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😷 | 277 people infected in Yokohama Elderly facility cluster 2 new cases


Photo Yokohama City Hall

Infected 277 people in Yokohama Two new clusters of facilities for the elderly

 
If you write the contents roughly
Two clusters (infectious disease population) occurred at the Long-Term Care Health Facility.
 

On the 24th, 10 men and women between the ages of 90 and 277 were newly infected in Yokohama over the new coronavirus infection. → Continue reading

 Kanagawa Shimbun

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Wikipedia related words

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Nursing care health facility

Nursing care health facilityWhat is (Kaigorojinhokenshisetsu)?Long-term care insuranceIs appliedNursing careWith the service, we will train to recover mental and physical functions with the goal of returning to home.Facility.

またLong-Term Care Health Facility(Ryoyo ga Takai Gorojin Hokensetsu) is a long-term care service covered by long-term care insurance. Facility to do.Commonly known asLong-Term Care Health FacilityorLong-Term Care Health Facility.

95% of residents of these facilitiesdementiaHave, and an additional 44.6%BedriddenState[1]..The average length of stay was 311.3 days (2013)[1].

JapaneseLong-term care insuranceService benefits (2015)[2]
Home type
XNUM X billion
(49.5%)
Visiting place
XNUM X billion
(38.9%)
Visiting care/bathing816 billion yen (10.4%)
Visiting nursing/ Rehabilitation211 billion yen (2.7%)
Day care/ Rehabilitation1,777 billion yen (22.7%)
Welfare equipment loan247 billion yen (3.2%)
Short-term admission (Short stay)375 billion yen (5.8%)
Other458 billion yen (4.9%)
Community-based
XNUM X billion
(12.1%)
Small-scale multi-functional home care182 billion yen (2.3%)
Dementia Group Home509 billion yen (6.5%)
134 billion yen (1.7%)
Other123 billion yen (1.6%)
Facility type
XNUM X billion
(34.9%)
Nursing care facility(Special diet)1,363 billion yen (17.4%)
Nursing care health facility(Old health)1,017 billion yen (12.9%)
Nursing care facility227 billion yen (2.9%)
Home care support(Care manager)408 billion yen (5.2%)
the amountXNUM X billion

Definition

Nursing care health facilityFor the purpose of recovering to a state where you can live at home, mental and physical function recovery (rehabilitation) training, daily life care such as meals, excretion, bathing, bedtime, health management, mental and physical function maintenance, going to the hospital It is a facility that aims to be able to return to life at home as much as possible by attending, transporting / attending to a hospital in the event of an acute illness / injury, and consulting on services covered by long-term care insurance.

Long-Term Care Health FacilityIsMinistry of Health, Labor and WelfareIt is a business form newly established as a model after the business form conversion of the long-term care medical care bed, which aims to abolish and change the business form by March 2019, 31 (Heisei 3) due to the long-term care policy of It is difficult to live on its own at home due to illness or disability, it is not possible to receive home care by the family, it is difficult to care by the home care service provider, and it is more difficult than the care by the home care service provider. Those who need nursing care are more likely to enter the facilityQuality of life When desirable for (QOL), long-term care such as meals, excretion, bathing, sleeping, and health management, maintenance of mental and physical functions, suction of sputum, administration of water, nutrition, and medicine by instillation, water and nutrition from gastrostomy・ It is a facility for the purpose of administration of medicines, transportation to hospitals in case of acute illness / injury, end-of-life care, consultation on services covered by long-term care insurance, etc., and long-term care welfare facilities and medical treatment. It is an intermediate facility in the hospital bed.

Service type / usage pattern

  • Admission.
  • Short stay to stay.
  • Day care service with pick-up service during the day.

Deadline for admission

In the LTCF, the placement criteria for rehabilitation staff, nurses, doctors, etc. are higher than in the LTCF, and the nursing fee is set higher than in the LTCF.Since rehabilitation is more fulfilling than nursing care facilities for the elderly and the goal is to return home as much as possible, the period of stay is not indefinite, unlike nursing care facilities for the elderly, and it is judged every three months whether to leave or continue admission. However, at presentNursing home for the elderlyThere are also residents who use it as a waiting area for admission.

