− FY 2018 Version−

Long-Term Care
Insurance(Kaigo Hoken)

Introduction to the system and how to use its services

City of Sapporo
このパンフレットは、一般財団法人 自治体国際化協会の助成事業により公益財団法人札幌国際プラザが翻訳しました。

The Long-Term Care Insurance System (Kaigohoken)
aims at ensuring that citizens cancontinue living comfortably.
Letʼs support each other to create
a caring society.
In the current aging society,an increasing number of people around us are requiring long-term carebecause they are bedridden or suﬀer from senile dementia.
It is natural that even people who require long-term care wish to live as independently
as possible and with dignity by making the most of their remaining ability.
The Long-Term Care Insurance System is designed for society as a wholeto support long-term care and create a warm and caring society for everyone.

The Long-Term Care Insurance System was established tosupport the aging society through mutual cooperation.
The percentage of senior citizens is increasing.
(10,000 people)

Population of senior citizens

Population

12,71012,254

30.0%

26.6%

3,677

3,387

2015

11,5212025

10,642
32.8%

3,782

2035

36.8%

Percentage of senior citizens

9,744

3,919

2045

38.0%

8,808

3,704

2055

38.4%

3,381

2065

Source: Population Projections for Japan, National Institute of Population and Social Security Research (2017)

The aging of caregivers is progressing.
One in two co-residential caregivers
are aged 60 or older.
Aged 39 or younger
1.8%

Aged 40 ‒ 49
7.0%

Aged 70 or older
38.4%

Aged 50 ‒59
21.2%

Aged 60 ‒ 69
31.5%

Relationship of main co-residential caregivers
with the receivers of their services
Female caregivers 72.5%
Other family members
4.0%
Spouses of children(wives of sons)
11.9%

Spouses (husbands)
15.2%

Children (daughters)
20.9%
Spouses (wives)
35.7%

Source: 2016 Comprehensive Survey of Living Conditions, Ministry of Health, Labour and Welfare

1

Male caregivers 27.5%

Children (sons)
10.5%
Spouses ofchildren(husbands ofdaughters)
0.2%
Other family
members
1.6%

People aged 40 and over will become insured persons.
The Long-Term Care Insurance System is operated
by the City of Sapporo.
● People aged 40 and over will become insured persons (policy holders) and pay premiums. When certiﬁed as
needing long-term care, they are required to pay 10% to 30% of the cost of long-term care services which theyreceive. There are two application methods and diﬀerent conditions for the use of long-term care services
depending on the age of each person.
● Citizens of other countries who live in Japan must also be insured.

Primary insured persons
People aged 65 and overSecondary insured persons
People aged between 40 and 64

Those insured by thenational health insuranceor health insurance programsof their workplace

You are in this category if you:are certiﬁed as needing continuous
long-term care for daily activities, suchas bathing, voiding and eating, because
you are bedridden or suﬀer fromdementia and/or other similar situations.
(People who need long-term care)are certiﬁed as needing assistance withdaily activities, such as cleaning, washingand shopping. (People who need support)

Payment of premiums
In principle, premiums are deductedfrom the pension.

You are in this category if you:are certiﬁed as needing long-term care or support
because you suﬀer from any of the following 16
age-induced diseases, such as presenile dementia
or cerebrovascular accident (people who needlong-term care and/or support):①Cancer [terminal cancer] (only if a doctor determined that there is
no prospect of recovery based on generally recognized medical
knowledge); ②rheumatoid arthritis; ③amyotrophic lateral sclerosis;④osteosis of the posterior longitudinal ligaments; ⑤osteoporosis
accompanied by bone fractures; ⑥ presenile dementia; ⑦ progressive
supranuclear palsy, corticobasal degeneration and Parkinsonʼs disease(Parkinsonʼs disease-related diseases); ⑧spinocerebellar degeneration;⑨vertebral canal stenosis; ⑩progeria; ⑪multiple-system atrophy;⑫diabetic neuropathy, diabetic nephropathy and diabetic retinopathy;⑬cerebrovascular disease; ⑭arteriosclerosis obliterans; ⑮chronic
occlusive lung disease; ⑯osteoarthritis accompanied by remarkable

Share of fees
In principle, you pay 10% to 30% of
the cost of services which you receive.

bilateral deformation of the knees or hip joints

Payment of premiums

Premiums are added to those of the
medical insurance, and paid to the
medical insurers.

Share of fees

In principle, you pay 10% of the cost ofservices which you receive.

2

When will the insurance card(Hihokensha-sho)for long-term care insurance be issued?
The insurance card will be mailed to you fromthe ward oﬃce of your home address before
your 65th birthday.
No special procedures are necessary for this.
The insurance card is issued to the following people:
・Residents of Sapporo aged 65 and over・Residents of Sapporo aged between 40 and 64
who are certiﬁed as needing long-term care, or
who applied for certiﬁcate issuance

What kind of information is containedin the insurance card?
Insurance card sample①

The term of validity of thecertiﬁcation result will be
stated.

(Hihokensha-sho)

The maximum monthly
amount of allowance
depending on the level ofcare needed will be
stated.

平成 3 0 年

3月 31日If you are certiﬁed
as needing long-termcare (or support),
the following information
will be stated on pages
2 and 3.

The maximum amountof allowance dependingon the type of service will
be stated ifapplicable(not applicable in Sapporo).

Designation of service
types and other commentsfrom the Certiﬁcation
Committee of Long-TermCare Required may be stated.

3

When should the insurance card be used?
You will need it when applying for certiﬁcation as needing long-term care,formulating a care plan, and when utilizing services.
Please keep the insurance card in a safe place.
In any of the following cases, the ward oﬃce must be notiﬁed within 14 days:
・Moving in from another municipality
・Changing your address in Sapporo
・Changing your name・Entering a long-term care facility,
fee-based home for elderly people
or other special facility

The level of long-term care required(e.g., Support Level 1 or 2, Long-TermCare Level 1, 2, 3, 4 or 5) will be stated.

The date of certiﬁcationby the municipal oﬃce
will be stated.

・Moving out of Sapporo
・DeathThe name of the company
that formulates yourcare plan will be
stated here. If you
have formulated yourown plan,“self-formulated” will
be stated here.

②（事業対象者の場合
は、基本チェックリ
スト実施日）

居宅サービス等

If your beneﬁt is limited
due to non-payment of
your insurance premium, it
will be stated here.

③

平成30年 3月31日

平成 3 0 年

4月 1日〜平成 32 年 3月31日

平成 3 0 年

4月 1日〜平成 32 年 3月31日

19, 616

When you use careservices at a facility,
the type, name anddates of entering andleaving the facility
will be stated here.

届出年月日

平成30年 1月20日

入所等

退所等

入所等

退所等

4

How are premiums determined?
Long-Term Care Insurance is a mutual-help system.

