care service through the insurance, you first must receive authorization as requiring long-term care by completing the following procedures.

1. Application…The person needing the long-term care or a family member applies to the General Consultation Center for the Elderly or Public Nursing Insurance Section to receive authorization as requiring long-term care. You will need the long-term care insurance certificate, medical insurance certificate, and a patient registration card that indicates who the primary care doctor is.
2. Survey to authorize…We survey the person’s state of physical and mental health.
3. Primary care doctor’s opinion form…The City will request the primary care doctor to fill in the primary care doctor’s opinion form.
4. Review and judgment…The Long-term Care Authorization Review Committee reviews the case and judges the level of long-term care needed.
5. Authorization and notification…The City will authorize the level of long-term care required based on the judgment results of the Long-term Care Authorization Review Committee and send a notification of the result. (You can be authorized as not qualifying.)

Note: The Level of Care Required is separated into 7 levels depending on the state of physical and mental health: Requiring Support Level 1 or 2 and Requiring Care Level 1-5. The maximum amount or service one can receive with insurance depends on the Level of Care Required.

Inquiries

Authorization Review Group, Public Nursing Insurance Section Tel: 03-3981-1368

Using the Long-term Care Service

You can use the long-term care service at businesses and facilities designated by the prefecture or the city. We ask that you pay the business or facility 10, 20 or 30 percent of the service cost appropriate to your income as your burden of cost.

When using service facilities, lodging costs and food costs are to be born individually.

When using the service at home, you should ask a care manager create a long-term care service plan (care plan) before beginning to use the service. (This is free of charge.)

Other support for expenses, etc.

There are discounts for lodging costs and food costs while using facilities as well as reimbursements for high cost long-term care service fees. Please be in touch for details.

Inquiries

Benefits Group, Public Nursing Insurance Section Tel: 03-3981-1387