The long-term care facility does not aim to return to home, and its business purpose and services include nursing care.Nursing home for the elderly,Nursing care type medical facilityAs with ,, the admission deadline is indefinite, but if the physical and mental condition exceeds the range that can be taken care of by the Long-Term Care Health Facility due to the progress or worsening of illness or disability, the patient will be discharged and will be discharged from the medical care bed. And transferred to the terminal bed.

Acute phasesick,ObstacleIf you are hospitalized at, you will be discharged.

Financial scale

  • Number of facilities --3931 facilities (2013)[1]
  • Capacity-35, 2182, 1 per facility. (89.2)[1]
  • Monthly expenses-98,455 million yen (December 2012).This is 12% of the total long-term care cost[3].

Target users

Those who have been certified as requiring nursing care 1-5.

room

  • Multi-bed room-Multiple beds are installed in one room and used by multiple residents.
  • Conventional Private Room-One bed is installed in one room and one resident uses one room.Previously it was expressed as a "private room", but with the advent of the unit type, it is expressed as a "conventional private room".
  • Unit type semi-private room-One bed is installed in one room and one resident uses one room.The lobby, dining room, kitchenette, baths (plural), and toilets (plural), which are shared spaces, are shared by 1 living rooms, and people live together.Long-term care staff will be dedicated to each unit.The difference from the unit type private room is that when the conventional / non-unit type long-term care facility is remodeled into a unit type, the multi-bed room is divided into a private room.
  • Unit-type private room-One bed is installed in one room and one resident uses one room.The lobby, dining room, kitchenette, baths (plural), and toilets (plural), which are shared spaces, are shared by 1 living rooms, and people live together.Long-term care staff will be dedicated to each unit.

Facility requirements

Equipment to be installed
Living room (multi-bed room capacity is 4 people or less in principle),Cafeteria,Kitchen,bathroom, Toilet,Toilet, Functional training room, medical office, lobby, hall, office

Admission procedure

The applicant or the agent (spouse, child, etc.) submits an application for admission to each business operator, and the degree of care required, mental and physical condition, and current stay of the person requiring long-term care who is the applicant for admission. Factors that determine admission priority, such as location / length of stay, status of medical care and long-term care received, and status of family caregivers at home, are quantified, and the admission priority of waiters is set based on the total numerical value. To do.There is no unified application system for countries, prefectures, and municipalities.

The number of people waiting to enter is unknown because there are no detailed statistics, but it is estimated that the number is small compared to the welfare facilities for the elderly.[4]Since it is unknown when they can enter, applicants are waiting to apply for multiple facilities in or around the desired area in order to accelerate the time when they can enter and increase the possibility of entering. There is no unified application system for the national, prefectural, and municipal governments, and it is necessary to enter the Long-Term Care Health Facility that is applying for admission due to the death of applicants / waiting persons, admission to other facilities, or hospitalization. Even if the application has disappeared, there is no obligation to notify the Long-Term Care Health Facility where the applicant is applying for admission that the need for admission has disappeared or the cancellation of the application. Since it is estimated that there are many cases in which only applicants have already applied and are waiting for admission, it is estimated that the actual number of waiting people is less than the nominal number.[4].

User's burden

The cost paid by the user is 10% of the nursing care fee according to the degree of care required and the type of living room + food expenses + living expenses according to the type of living room.[5][6][7].

For low-income earners, there are three levels of exemption for food and living expenses depending on the income level, and the exemption is borne by the municipality, which is the basic municipality.[5][6][7].

The total of household medical expenses + long-term care expensesHigh medical expensesOn the other hand, four levels of self-pay limit are set according to the total income level of the household, payment of high medical expenses exceeding the limit is exempted, and the exemption is borne by public medical insurance.[8][9][10].