The Long-Term Care Insurance System is funded by insurance premiums paid by insured persons
themselves, with the support of all people. Speciﬁcally, the cost of the system is covered byinsurance premiums for senior citizens (primary insured persons, approx. 23%) and for those aged
between 40 and 64 (secondary insured persons, approx. 27%), as well as with public funds fromthe national, prefectural and municipal governments.
Premiums for primary insured persons (those aged 65 and older)
Premiums in FY 2018 ‒ 2020
Premium
calculation method

Annualpremium

Level 1・Recipients of social aid
・Recipients of ﬁnancial assistance for war-displaced Japanese in China
・Old-age welfare pension recipients whose entire households are exempt frompaying the municipal tax
・Persons whose entire households are exempt from paying the municipal tax
and whose total income and taxable pension income of the previous year totals￥800,000 or lessStandard amount×
0.45￥31,174

Level 2

Persons whose entire households are exempt from paying the municipal tax andwhose total income and taxable pension income of the previous year totals more than
￥800,000 but not exceeding ￥1,200,000

Standard amount
×
0.65￥45,029

Level 3

Persons whose entire households are exempt from paying the municipal tax andwhose total income and taxable pension income of the previous year totals more than
￥1,200,000

Standard amount×
0.75￥51,957

Persons who are exempt from paying municipal tax but who have other members of thehousehold who are subject to the municipal tax, and whose total income and taxable
pension income of the previous year totals ￥800,000 or lessPersons who are exempt from paying the municipal tax but who have other members of thehousehold who are subject to the municipal tax, and whose total income and taxable
pension income of the previous year totals more than ￥800,000

Standard amount×
0.90￥62,348

Standard amount￥69,275

Level 6

Persons who are subject to the municipal tax, and whose total income of theprevious year is less than ￥1,250,000

Standard amount×
1.15￥79,667

Level 7

Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥1,250,000 or more, but less than ￥2,000,000

Standard amount×
1.25￥86,594

Level 8Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥2,000,000 or more, but less than ￥3,500,000

Standard amount
×
1.50￥103,913

Level 9Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥3,500,000 or more, but less than ￥5,000,000

Standard amount
×
1.75￥121,232

Level 10

Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥5,000,000 or more, but less than ￥6,000,000

Standard amount×
2.00￥138,550

Level 11

Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥6,000,000 or more, but less than ￥7,000,000

Level 12

Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥7,000,000 or more, but less than ￥8,000,000

Level 13

Persons who are subject to the municipal tax, and whose total income of the previous
year is ￥8,000,000 or moreStandard amount×
2.10
Standard amount×
2.20
Standard amount
×
2.30

Level

Level 4
Level 5

Coverage￥145,478￥152,405￥159,333○The actual amount of the insurance premium will be rounded down to the nearest ten yen.
○The public pension income means income from public pension (e.g., old-age pension, retirement pension) before deduction for public pension, etc.
○The public pension income does not include non-taxable pension (e.g., survivorʼs pension, disability pension).
○The gross income is the amount after employment income deduction and deduction for public pension, etc., and includes income from transfer of land,building, etc. (before special deduction) and income from transfer of stocks (before carryover) in the ﬁnal tax return or municipal tax return. Deduction forsocial insurance premium, spouse deduction, exemption for dependents, medical deduction and other income deductions are not applicable.
If the total income is a negative amount, it is calculated as ￥0.
However, when the premium is determined after April 1, 2018, gross income shall exclude the following items.
i) Special deductions applying to land/building transfer income under the Act on Special Measures Concerning Taxation.
ii) Other income including public pension in the case of a person exempt from municipal tax.
○Deduction for social insurance premium, spouse deduction, exemption for dependents, medical deduction and other income deductions are notapplicable to gross income.
○Public pension income and the gross income are the total from January to December of the year before the year for which the insurance premium ischarged.
○The household condition is determined based on the status on April 1 (if the person is certiﬁed for long-term care insurance in the middle of a ﬁscal
year, on the day of the certiﬁcation).

5

Primary insured persons

23%

Publicexpenditure

Secondary insured persons

27%

50%

How premiums are determined

Premiums are determined on the basis of levels of services provided by the City of Sapporo.
□Premiums are determined every three years based on the expected cost of long-term care services.
□Thirteen levels of premiums are determined based on the income in the previous year and otherconditions.

How premiums are paid
●Deduction from pension (special collection)

In principle, if you receive pension totaling ￥180,000 or more annually, the premium is deducted fromyour pension paid every two months.

●Payment by account transfer or using a payment slip (normal collection)

If the amount of your pension is less than ￥180,000 annually or you receive only pensions that are notsubject to deductions, you are asked to pay your premiums using a separate payment slip or by accounttransfer (ten times per annum).

Even if you are receiving pension totaling ￥180,000 or more annually, the normal collectionof premiums applies if you turn 65 or move in from another municipality in the middle ofthe year. Since deduction from your pension begins automatically, no special proceduresshould be followed. You will be notiﬁed when deductions begin.

Premiums for secondary insured persons (those aged between 40 and 64)

How premiums are determined and paid

●Premiums, which are determined according to the calculation method for your medical insurance
policies, are paid together with your medical insurance premiums.
●Paid premiums are disbursed by each medical insurer to the City of Sapporo through the Social
Insurance Medical Fee Payment Fund.

●If you are insured by health insurance
programs at your place of work:●If you are insured
by national health insurance:■The premium depends on your salary.
■Pay the premium in conformity with your medical
insurance rules.
・In principle, your employer bears one-half of yourpremium costs.
・Premiums of dependents, such as spouses of salaried
workers, are borne by all Secondary insured persons
through various medical insurance plans. Therefore,
they do not have to pay premiums individually.

■The premium depends on your income and other factors.
■The head of the household pays the premium for thehousehold.
・Approximately one-half of premiums are borne by public
expenditure.
・The head of the household pays the premiums ofdependents.

6You may be eligible for a reductionin the insurance premium
There is a payment reduction scheme for the primary insured (people aged 65 or over) who havediﬃculty paying the premiums for Long-Term Care Insurance due to special circumstances. If you
are eligible for the scheme and wish to use it, consult the insurance and pension section of yournearest ward oﬃce.
Those who satisfy all of the following criteria are eligible for a reduction to the amountequivalent to that for Level 1.
Note: Persons to whom Level 1 premiums apply are ineligible for the reduction.

①The annual total income for all members of the household is lower than the following:

Reduction of theamount of insurance
premium for persons
with low income

Single-personhouseholdTwo-personhouseholdThree-personhouseholdFour-personhousehold￥1.2 million￥1.6 million￥2.1 million￥2.6 million

Notes:1For households with ﬁve or more members, add ￥500,000 for each additional person.
2 The income subject to the calculation includes taxable income, non-taxable income (e.g., survivorʼs pension),allowances and all other income.

②The savings of all members of the household are ￥3.5 million or less.
③No members of the household are dependent on a member of another household who ispaying municipal tax.
Notes:1If you are dependent on a member of another household, you are not eligible for the reduction.
2Whether you are a dependent or not will be judged based on the dependent status for municipal tax andhealth insurance on the day of the application.

④No members of the household own real estate for purposes other than residence or business.
Note: If you have a second home or land other than your residence, you are not eligible for the reduction.

Necessary documents

・All documents that show the income of all family members for 2017(e.g., pension transfer notices)
・Proof of the savings of all family members
・Health insurance card

If your place of residence is damaged due to a disaster, your insurance
premium will be reduced by 60 to 100%, depending on your income
Reduction or exemption in the previous year.

of premium at the timeof disaster

Note: For eligibility criteria and other details, consult the insurance and pension sectionof your ward oﬃce.

Necessary documents

Reduction due toa sharp decreaseof incomeDisaster certiﬁcate issued by a ﬁre station,or equivalent documents

If the total of ① “income of the person who supports the household”
and ② “income of all members of the household” is half or less of theincome of the previous year due to loss of employment or other reasons,the premium will be reduced by the diﬀerence between the current
premium and the premium recalculated based on the decreased income.
Necessary documents

7

My house has been
severely damaged
by an earthquake.

All documents that show the income of
all members of the household for 2018

I’ve lost my job.

If you keep falling behindin your premium payments…
Insurance premiums are important for covering the costs of providing services under theLong-Term-Care Insurance System. Delinquencies in payment are serious hindrances to themaintenance of the system.
Therefore, if you fall behind in your payments even though you have not experienced a disaster orother special circumstances, the following measures will be taken in accordance with relevant laws
and regulations when you use care services, in order to ensure fairness to those who are paying
their premiums regularly.
Keep this in mind, as you may have trouble receiving care services in the future even if you are notreceiving such services at present.

In the case of the primary insured (people aged 65 or over)①If you are 12 to 17 months behind in making payments

The payment method for insurance beneﬁts for care services (including costs for meals and housing) will bechanged to the reimbursement method, in which you pay the entire amount of service costs and later apply
for insurance beneﬁts (90 to 70% of the costs that you paid). (It takes approximately one month after
application for you to receive the beneﬁts.)②If you are 18 to 23 months behind in making payments

Payment by the reimbursement method, in which you pay the entire amount for care services (incl. costs formeals and housing) and apply for insurance beneﬁts later, will be temporarily suspended. The amount equivalent
to the delinquent payment may be deducted from the suspended insurance beneﬁts.