When receiving long-term care covered by public long-term care insurance, the self-pay portion of the long-term care fee set by the long-term care health + the self-pay portion of the medical fee set by the medical insurance, food expenses, living expenses or room charges when admitted or hospitalized Payments such as occur.For low-income earners, food and living expenses will be exempted from food and living expenses according to the income level, and the government will bear the exemption.[5][6][7]If you receive medical care covered by public medical insurance, you can use the four-step out-of-pocket limit system according to the household's total income level for the high-cost medical care that is the sum of the household's medical expenses and long-term care expenses. Medical insurance will cover the excess of the self-pay limit.[8][9][10]If you use all available social security systems, you may not be able to receive the necessary care or medical care due to the income of the person or household due to the income level of the person or family, or it is necessary for the care or medical care of the person. There is no situation in which a spouse or child is forced to bear the cost.[5][6][7][8][9][10].

Out-of-pocket expenses for long-term care insurance

Long-Term Care Health Facility's Long-Term Care Health Facility + Long-Term Care Health Facility's self-pay nursing care fee by room type

24 revision of Long-Term Care Health Facility by degree of care required + self-pay portion of care fee by room type
Degree of care requiredAmount for one day (yen)[5]Amount for one day (yen)[5]
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 178681971073978982278982223,58024,57021,30022,17023,67024,66023,67024,660
Needs nursing care 283489375781183689683689625,02026,79022,71024,33025,08026,88025,08026,880
Needs nursing care 389795682087390095990095926,91028,68024,60026,19027,00028,77027,00028,770
Needs nursing care 49501,0128729309531,0159531,01528,50030,36026,16027,90028,59030,45028,59030,450
Needs nursing care 51,0031,0689259851,0061,0711,0061,07130,09032,04027,75029,55030,18032,13030,18032,130
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Long-Term Care Health Facility Long-Term Care Health Facility Needs Long-Term Care Health Facility + Long-Term Care Health Facility's Long-Term Care Health Facility

24 revised long-term care health facility for the elderly according to the degree of care required + self-pay portion of the long-term care fee for each room type
Degree of care requiredAmount for one day (yen)[5]Amount for one day (yen)[5]
Medical treatment type
Multi-bed room
Recuperation
Enhanced type
Multi-bed room
Medical treatment type
Conventional type
Private room
Recuperation
Enhanced type
Conventional type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Recuperation
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Recuperation
Enhanced type
Private room
Medical treatment type
Multi-bed room
Recuperation
Enhanced type
Multi-bed room
Medical treatment type
Conventional type
Private room
Recuperation
Enhanced type
Conventional type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Recuperation
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Recuperation
Enhanced type
Private room
Needs nursing care 181481473573589689689689624,42024,42022,05022,05026,88026,88026,88026,880
Needs nursing care 289789781881897997997997926,91026,91024,54024,54029,37029,37029,37029,370
Needs nursing care 31,0121,0819331,0021,0941,1631,0941,16330,36032,43027,99030,06032,82034,89032,82034,890
Needs nursing care 41,0881,1571,0091,0781,1701,2391,1701,23932,64034,71030,27032,34035,10037,17035,10037,170
Needs nursing care 51,1651,2331,0851,1541,2461,3151,2461,31534,95036,99032,55034,62037,38039,45037,38039,450
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Self-pay reduction and exemption criteria based on income level

24 revised criteria for exemption and exemption according to income level of nursing care facilities for the elderly
Income levelExemption from self-pay and burden of difference[6][7]Taxable income for the person and the entire household[6][7]
Stage 1Food expenses and living expenses are exempted and the difference is borne by the governmentThe person is a welfare recipient
Stage 2Food expenses and living expenses are exempted and the difference is borne by the governmentThe taxable annual income of the person is less than 80 yen and all households are exempt from residence tax (taxable annual income is less than 211 million yen)
Stage 3Food expenses and living expenses are exempted and the difference is borne by the governmentThe taxable annual income of the person is 80 yen or more and less than 211 million yen, and all households are exempt from residence tax (taxable annual income is less than 211 million yen)
Stage 4There is no reduction or exemption of food expenses and living expenses, and the user bears the full amountThe person is subject to residence tax (annual taxable income is 211 million yen or more)