③If you are 24 or more months behind in making payments

When you use the care services, your copayment will be 30 to 40%
instead of 10% to 30%.
30-40%In addition, you will lose eligibility for the refund of the allowance forcopayment
high-cost services (see p. 31) and for the reduction of your copayment forWard
meals and housing (stay at a care facility) (the payment of an allowance
officefor long-term care services to a person admitted to a speciﬁed facility;
see p. 33). The payment of insurance premiums two or more years pasttheir deadline will not be accepted due to the statute of limitations.

10–30%
copayment

High-costservices

If you keep falling behind in your premium payments, you may become subject to a disposition ofdelinquency (e.g., attachment of your savings) regardless of whether you use the care services.
If you are behind in payments, be sure to consult the collection subsection (no. 1 or 2) of the insurance
and pension section at your ward oﬃce.

In the case of the secondary insured (those aged between 40 and 64)
If you have qualiﬁed for certiﬁcation of needed long-term care but have not paid certain health insurance
premiums, you will have to pay the entire amount and apply to receive 90% of the payment (reimbursement
method) instead of paying 10% for services used, and the payment of insurance beneﬁts may be suspended
temporarily.

8Community general support centers (Chiiki hokatsu shien center)are comprehensive consultation oﬃces for senior citizens.

Generalconsultation
GeneralPreventive
care
consultation
management

Comprehensive/
continuous caremanagement
support

Advocacy“Hotter” the mascot of the Sapporo
Community General Support Centers

To provide general consultation and support
to senior citizens through coordination ofnecessary services and support from various
sources allowing senior citizens to continue
living in their own communities, 27 community
general support centers (Chiiki hokatsu shien center)
have been established throughout the city.
For locations and telephone numbers, seepages 35 and 36.

What kinds of services are provided?
①General consultation
Advice is provided on various systems and regional services related to care and welfare, and the necessary services
are coordinated through home visits, etc.
②Advocacy
Comfortable living for senior citizens is supported by preventing damage caused by malicious door-to-door sales,abuse and other problems.
③Support for comprehensive/continuous care management
Advice is given to care managers and a network with various local organizations is created to help senior citizens
live comfortably in their own communities.
④Preventive care management
Service plans are developed and support is provided to enable people categorized as Support Need levels 1 and 2
and candidates for comprehensive programs to receive the necessary services and live the lives they want to live.

Who provides consultations?
All community general support centers have professional staﬀ with a long-term care support specialist (caremanager), social worker, public health nurse and other qualiﬁed professionals.

Senior activities promotion centers (Kaigo yobo center)
support preventive care in your community.

Consultation on
preventive care

Preventive
care class

The preventive care class is held and support forcommunity-based preventive care activities isprovided at 53 senior activities promotion centers(Kaigo yobo center ) throughout Sapporo to enablesenior citizens to live in their own communities foras long as possible. For the locations and telephone
numbers of the centers, see pages 35 and 36.

Support forcommunity-based
activitiesea c t i v e ns !
emizbeco nior cit
s
ʼ
t
Le
se
p py
a
h
an d

What kinds of services are provided?

General preventive care programs are provided. ⇒ See page 13.

①Preventive care class
The class gives members of your community the opportunity
to become involved in preventive care. The content, which
is both enjoyable and educational, helps you live a happy andactive life.
②Consultation on preventive care, etc.
Consultation is provided on preventive care and homeboundsenior citizens in your community, as well as on care, welfare
and various other locally available systems and services.
③Support for local preventive care activities
Dissemination, enlightenment, technical support, advice onmanagement and other kinds of support are provided toensure continuation of voluntary preventive care activities inyour community.

Who provides consultations?

Professional staﬀ qualiﬁed as health and welfare workers provide consultations.

What procedures are

When you require long-termcare or support for daily activities…

Consult the nearest ward oﬃce,
care manager, etc.
The health and welfare service section at
the nearest ward oﬃce, a community
general support center, a senior activities
promotion center or a care manager in yourarea will provide you information regarding
the Long-Term Care Insurance System anduse of services.

Use long-term care services
You can receive in-home and facility service,depending on your long-term care (orprevention) plan. You will need to regularly
apply for renewal of the services afterwards.
Application is not necessary if you are notusing long-term care (or prevention) services.

A care manager will
help you receive services.

Formulate of a long-term care planIf your situation is applicable to any ofLong-Term Care Levels 1 ‒ 5, a care manager
will formulate a long-term care plan that
corresponds to your needs. If you arecertiﬁed as requiring Support Level 1 or 2, aworker of the community general support
center nearest your address will formulate apreventive long-term care service plan.
(For the use of comprehensive program services,see pages 13, 14 and 18.)11

required to receive services?

Apply at your ward oﬃce.

Undergo an assessment
at your home or institution

To receive care insurance services, youmust apply for long-term care certiﬁcation.
You or a family member can apply, or you
can ask a care manager to apply on yourbehalf. Applications are accepted by thehealth and welfare service section of theward oﬃce of your home address.

An oﬃcial from the city visits your home or
institution as an examiner, and inquires about
74 items regarding eating, bathing and otherdaily activities. A medical report from yourregular doctor is also requested. Please notethat a correct statement may not be made if
you have not been examined by a doctor fora prolonged period.

Note : If you are a secondary insured person (agedbetween 40 and 64), bring your medical
insurance card.

Care managers…
Provide support to utilize the following services:●Consultation regarding the system and utilizationof services●Application for certiﬁcation of long-term careon your behalf●Formulation of long-term care plans

Lists of in-home long-term care support providers with care managers areavailable at the health and welfare service section of the ward oﬃce.

Undergo Examination by the Certiﬁcation
Committee for Long-Term Care Need

Recieve Notiﬁcation of the committeeʼs decision
In principal you will be notiﬁed of the committeeʼ sdecision, i.e., the level of long-term care required,within 30 days of application. The level of required
long-term care is classiﬁed into seven groups:Support
Levels 1 and 2 and Long-Term Care Levels 1 ‒ 5.
If you are certiﬁed as not qualifying (independent),
you will not be able to receive services (except for theservices of comprehensive programs) of theLong-Term Care Insurance System. You may be able touse regional support programs or other health/welfare
services provided by the City of Sapporo to preventthe need for long-term care and support independent
living. Consult with the health and welfare service
section of the ward oﬃce of your home address.

The Certiﬁcation Committee for Long-TermCare Need, which is composed of ﬁve
specialists in health, medicine and welfare,judges the necessity of long-term care as wellas the level of care required based on the resultsof the interview visit and the medical report
written by your regular doctor. Judgment isrendered in conformity with nationwide
uniform standards.

12

Preventive/Everyday Living Support
Comprehensive Programs
The long-term care insurance services for those qualifying
for support changed in April 2017.
The Preventive/Everyday Living Support Comprehensive Programs (hereinafter referred to as the“Comprehensive Programs”) support senior citizens to maintain their well-being by participating in preventive
care activities and by being able to live independently for as long as possible with mutual support in their own
communities in combination with support of private enterprises. Services may be provided by home-visit
specialists or at day-service institutions.
The City of Sapporo aims to promote preventive care and living support through the Comprehensive Programs
to create a society where senior citizens can use their abilities and live happily and actively.

Types of Comprehensive Programs
There are “Preventive Care/Living Support Service Programs” for those qualifying for Certiﬁcation ofneeded support and those eligible for the programs due to deterioration in their living functions, and“General Preventive Care Programs” for people aged 65 or older who want to participate in preventive
care activities.

●Preventive Care/Living Support Service Programs

Services are provided at peopleʼs homes or at institutions. ⇒ See p.18.