Out-of-pocket limits for food and living expenses based on income level

Food and living expenses by income level of nursing care welfare facilities for the elderly revised in 24
Income levelAmount for one day (yen)[6][7]Amount for one day (yen)[6][7]
Food expensesHousing expensesFood expensesHousing expenses
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Stage 130003204908209,00009,60014,70024,600
Stage 239032042049082011,7009,60012,60014,70024,600
Stage 36503208201,3101,31019,5009,60024,60039,30039,300
Stage 41,38032011501,6401,97041,4009,60034,50049,20059,100
  • The above food and living expenses are standard model prices published by the Ministry of Health, Labor and Welfare.
  • Since income stage 4 is not subject to exemption from food and living expenses, food and living expenses are arbitrarily set by the nursing care facility for the elderly.
  • 大部分の事業者は食費は1日1,200~1,800円、30日36,000~54,000円、居住費は最も高いユニット型個室では1日1,800~3,500円、30日54,000~100,500円に設定している[11].

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 123,58024,57021,30022,17023,67024,66023,67024,6609,00009,60014,70024,60032,58033,57039,90040,77047,37058,26047,37058,260
Needs nursing care 225,02026,79022,71024,33025,08026,88025,08026,8809,00009,60014,70024,60034,02035,79041,31042,93048,78060,48048,78060,480
Needs nursing care 326,91028,68024,60026,19027,00028,77027,00028,7709,00009,60014,70024,60035,91037,68043,20044,79050,70062,37050,70062,370
Needs nursing care 428,50030,36026,16027,90028,59030,45028,59030,4509,00009,60014,70024,60037,50039,36044,76046,50052,29064,05052,29064,050
Needs nursing care 530,09032,04027,75029,55030,18032,13030,18032,1309,00009,60014,70024,60039,09041,04046,35048,15053,88065,73053,88065,730
  • The maximum amount of self-pay for one day of food expenses is 1 yen,
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 0 yen for a conventional private room, 320 yen for a unit type semi-private room, and 490 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 123,58024,57021,30022,17023,67024,66023,67024,66011,7009,60012,60014,70024,60044,88045,87045,60046,47050,07060,96050,07060,960
Needs nursing care 225,02026,79022,71024,33025,08026,88025,08026,88011,7009,60012,60014,70024,60046,32048,09047,01048,63051,48063,18051,48063,180
Needs nursing care 326,91028,68024,60026,19027,00028,77027,00028,77011,7009,60012,60014,70024,60048,21049,98048,90050,49053,40065,07053,40065,070
Needs nursing care 428,50030,36026,16027,90028,59030,45028,59030,45011,7009,60012,60014,70024,60049,80051,66050,46052,20054,99066,75054,99066,750
Needs nursing care 530,09032,04027,75029,55030,18032,13030,18032,13011,7009,60012,60014,70024,60051,39053,34052,05053,85056,58068,43056,58068,430
  • The maximum amount of self-pay for one day of food expenses is 1 yen.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 320 yen for a conventional private room, 390 yen for a unit type semi-private room, and 490 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 123,58024,57021,30022,17023,67024,66023,67024,66019,5009,60024,60039,30039,30052,68053,67065,40066,27082,47083,46082,47083,460
Needs nursing care 225,02026,79022,71024,33025,08026,88025,08026,88019,5009,60024,60039,30039,30054,12055,89066,81068,43083,88085,68083,88085,680
Needs nursing care 326,91028,68024,60026,19027,00028,77027,00028,77019,5009,60024,60039,30039,30056,01057,78068,70070,29085,80087,57085,80087,570
Needs nursing care 428,50030,36026,16027,90028,59030,45028,59030,45019,5009,60024,60039,30039,30057,60059,46070,26072,00087,39089,25087,39089,250
Needs nursing care 530,09032,04027,75029,55030,18032,13030,18032,13019,5009,60024,60039,30039,30059,19061,14071,85073,65088,98090,93088,98090,930
  • The maximum amount of self-pay for one day of food expenses is 1 yen.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 320 yen for a conventional private room, 820 yen for a unit type semi-private room, and 1,310 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Income level first stage entrance fee