●General Preventive Care Programs

Provided at senior activities promotion centers. ⇒ See p.10 for senior activities promotion centers.

Letʼs become active and happy senior citizens!

13

Learn in your own community.
Preventive care class

Support forvoluntary community gatherings

The class gives you the opportunity to learn about
and become involved in preventive care while
enjoying yourself together with other membersof your community. It is recommended if you are
wondering what you should do for preventive care.

Specialists visit gatherings held voluntarily bymembers of your community to inform you about
eﬀective preventive care and give you tips tocontinue being active. Support is provided topeople who want to promote preventive care while
having fun in groups.

Process for using Comprehensive Programs
Consultation at a community general support center (Chiiki hokatsu shien center)or ward oﬃce

For information on the process of using long-term care services for those qualifying for care , see pages 11 and 12.

Apply for home-visit/day-care services
1 Those who use the services for the ﬁrst time
2 Those aged between 40 and 64 (secondary
insured persons) who need to renew theirapplication for the certiﬁcation as needing
long-term care

Not qualifying

Those aged 65 or older who
need to renew theirapplication for certiﬁcation
as needing long-term careand who want to use only

home-visit/day-care services

Certiﬁed as
needing support

Basic checklist

Support Level 1 or 2

Candidates for programs

Not qualifying
Formulate
a care plan

Formulate a care planNot qualifying*

Preventive
care services

Community general
support center

Ward oﬃce

3 The following people who need to renew
their application for certiﬁcation as needing
long-term care:Those who want to use preventive careservices (e.g., loan of welfare equipment)
Those who require more services thanthose available for Support Level 1
Those who want to renew the certiﬁcationof support

Apply forparticipationin preventive
care classes, etc.

Preventive Care/Living Support Service Programs(home-visit/day-care services)

General Preventive Care Programs* If you do not qualify for the Long-Term Care (Support), but are found to require
support based on the basic checklist and assessment conducted by a senior activities promotion center,you are eligible to use preventive care/life support services.

We help senior citizens become what they want to be.

14

Users bear 10% to 30% of the cost.
Determining the copayment percentage for each user (10% to 30%)
● The percentage is determined for each individual aged 65 or older (primary insured person).
● Even if the gross income (*1) of a person aged 65 or older is ¥2,200,000 or more, that person in the same

household (*2) will bear 30% in August 2018 if the total income from pension (*3) and other types of income (*4) is¥3,400,000 or more (single-person household), or ¥4,630,000 or more (household of two or more persons).

● Even if the gross income (*1) of a person aged 65 or older is ¥1,600,000 or more, that person in the same

household (*2) will bear 20% in August 2018 if the total income from pension (*3) and other types of income (*4) is¥2,800,000 or more but less than ¥3,400,000 (single-person household), or ¥3,460,000 or more but less than
¥4,630,000 (household of two or more persons).

● Even if a person is aged 65 or older, that person in the same household (*2) will bear 10% in August 2018 if thetotal income from pension (*3) and other types of income (*4) is less than ¥2,800,000 (single-person household) or
less than ¥3,460,000 (household of two or more persons). Also, those who are secondary insured persons (aged 64
or younger), receiving public assistance or exempt from municipal tax will bear 10%.

● When a secondary insured person becomes 65, the percentage will increase to 20% or 30% from the following

month for those with a income higher than a certain level.

● Even if the percentage of copayment is 20% or 30%, there is a limit of individual payment and the amountexceeding the limit will be refunded as an allowance for high-cost services (see p. 31). (A separate application must
be made to receive an allowance for high-cost services.)(*1) Gross income refers to the amount after deductions for employment income and public pension, including land/building transfer income (before special
deduction) as well as stock transfer income (before carryover) in the ﬁnal tax return or municipal tax return. However, when the copayment percentage isdetermined after August 2018, gross income shall exclude the following items.
i) Special deductions applying to land/building transfer income under the Act on Special Measures Concerning Taxationii) Other income including public pension in the case of a person exempt from municipal tax(*2) A “household” means a household based on the basic resident registation.
(*3) Pension income does not include non-taxable pension (e.g., survivorʼs pension, disability pension).
(*4) “Total of other income” means the income after deducting the miscellaneous pension income from the total income.

〈Process determining the percentage to be borne by the user〉
Those on whom municipal tax is imposed
Persons other thanthose stated below

Those aged 65 or older

Those withgross income of￥2,200,000 or more

PensionincomeTotal otherincomePensionincomeThose withgross income of￥1,600,000 to￥2,200,000

Total otherincomeNumber of persons aged 65 or older :One : more than ￥2,800,000
but less than￥3,400,000
Two or more : more than ￥3,460,000
but less than ￥4,630,000 in total

Number of persons aged 65 or older :One : less than ￥2,800,000
Two or more: less than ￥3,460,000 in total
Persons other thanthose stated above

Those with gross incomeof less than￥1,600,000

Those exempt from municipal tax or receiving public assistance15

30% of the cost

20% of the cost10%of the cost

10% of the cost

20% of the cost
10% of the cost
10% of the costUsers of long-term care services bear 10% to 30% of the cost. Other daily
expenses are borne entirely by users. Users also pay all the costs for meals
and accommodation while they are in a care facility (including periods ofshort-term stay) and for meals when using a day-care facility.

Insurance beneﬁts(70% to 90%)

Copayment(10% to 30%)●●

The copayment percentage certiﬁcate for long-term care insurance(Futanwariai-sho) (green) stating the copayment percentage(10%, 20% or 30%) will be issued.
Candidates for issuance
The certiﬁcate of the percentage of copayment for long-term care insurance is issued to all persons qualifying forlong-term care (support) and who have been conﬁrmed as candidates for comprehensive programs (see pages 13 and
14 for details). For other persons, it will be issued when they qualify for long-term care (support) , or are conﬁrmed as
candidates for comprehensive programs.
How to use the copayment percentage certiﬁcate for long-term care insurance
Present your copayment percentage certiﬁcate for long-term care insurance (green) together with your long-term careinsurance card (pink, see pages 3 and 4) when using care services or formulating a care plan.
Destination
When using long-term care services
When formulating a care planLong-term care providers, long-term care insurance facilities, etc.
Care manager

Term of validity of the copayment percentage certiﬁcate for long-term care insurance
The term of validity of the copayment percentage certiﬁcate for long-term care insurance is one year starting from
August 1 of the current year to July 31 of the following year.
Issuing of the copayment percentage certiﬁcate for long-term care insurance
For those qualifying for long-term care (support) who are conﬁrmed as candidates for comprehensive programs, thecopayment percentage is determined every July based on income and other factors from the previous year and a certiﬁcatethat is valid from August to July of the following year will be mailed to you (application is unnecessary).

Sample of the certiﬁcate of the percentage of copayment for long-term care insurance (Futanwariai-sho)

Front

Back
29年

8月

30年
31年

1日

8月

7月

1日

31日

16

Care plan will be formulated.
What is the care plan?
This plan for the use of care services is formulated to enable the provision of appropriate services suited to the mental andphysical conditions and living environment of senior citizens who have qualiﬁed for certiﬁcation as needing long-term careor support, or as candidates for programs and their families, so that they can use the services they wish to receive.
For citizens who have qualiﬁed for certiﬁcation as needing long-term care, the formulation of long-term care service plans(care plans) is entrusted to in-home long-term care support providers to enable the appropriate use of home care and otherservices according to the personʼs mental and physical conditions and wishes. In-home long-term care support providers
designated by the Mayor of Sapporo have long-term care support specialists (care managers) and are responsible for liaison
and adjustments with service providers.
For senior citizens who have qualiﬁed for support or as candidates for programs, the formulation of preventive long-termcare service plans or comprehensive program service plans (care plans) is entrusted to community general support centers,
which focus on improving the health of those certiﬁed as needing support and on preventing their health deterioration.
Community general support centers are impartial and independent organizations established by the City of Sapporo, andtheir management is entrusted to social welfare corporations and other external organizations.
●The costs of formulating a care plan are covered entirely by insurance; no copayment is necessary.
●You may choose to prepare your own care plan, unless you are currently using preventive long-term care/life support services.
●A list of in-home long-term care support providers is distributed at the Health and Welfare Section of your ward
oﬃce and is available on the website of the Sapporo City Long-Term Care Insurance Section.
●For a list of community general support centers, see pages 35 and 36.

Application for the useof the comprehensive program

Application for certiﬁcation

Examination for certiﬁcation

Statement from your regular doctor

Primary decision

Certiﬁcation Committee for Long-Term Care Need

Candidates for
programs*1

Unqualiﬁed

Formulation of
a comprehensive
program service plan

You are qualiﬁed
to use preventive
long-term care/everyday
life support services.

See p. 18.

17

You are qualiﬁed to use
general preventive
long-term careprograms.

See p. 13.

Support Levels
1 and 2Long-Term Care
Levels 1 to 5

Formulation ofa preventive long-termcare service plan

Formulation ofa long-term careservice plan

You are qualiﬁed to use(community-based)
preventive long-termcare services.

You are eligible to use(community-based)care services.

See p. 19, 20 and 24.

See p. 21 ‒ 24.

(*1) If a person who is deemed unqualiﬁed for Long-Term Care (Support) but is found to conform to certain basic checklist items and is deemed to require
support as a result of assessment by a community general support center, then the person may use preventive Long-Term Care and life support services.

Preventive long-term care/life support services(You are eligible if you are certiﬁed as a person with needed
support levels 1 or 2 or if you are a candidate for programs.)

These services provide daily support for a certain period to enable you to live independently inyour own community as long as possible without requiring long-term care.

Home-visit services
A home helper will visit you to provide
assistance in daily activities that you
cannot do by yourself (e.g., cooking,cleaning and washing) and to help you
live more independently.

● Home-visit care and equivalent services
Approximate monthly service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Once a week

Services equivalent
to home-visit care

Twice a week

Ordinary use(4 times a month/
60 min. or longer)

Ordinary use(8 times a month/
60 min. or longer)

Program candidates/
Persons with Support Levels 1 or 2

￥11,925 (￥1,193)
Program candidates/
Persons with Support Levels 1 or 2

￥23,840 (￥2,384)
Persons with Support Level 2

More than twice a week

￥37,817 (￥3,782)

Notes: 1 Prices vary by the frequency and duration of use. Ask your care manager for details.
2 Short-term intensive preventive long-term care services in which nurses and otherprofessionals support preventive long-term care and improvement of the level offunctioning in everyday life are also available.

Day-care service
Assistance in daily life and support for
the improvement of motor functions,health management and making
friends are provided.

● Services equivalent
to day care

Services related mainly to health management anddaily life are provided for 4 or more hours.

● Short-duration
services

Services related mainly to exercise and functional
training are provided for less than 4 hours.

Approximate monthly service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Once a week
Services equivalent
to day care

Twice a week

Once a week
Short-duration
services

Twice a week

Ordinary use(4 times a month)

Ordinary use(8 times a month)

Ordinary use(4 times a month)

Ordinary use(8 times a month)

Program candidates/
Persons with Support Level 1￥16,700 (￥1,670)
Persons with Support Level 2￥34,242 (￥3,425)
Program candidates/
Persons with Support Level 1￥13,354 (￥1,336)
Persons with Support Level 2￥27,388 (￥2,739)

Notes: 1 Prices vary by the frequency of use. Ask your care manager for details.
2 Costs for motor function improvement, nutritional improvement and other additional
services may apply.
3 Users may have to pay for meals and other expenses in addition to the above prices.

Preventive long-term care management

A worker from a community general support center willinterview you and your family and will tailor a care plan
according to your health conditions and circumstances.
The worker will also make arrangements with the carefacility where you will be using the services.

■ Approximate monthly service cost (per visit)￥4,390 (A ﬁrst-visit fee also applies.)
Note:No copayment is necessary. (The costs are covered entirely by insurance.)18

Preventive long-term care services (available for thoseHome-visit services
Home-visit bathing service■ Approximate service costs (per visit)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)(Homon Nyuyoku Kaigo)

A special bathtub-equipped vehicle visits your home
to assist you with bathing.

Visit by a nurse and a care worker￥8,627 (￥863)

Visit by two care workers￥8,198 (￥820)

Note : If the service involves only wiping or partial bathing, the cost will be 70%of the above.

Home-visit nursing service for preventive
long-term care (Homon Kango)
A nurse from a visitation nursing station forpreventive long-term care or from anothermedical institution visits your home toobserve your medical condition and toprovide medical care and assistance, such asthat for bedsores, in consultation with yourregular doctor.

■ Approximate service costs (per visit)
E.g., for a visit of 30 to 59 minutes(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Visitation nursing station
for preventive long-term care

￥8,035(￥804)

Hospital or clinic￥5,595 (￥560)

Notes : 1 Costs for early morning, evening, and late night visits, special
management, and other additional services may apply.
2 Patients with terminal malignant tumors or other diseases designatedby the Minister of Health, Labor and Welfare are eligible for medical
insurance beneﬁts. The same shall apply to users who are speciallydesignated by a doctor as needing frequent home visits for nursing
due to acute exacerbation or other reasons.

Guidance for management of in-homemedical long-term care for preventive
long-term care

■ Approximate service cost (per visit)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Guidance by a doctor or dentist

A doctor, dentist or pharmacist
visits your home to provide
medical management
consultation and guidance.

￥5,070 (￥507)
Note : Up to twice a month (pharmacist: up to 4 times a month)

Home-visit/outpatient rehabilitation(Homon Rehabili)■ Approximate service cost (per 20 min.)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)￥2,949 (￥295)

A physiotherapist, occupational therapist or
speech therapist visits your home to provide
therapy to help you engage in daily activities
independently.

Note : Additional costs for short-term intensive rehabilitation or other services may apply.

Other in-home
Daily life long-term careadmitted to a speciﬁed facility

Users of fee-charging homes for the elderly and otherfacilities can receive necessary care services at such
facilities or can choose to receive external home help andday services under the care insurance scheme.

■ Approximate daily service costs
When the user receives
services at his/her own facility

Support Level 1:￥1,825 (￥183)
Support Level 2:￥3,133 (￥314)

Note : 1 Costs for individualized functional training and other additional services may apply.
2 The cost for using external services will be 90% of the cost for in-home services.
3 Users may have to pay for meals and other expenses in addition to the above prices.

19

Preventive long-term care support
A worker from a home care-providing businessestablishment (community general support center)
will interview you and your family and will tailor acare plan according to your health conditions andother circumstances. The worker will also makearrangements with the care facility where you will
be using the services.

■ Approximate monthly service cost
￥4,390 (A ﬁrst-visit fee will apply.)
Notes : 1 A ﬁrst-visit fee may apply.
2 No copayment is necessary. (The costs are covered entirely by insurance.)certiﬁed as persons with Support Level 1 or 2)
Day care/short stay services
Rehabilitation at a care facility (day care)
Users can participate ingroup activities to improvedaily life function at ahealth services facility forthe elderly or at a medical
institution.

Short-term admission for daily life
long-term care (short stay)for preventive long-term care

Users can receive care and functional training whilestaying at a special nursing home for the elderly orat other facilities for a short period. Separate charges
for meals and the stay may apply.

Short-term admission for recuperation(short stay)Users can receive care and functional training whilestaying for a short period at a long-term care healthfacility, medical facility for nursing care or otherfacilities that provide nursing care and therapy under
medical supervision. Separate charges for meals andthe stay may apply.

■ Approximate monthly service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)- Common services

Support Level 1￥17,411 (￥1,742)

Support Level 2￥36,764 (￥3,677)

Notes : 1 Users may have to pay for the improvement of motor functions in addition to the above
prices.
2 Users may have to pay for meals and other expenses separately.