Entrance fee for the first stage of income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 123,58024,57021,30022,17023,67024,66023,67024,66041,4009,60034,50049,20059,10074,58075,57097,20098,070114,270125,160114,270125,160
Needs nursing care 225,02026,79022,71024,33025,08026,88025,08026,88041,4009,60034,50049,20059,10076,02077,79098,610100,230115,680127,380115,680127,380
Needs nursing care 326,91028,68024,60026,19027,00028,77027,00028,77041,4009,60034,50049,20059,10077,91079,680100,500102,090117,600129,270117,600129,270
Needs nursing care 428,50030,36026,16027,90028,59030,45028,59030,45041,4009,60034,50049,20059,10079,50081,360102,060103,800119,190130,950119,190130,950
Needs nursing care 530,09032,04027,75029,55030,18032,13030,18032,13041,4009,60034,50049,20059,10081,09083,040103,650105,450120,780132,630120,780132,630
  • Since income stage 4 is not subject to exemption from food and living expenses, food and living expenses are arbitrarily set by the nursing care facility for the elderly.
  • The above income stage 4 food and living expenses are standard model prices published by the Ministry of Health, Labor and Welfare.
  • 大部分の事業者は食費は1日1,200~1,800円、30日36,000~54,000円、居住費は最も高いユニット型個室では1日1,800~3,500円、30日54,000~100,500円に設定している[11].
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Admission fee for the first stage of medical treatment income level

Admission fee for the first stage of the medical treatment type income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 124,42024,42022,05022,05026,88026,88026,88026,8809,00009,60014,70024,60033,42033,42040,65040,65050,58060,48050,58060,480
Needs nursing care 226,91026,91024,54024,54029,37029,37029,37029,3709,00009,60014,70024,60035,91035,91043,14043,14053,07062,97053,07062,970
Needs nursing care 330,36032,43027,99030,06032,82034,89032,82034,8909,00009,60014,70024,60039,36041,43046,59048,66056,52068,49056,52068,490
Needs nursing care 432,64034,71030,27032,34035,10037,17035,10037,1709,00009,60014,70024,60041,64043,71048,87050,94058,80070,77058,80070,770
Needs nursing care 534,95036,99032,55034,62037,38039,45037,38039,4509,00009,60014,70024,60043,95045,99051,15053,22061,08073,05061,08073,050
  • The maximum amount of self-pay for one day of food expenses is 1 yen.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 0 yen for a conventional private room, 320 yen for a unit type semi-private room, and 490 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Admission fee for the first stage of medical treatment income level

Admission fee for the first stage of the medical treatment type income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 124,42024,42022,05022,05026,88026,88026,88026,88011,7009,60012,60014,70024,60045,72045,72046,35046,35053,28063,18053,28063,180
Needs nursing care 226,91026,91024,54024,54029,37029,37029,37029,37011,7009,60012,60014,70024,60048,21048,21048,84048,84055,77065,67055,77065,670
Needs nursing care 330,36032,43027,99030,06032,82034,89032,82034,89011,7009,60012,60014,70024,60051,66053,73052,29054,36059,22071,19059,22071,190
Needs nursing care 432,64034,71030,27032,34035,10037,17035,10037,17011,7009,60012,60014,70024,60053,94056,01054,57056,64061,50073,47061,50073,470
Needs nursing care 534,95036,99032,55034,62037,38039,45037,38039,45011,7009,60012,60014,70024,60056,25058,29056,85058,92063,78075,75063,78075,750
  • The maximum amount of self-pay for one day of food expenses is 1 yen.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 320 yen for a conventional private room, 390 yen for a unit type semi-private room, and 490 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Admission fee for the first stage of medical treatment income level