■ Approximate daily service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Special nursing home (Care provider with a medical facility (multi-bed type))
Support Level 1￥4,444 (￥445)

Support Level 2￥5,522 (￥553)

Notes : 1 Users may have to pay additional costs for transportation, meals, functional training, etc.
2 Prices vary by room type.

■ Approximate daily service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)(Basic) Long-term care health facility (multi-bed type)
Support Level 1￥6,195 (￥620)

Support Level 2￥7,757 (￥776)

Notes : 1 Users may have to pay additional costs for transportation, meals, etc.
2 Prices vary by type of facility and/or care room.

care services
Loaning of assistive devices for preventive long-term care
You can rent assistive devices necessary for in-home care, such as walking aids andhandrails that do not require home modiﬁcations.
- Handrails - Slopes - Walking aids - Walking sticks- Automatic excretion treatment apparatus (a device that absorbs urine automatically)
Note : Although wheelchairs and special beds are not for rent, they may be rented to those who havediﬃculties in walking, rolling over or sitting up.

For details about home modiﬁcations and the purchase of welfare instruments/purchase of equipment for
long-term care covered by public aid for preventive long-term care, see p. 28.

20

Long-term care services (available for users certiﬁed
Home-visit services
Home-visit care (home help services)(Homon Kaigo)■ Approximate costs for services (per visit)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Physical care (for 60 to 89 minutes)

A home helper will visit you to provide
assistance with meals, bathing, toilet
care and other physical care, as well aswith cooking, cleaning and other daily
activities.

￥5,870 (￥587)*Care services including feeding, bathing and toileting

Assistance with daily activities (45 or more minutes)*Support services including cooking, washing and cleaning

Assistance with getting into and out of a car to
go to the hospital and elsewhere￥2,276 (￥228)￥1,000 (￥100)

Note : Costs for early morning, evening, late night and other additional services may apply.

Home-visit bathing service

Rehabilitation at home

Home-visit nursing
management and guidance

A special bathtub-equipped vehicle
visits your home to assist you withbathing.

A physiotherapist, occupational
therapist or speech therapist visits
your home to provide therapy tohelp you engage in daily activities
independently.

A doctor, dentist or pharmacist
visits your home to provide medical
management consultationand guidance.

(Homon Nyuyoku Kaigo)■ Approximate service costs (per visit)(The ﬁgures in parentheses are the userʼs copayment(in the case of 10% copayment).)

Visit by a nurse andtwo care workers￥12,762 (￥1,277)

Visit by three care
workers￥12,129 (￥1,213)

Note : If the service involves only wiping or partial bathing,
the cost will be 70% of the above.

(Homon Rehabili)■ Approximate service cost (per visit)(The ﬁgures in parentheses are the userʼs copayment(in the case of 10% copayment).)■Approximate service cost (per 20 min.)(The ﬁgures in parentheses are the userʼs copayment(in the case of 10% copayment).)

Guidance by a doctor or dentist￥5,070 (￥507)￥2,949 (￥295)
Note : Additional costs for short-term intensive
rehabilitation or other services may apply.

Home-visit nursing(Homon Kango)

A nurse from a visitation nursing station
or from another medical institution visits
your home to observe your medical
condition and to provide medical care
and assistance, such as that for bedsores,
in consultation with your regular doctor.

Note : Up to twice a month (pharmacist: up to 4 times a month)■ Approximate service costs (per visit)
E.g., for a visit of 30 to 59 minutes(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Visitation nursing station￥8,331 (￥834)

Hospital or clinic￥5,809 (￥581)

Notes : 1 Costs for early morning, evening, late night and emergency visits, special
management, terminal care and other additional services may apply.
2 Patients with terminal malignant tumors or other diseases designatedby the Minister of Health, Labor and Welfare are eligible for medical insurance
beneﬁts. The same shall apply to users who are specially designated by a doctor
as needing frequent home visits for nursing due to acute exacerbation or otherreasons.

Other in-home
Daily life long-term care for the elderly
admitted to a speciﬁed facility
Users of fee-charging homes for the elderly andother facilities can receive services at such
facilities or can choose to receive external home
help and day services.
■Approximate service costs

When receiving services within facilities (per day)

(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1 ‒ Long-Term Care Level 5￥5,414 (￥542)‒￥8,112 (￥812)
Notes : 1 Costs for individualized functional training, nighttime nursing and otheradditional services may apply.
2 The cost for using external services will be 90% of the cost for in-homeservices.
3 Users may have to pay for meals and other expenses in addition to theabove prices.

21

In-home care support

A worker specializing in care support
will interview you and your family and will
tailor an in-home care plan according to
your health conditions and circumstances.
The worker will also make arrangementswith the care facility where you will beusing the services.
■ Approximate monthly service costs
Long-Term Care Level 1 or 2

￥10,751

Long-Term Care Level 3, 4 or 5

￥13,967

Note : A ﬁrst-visit fee, the cost of using designated establishments
and other costs may apply. No copayment is necessary.
(The costs are covered entirely by insurance.)as persons with Long-Term Care Levels 1 to 5)
Day care/short-stay services
Day care (day service)■ Approximate monthly service costs(per visit for 7 hours or more, but less than 8 hours)

Users can visit facilities forbathing, ADL training,
recreation and other activities.
(Day service for a group of
19 or more.)(The ﬁgures in parentheses are the userʼs copayment(in the case of 10% copayment).)

Long-Term Care Level 1￥6,540 (￥654)

Long-Term Care Level 4￥10,170 (￥1,017)

Long-Term Care Level 2￥7,716 (￥772)

Long-Term Care Level 5￥11,397 (￥1,140)

Long-Term Care Level 3￥8,953 (￥896)

Note : Costs for bathing, individualized functional training, care for users with premature dementia,
nutritional management, improvement of oral function and other additional services may
apply. Users may have to pay for meals and other expenses in addition to the above prices.

Rehabilitation at a care facility(day care)

Users can receive support
for daily activities andrehabilitation at a long-termcare health facility or at a
medical institution.

■ Approximate service costs(per visit for 7 hours or more, but less than 8 hours)(The ﬁgures in parentheses are the userʼs copayment(in the case of 10% copayment).)

Long-Term Care Level 1￥7,241 (￥725)

Long-Term Care Level 4￥11,705 (￥1,171)

Long-Term Care Level 2￥8,634 (￥864)

Long-Term Care Level 5￥13,322 (￥1,333)

Long-Term Care Level 3￥10,047 (￥1,005)

Note : Costs for bathing, home-visit guidance, rehabilitation management, short-term intensive
rehabilitation, care for users with premature dementia, nutritional management,
improvement of oral function and other additional services may apply. Users may have to
pay for meals and other expenses in addition to the above prices.

Short-term admission for daily
life long-term care (short stay)Users can receive care and functional training
while staying at a special nursing home for theelderly or at other facilities for a short period.
Separate charges for meals and the stay may apply.

Short-term admission forrecuperation (short stay)

At a special nursing home for the elderly(multi-bed type with a medical facility)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1 ￥5,939 (￥594) ‒ Long-Term Care Level 5 ￥8,705 (￥871)
Notes : 1 Users may have to pay additional costs for transportation, hospital meals, acceptance ofusers requiring moderate to heavy care at home, functional training, etc.
2 Prices vary by room type.

■ Approximate daily service costs

At a long-term care health facility (multi-bed type)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Users can receive care and functional training
while staying for a short period at a long-termcare health facility, a medical facility for nursing
care or other facilities that provide nursing careand therapy under medical supervision. Separate
charges for meals and the stay may apply.

Multifunctional services■ Approximate daily service costs

Long-Term Care Level 1 ￥8,375 (￥838) ‒ Long- Term Care Level 5 ￥10,535 (￥1,054)
Notes : 1 Users may have to pay additional costs for transportation, hospital meals, etc.
2 Prices vary by type of facility and/or care room.

Multifunctional services, through which the elderly and the disabled can gain easier access toservices at the same care facility than in the past, are slated to begin in April 2018.
These services include care services such as home-visit care, day care at care facilities,
community-based day care, short-term admission for daily life long-term care and preventive
short-term admission for daily life long-term care.

care services
Loaning of assistive devices
You can rent assistive
devices necessary forin-home care, such as
walking aids and handrails
that do not require
home modiﬁcations.

Devices that can be rented

Long-Term
Care Level 1-Handrails, slopes, walking aids,
walking sticks-Automatic excretion treatment apparatus(a device that absorbs urine automatically)-Wheelchairs, special beds, devices to prevent
bedsores, body position changing tools

Long-Term
Care Levels2‒5-Handrails, slopes, walking aids, walking sticks-Sensors for wanderers with dementia, lifts, etc.

Devices that cannot be rented-Wheelchairs, special beds, devices to prevent
bedsores-Body position changing tools, sensors for wanderers
with dementia-Lifts 1-Automatic excretion treatment apparatus 2
Notes : 1. Although wheelchairs and special beds are not forrent, they may be rented to those who have diﬃculty
walking, rolling over or sitting up.
2. This cannot be rented to those certiﬁed as persons
with long-term care levels 1 to 3.

-Automatic excretion treatment apparatus(only for long-term care levels 4 and 5)

For details about home modiﬁcations and the purchase of welfare instruments/purchase of
equipment for long-term care covered by public aid for preventive long-term care, see p. 28.

22

Community-based long-term care services
Community-based long-term care services (available forHome visits at night for long-term care
Users can have a home helper visit regularly oroccasionally and can request nighttime services.
■ Approximate monthly service costs(In the case of a care facility where service costs are calculated according to frequency of use)

(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)(per month)Home visits at night for long-term care

￥10,301 (￥1,031)(per visit)

Users can have support for daily life at fee-charging homes
for the elderly and at other facilities with 29 or fewer users.
■ Approximate daily service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1￥5,414 (￥542)

Long-Term Care Level 2￥6,073 (￥608)

Regular visit service￥3,859 (￥386)

Long-Term Care Level 3￥6,773 (￥678)

Occasional visit service (one home helper)￥5,880 (￥588)

Long-Term Care Level 4￥7,422 (￥743)

Occasional visit service (two home helpers)￥7,912 (￥792)

Long-Term Care Level 5￥8,112 (￥812)*Costs for responding to requests 24 hours a day and other additional services may apply.

*Costs for nursing at night, individualized functional training and other additional services
may apply.
*Users may have to pay for meals and other expenses in addition to the above prices.

Outpatient long-term carefor dementia patients

Community-based care for users of healthservice facilities for the elderly

Users with dementia can receive bathing, ADL training
and rehabilitation services at a day care facility.
■ Approximate service costs(single type, per visit for 7 hours or more, but less than 8hours)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1￥10,017 (￥1,002)

Long-Term Care Level 2￥11,105 (￥1,111)

Long-Term Care Level 3￥12,193 (￥1,220)

Long-Term Care Level 4￥13,292 (￥1,330)

Long-Term Care Level 5￥14,380 (￥1,438)*Available for users certiﬁed as persons with long-term care levels 3 to 5

Users for whom in-home care is diﬃcult can receive
bathing, toilet, meal and other care services at intensive
care homes for the elderly with 29 or fewer users. Users
certiﬁed as persons with needed long-term care levels
1 and 2 can use these services only in exceptional cases(e.g., users with dementia or disabilities).

■ Approximate daily service costs

At a special nursing home for the elderly (unit-type with private rooms)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1 ー Long-Term Care Level 5￥6,530 (￥653) ー ￥9,349 (￥935)*Costs for bathing, individualized functional training, nutritional improvement,
oral function improvement and other additional services may apply.
*Users may have to pay for meals and other expenses in addition to the above prices.

*A ﬁrst-visit fee, the costs for individualized functional training,nutritional management,
hospital food and other services may apply.
*Users may have to pay for meals and other expenses in addition to the above prices.

Group home long-term carefor dementia patients

Multifunctional long-term carein small group homes

Users with dementia can live in a group of 5 to 9 andreceive support with meals and other daily activities
and functional training from care workers in a homely
atmosphere.
■ Approximate daily service costs(for a stay at a facility for 2 or more groups)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

These homes oﬀer mainly day care services, but also
home-visit and stay services depending on the requestsof users.
■ Approximate monthly service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1￥104,954 (￥10,496)

Long-Term Care Level 1￥7,574 (￥758)

Long-Term Care Level 2￥154,248 (￥15,425)

Long-Term Care Level 2￥7,929 (￥793)

Long-Term Care Level 3￥224,370 (￥22,437)

Long-Term Care Level 3￥8,172 (￥818)

Long-Term Care Level 4￥247,639 (￥24,764)

Long-Term Care Level 4￥8,335 (￥834)

Long-Term Care Level 5￥273,054 (￥27,306)

Long-Term Care Level 5￥8,497 (￥850)*A ﬁrst-visit fee, the cost for using a medical cooperation system and other costs may apply.
*Some facilities also oﬀer short-term services.
*Users may have to pay for meals and other expenses in addition to the above prices.

23

Community-based daily life long-term careadmitted to a speciﬁed facility*A ﬁrst-visit fee, the costs for placement of nursing staﬀ and other services may apply.
*Some facilities also oﬀer short-term services.
*Users may have to pay for meals and other expenses in addition to the above prices.

(Only facilities in Sapporo can be used.)users certiﬁed as persons with Long-Term Care levels 1 to 5)
Multifunctional nursing carein small group homes

Community-based day care (day service)
Users can receive bathing, ADL training, recreation andother services at a day care facility.

Users can receive the services of a multifunctional
small group home and home-visit nursing services
from the same facility.

*Day services for a group of 18 or fewer■ Approximate service costs(per visit for 7 hours or more, but less than 8 hours)■ Approximate monthly service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Long-Term Care Level 1￥125,507 (￥12,551)

Long-Term Care Level 2￥175,615 (￥17,562)

Long-Term Care Level 3￥246,866 (￥24,687)

Long-Term Care Level 4￥279,990 (￥27,999)

Long-Term Care Level 5￥316,703 (￥31,671)*A ﬁrst-visit fee, the costs for emergency home-visit nursing and the costs
for other services may apply.
*Some facilities also oﬀer short-term services.
*Users may have to pay for meals and other expenses in addition to the above prices.

Long-Term Care Level 1￥7,452 (￥746)

Long-Term Care Level 2￥8,801 (￥881)

Long-Term Care Level 3￥10,200 (￥1,020)

Long-Term Care Level 4￥11,600 (￥1,160)

Long-Term Care Level 5￥12,989 (￥1,299)*Costs for bathing, individualized functional training, care for users with prematuredementia, nutritional management, improvement of oral function and other additional
services may apply.
*Users may have to pay for meals and other expenses in addition to the above prices.

■ Approximate monthly service costs
Periodic visits/(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)
emergency response home-visit care
Without home-visit nursing With home-visit nursing
Users can receive home-visit services
from a home helper or nurse several
times a day at any time of day.

Long-Term Care Level 1￥ 57,849 (￥ 5,785)￥ 84,406 (￥ 8,441)

Long-Term Care Level 2￥103,263 (￥10,327)￥131,862 (￥13,187)

Long-Term Care Level 3￥ 171,456 (￥17,146)￥201,279 (￥20,128)

Long-Term Care Level 4￥216,880 (￥21,688)￥248,123 (￥24,813)

Long-Term Care Level 5￥262,294 (￥26,230)￥300,592 (￥30,060)*A ﬁrst-visit fee, the costs for emergency home-visit nursing and the costs for other services may apply.

Community-based preventive long-term care services(available for users certiﬁed as persons with needed support levels 1 or 2)●The following three services are available.

Preventive outpatient long-term carefor dementia patients*Costs for bathing, individualized functional training, nutritional management,
improvement of oral function and other additional services may apply.
*Users may have to pay for meals and other expenses in addition to the above prices.