Admission fee for the first stage of the medical treatment type income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 124,42024,42022,05022,05026,88026,88026,88026,88019,5009,60024,60039,30039,30053,52053,52066,15066,15085,68085,68085,68085,680
Needs nursing care 226,91026,91024,54024,54029,37029,37029,37029,37019,5009,60024,60039,30039,30056,01056,01068,64068,64088,17088,17088,17088,170
Needs nursing care 330,36032,43027,99030,06032,82034,89032,82034,89019,5009,60024,60039,30039,30059,46061,53072,09074,16091,62093,69091,62093,690
Needs nursing care 432,64034,71030,27032,34035,10037,17035,10037,17019,5009,60024,60039,30039,30061,74063,81074,37076,44093,90095,97093,90095,970
Needs nursing care 534,95036,99032,55034,62037,38039,45037,38039,45019,5009,60024,60039,30039,30064,05066,09076,65078,72096,18098,25096,18098,250
  • The maximum amount of self-pay for one day of food expenses is 1 yen.
  • The maximum amount of self-pay for one day of living expenses is 1 yen for a multi-bed room, 320 yen for a conventional private room, 820 yen for a unit type semi-private room, and 1,310 yen for a unit type private room.
  • If the food and living expenses set by the business operator exceed the self-pay limit, the government will bear the difference between the standard daily food and living expenses set by the Ministry of Health, Labor and Welfare.
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Admission fee for the first stage of medical treatment income level

Admission fee for the first stage of the medical treatment type income level revised in 24
Degree of care requiredAmount for one day (yen)[5][6][7]
Self-pay portion of nursing care feeFood expensesHousing expensesNursing care fee self-pay + food expenses + living expenses
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Multi-bed roomConventional type
Private room
Unit type
Semi-private room
Unit type
Private room
Conventional type
Multi-bed room
Stay at home
Enhanced type
Multi-bed room
Conventional type
Private room
Stay at home
Enhanced type
Private room
Unit type
Conventional type
Semi-private room
Unit type
Stay at home
Enhanced type
Semi-private room
Unit type
Conventional type
Private room
Unit type
Stay at home
Enhanced type
Private room
Needs nursing care 124,42024,42022,05022,05026,88026,88026,88026,88041,4009,60034,50049,20059,10075,42075,42097,95097,950117,480127,380117,480127,380
Needs nursing care 226,91026,91024,54024,54029,37029,37029,37029,37041,4009,60034,50049,20059,10077,91077,910100,440100,440119,970129,870119,970129,870
Needs nursing care 330,36032,43027,99030,06032,82034,89032,82034,89041,4009,60034,50049,20059,10081,36083,430103,890105,960123,420135,390123,420135,390
Needs nursing care 432,64034,71030,27032,34035,10037,17035,10037,17041,4009,60034,50049,20059,10083,64085,710106,170108,240125,700137,670125,700137,670
Needs nursing care 534,95036,99032,55034,62037,38039,45037,38039,45041,4009,60034,50049,20059,10085,95087,990108,450110,520127,980139,950127,980139,950
  • Since income stage 4 is not subject to exemption from food and living expenses, food and living expenses are arbitrarily set by the nursing care facility for the elderly.
  • The above income stage 4 food and living expenses are standard model prices published by the Ministry of Health, Labor and Welfare.
  • 大部分の事業者は食費は1日1,200~1,800円、30日36,000~54,000円、居住費は最も高いユニット型個室では1日1,800~3,500円、30日54,000~100,500円に設定している[11].
  • All of the above are 24-hour resident long-term care fees for nurses, and night-on-call long-term care fees are not listed.

Classification of income levels that set out-of-pocket limits for high-cost medical expenses

Classification of income level that sets the self-pay limit of high-cost medical expenses revised in 22
Income levelIf you are under 70 years old, you will be exempted from paying your own expenses and the difference[8][9][10]
High-income earnersIn the case of employee insurance, the standard monthly salary is 53 yen or more.
In the case of National Health Insurance, the annual taxable income of the household exceeds 600 million yen.
General income earnersOther than high-income and low-income earners
Low incomeIn the case of employee insurance, the insured is a municipal tax exempt, and in the case of national health insurance, the head of the household and all insured persons of the household are tax exempt (taxable income is less than 211 million yen).
Income levelIf you are 70 years old or older, you will be exempted from paying your own expenses and the difference will be borne.[8][9][10]
Active income earnersIn the case of late-stage elderly health and national health insurance, taxable income is 145 million yen or more.
In the case of employee insurance, the standard monthly salary is 28 yen or more.
For households with multiple elderly people aged 70 and over, the total income is less than 520 million yen (less than 70 million yen if there is one elderly person aged 383 and over).
General income earnersOther than active-income earners and low-income earners
Low-income earners 2In the case of late-stage elderly insurance, all household members are exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of National Health Insurance, the head of the household and all insured persons in the household are exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of employee insurance, the insured person is a municipal inhabitant tax exempt person (taxable income is less than 211 million yen).
Low-income earners 1In the case of health care for the elderly, the income of all household members is exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of National Health Insurance, the income of the head of the household and all the insured persons of the household is tax exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of employee insurance, the income of the insured and dependents is exempt from municipal inhabitant tax (taxable income is less than 211 million yen).
In the case of pension income only, the amount of pension received is 80 yen or less.

Annual out-of-pocket limit for high-cost medical care based on income level

Annual self-pay limit for high-cost medical expenses based on the income level revised in 22
Income levelOver 75 years old70 ~ 74 oldLess than 70 age
Long-term care insurance +
Late Elderly Insurance
[8][9][10]
Long-term care insurance +
Employee insurance
or
National Health Insurance
[8][9][10]
Long-term care insurance +
Employee insurance
or
National Health Insurance
[8][9][10]
High-income earners under 70
70 years old and over are active income earners
67 million yen67 million yen126 million yen
General income earners56 million yen62 million yen67 million yen
Low-income earners 2
Municipal inhabitant tax household tax exemption, etc.
31 million yen31 million yen34 million yen
Low-income earners 1
Municipal tax household tax exemption
In case of pension income only, pension income is 80 yen or less
19 million yen19 million yen

footnote

[How to use footnotes]
  1. ^ a b c d Overview of the 25 survey of long-term care service facilities and business establishments (Report). Ministry of Health, Labor and Welfare. (2013-10-01). https://www.mhlw.go.jp/toukei/saikin/hw/kaigo/service13/index.html. 
  2. ^ White Paper on Health, Labor and Welfare 28 Edition (Report). Ministry of Health, Labor and Welfare. (2013). Document p235. https://www.mhlw.go.jp/toukei_hakusho/hakusho/. 
  3. ^ White Paper on Health, Labor and Welfare > 25 Edition > Materials > Health and Welfare for the Elderly > Page 233 > Detailed Data XNUMX Cost of each service
  4. ^ a b Ministry of Health, Labor and Welfare > Social Security Council > Long-term Care Benefit Expenses Subcommittee > May 24, 5 > Document 17 > Pages 7-15
  5. ^ a b c d e f g h i j k l m n o p Ministry of Health, Labor and Welfare > Nursing care fee > 24 revision > Page 16 > Calculation structure of the number of nursing care benefit cost units such as designated facility services > 1 Nursing care welfare facility service
  6. ^ a b c d e f g h i j k l m n o p Ministry of Health, Labor and Welfare > Policy Council > Current status and future role of public long-term care insurance system 25 Ministry of Health, Labor and Welfare Health and Welfare Bureau > Page 26 > Mechanism of reducing the burden of food and housing expenses for low-income earners (supplementary benefits)
  7. ^ a b c d e f g h i j k l m n o p Ministry of Health, Labor and Welfare > Social Security Council > Long-term Care Benefit Expenses Subcommittee > November 23, 11 > Page 10 > User Burden by Income Stage
  8. ^ a b c d e f g h Ministry of Health, Labor and Welfare> About high-cost medical care and high-cost long-term care combined medical expenses system
  9. ^ a b c d e f g h Ministry of Health, Labor and Welfare > Social Security Council > Medical Insurance Subcommittee > September 25, 9 > Document 9 > Page 3
  10. ^ a b c d e f g h Ministry of Health, Labor and Welfare > iryouhokenn > Overview of Japan's medical system > Pages 8 and 10
  11. ^ a b c Ministry of Health, Labor and Welfare > Nursing care service information disclosure system > Prefecture selection > Municipal selection > Business establishment search (search by service) > Nursing care elderly welfare facility > Business name selection > Details > Business establishment details > Usage fee, etc.

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