Preventive multifunctional long-term carein small group homes*A ﬁrst-visit fee and the costs for other services may apply.
*Some facilities also oﬀer short-term services.
*Users may have to pay for meals and other expenses in addition to the above prices.

Preventive long-term care for dementia
patients at group homes*This service is not available for persons with support level 1 certiﬁcation.
*A ﬁrst-visit fee and other costs may apply.
*Some facilities also oﬀer short-term services.
*Users may have to pay for meals and other expenses in addition to the above prices.

■ Approximate daily service costs(per visit for 7 hours or more, but less than 8 hours)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Support Level 1￥8,664 (￥867)

Support Level 2￥9,681 (￥969)■ Approximate monthly service costs(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Support Level 1￥34,608 (￥3,461)

Support Level 2￥69,939 (￥6,994)■ Approximate daily service costs(for a stay at a facility for 2 or more groups)(The ﬁgures in parentheses are the userʼs copayment (in the case of 10% copayment).)

Support Level 2￥7,534 (￥754)24

Facility service (available for those certiﬁed
Four types of facility services are
Users can choose a facility depending on the type of services they mainly need

Intensive care homes
for the elderly(Tokubetsu yogo rojin home)
Available for users certiﬁed as persons
with needed long-term care levels 3 to 5

25

Users for whom constant care is necessary but
in-home care is diﬃcult can enter intensive carehomes for the elderly to receive meal, bathing,
toilet and other care and health management
services. Users certiﬁed as persons with Long-TermCare Levels 1 and 2 can use these services only in
exceptional cases (e.g., users with dementia ordisabilities).

Health service facilities
for the elderly

Users in stable health who need
to focus on rehabilitation may
enter health service facilities forthe elderly to receive daily careand functional training under
medical supervision.

Sanatorium medical facility
for the elderly requiringlong-term care(hospitals, clinics)

Users who have ﬁnishedacute-stage treatment and requirelong-term care can receive
medical, nursing and care services
in beds at medical facilities.

Care and medical
service facilities

Users who require long-term careor daily care may enter care andmedical service facilities for theelderly to receive both medical
and care services.

as persons with Long-Term Care Levels 1 to 5)
covered by Long-Term Care Insurance.
(nursing or treatment) and on the extent of medical treatment necessary.

Copayment for using facility services
In addition to the 10% to 30% copayment, users have to pay for meals and accommodation.
(The prices are determined through an agreement between each user and facility.)

Reference:an example of standard monthly copayment for a 30-day stayClassiﬁcation

Intensive care homes
for the elderly

Health service facilities
for the elderly
Sanatorium medical
facility for the elderly
requiring long-termcare (hospitals, clinics)

Care and medical
service facilities

Total copayment

In the case of 10% copayment

Multi-bed type

Unit typeMulti-bed type

Unit type￥83,544￥119,848￥16,944￥19,348￥94,678￥130,768￥25,219￥30,268￥73,308￥123,650￥20,808￥23,150￥87,331￥137,887￥34,831￥37,387

to

to

to

to

to

to

￥69,660￥17,160￥92,280￥39,780

to

to

to

to

￥70,470￥123,924￥17,970￥23,424￥93,030￥141,540￥40,530￥41,040

toto(Monthly price)

Breakdowntoto

Payment for accommodation

Payment
for meals

Multi-bed type

Unit type￥41,400￥25,200￥59,100￥41,400￥11,100￥59,100￥41,400￥11,100￥41,400￥11,100￥59,100◎The copayment percentage (10% to 30%) varies by long-term care level, room type and other factors.
◎The costs for meals and accommodation may vary, as they are determined through an agreement with each facility.
◎The standard price for accommodation per 30 days is ￥49,200 for unit partitioned multi-bed rooms and conventional private rooms(except at intensive care homes for the elderly), and ￥34,500 for conventional private rooms at intensive care homes for the elderly.
◎Users may have to pay additional costs for daily life (e.g., haircuts).
◎Other additional charges may apply at facilities that meet certain criteria set by the national government.

There are the following payment reduction schemes for copayment.
When the amount of copayment exceeds a certain limit
You may be eligible for an allowance for high-cost services or an allowance for long-term care services
combined with high-cost medical care. (See p. 31 and 32 for details.)
Reduction of copayment for low-income users
You may be eligible for an allowance for elder care at designated facilities. (See pp. 33 and 34 for details.)
Reduction of copayment for users of intensive care homes for the elderly run by social welfare corporations, etc.
If you are at a special nursing home for the elderly and have serious ﬁnancial diﬃculties, you may be
eligible for a reduction in copayment. (See p. 34 for details.)
Reduction of copayment for users subject to transitional measures
If you are a user who is subject to former transitional measures (i.e., you have been a user of a special
nursing home for the elderly since March 31, 2000, or earlier), you may be eligible for a reduction in
copayments. (See p. 34 for details.)

26

Base amount of maximum payments
for in-home care services
The base amount of maximum payments for in-home care services vary by the level of long-termcare required and are determined based on monthly units.
No. of units for the calculationof the monthly maximum allowance

Usertype
type
User
Program candidates

5,003 units

Support Level 1 (Yoshien)Support Level 2

10,473 units

Long-Term Care Level 1 (Yokaigo)

16,692 units

Long-Term Care Level 2

19,616 units

Long-Term Care Level 3

26,931 units

Long-Term Care Level 430,806 units

Long-Term Care Level 5

36,065 units

Reference pages
p. 18
Preventive long-term care/life support services
p. 18, 19, 20 and 24
Preventive long-term care/life support services(Community-based) preventive
long-term care services

p. 21 ‒ 24
(Community-based) care services

Note: Standard maximum allowances do not include costs for any of the following: home care support, preventive long-term care support,
preventive long-term care management, guidance for management of in-home medical long-term care (preventive), home modiﬁcations(preventive) or purchases of assistive devices (preventive). Certain additional amounts are also excluded (e.g., amounts for emergency
home-visit care, special management, improvement of working conditions of care workers, business startup support, terminal care andimprovement of home-visit nursing, home visits, service provision and general management systems).

Prices per unit in Sapporo

Type of service
Home-visit care, home-visit bathing assistance, evening home-visit care,periodic visits, emergency response home-visit care/nursing, in-home care
support, home-visit services (comprehensive program), preventive long-termcare management (comprehensive program)￥10.21Home-visit/outpatient rehabilitation, short-term stays at care facilities,
outpatient long-term care for dementia patients at care facilities, multifunctional
long-term care in small group homes, multifunctional nursing care in small
group homes￥10.17

Care at care facilities, short-term stays at medical facilities, daily care for theelderly at designated facilities, group home outpatient long-term care fordementia patients, community-based daily life long-term care admitted to a
speciﬁed facility, community-based day care, day care services (comprehensive
program)￥10.14In-home nursing care management and guidance, assistive equipment rental￥10.00Note:Preventive long-term care services may be included in in-home and community-based services.

For details of in-home care services, see p. 18 to 24.
27

Price per unit

Allowance for home modiﬁcations
Costs for minor home modiﬁcations (e.g., the installation of handrails) for a person with long-term care or certiﬁcation of support will be
partially reimbursed by the Long-Term Care Insurance based on applications.
〈Requirements for payment〉
・The home is that of a person with needed long-term care (needed support) certiﬁcation (i.e. the home is at
the address on the certiﬁcate of residence of that person).
・The modiﬁcations are covered by insurance.
【Modiﬁcations covered】The installation of handrails, the elimination of steps, the replacement of regularﬂooring with anti-slip ﬂooring, door replacement, toilet replacement〈Maximum amount of allowance〉
・Up to ￥200,000 per person with long-term care (support) certiﬁcation at a residence. After the 10% copayment (20% or 30% if yourincome exceeds a certain threshold) is deducted, up to ￥180,000 (￥160,000 for those with 20% copays, or ￥140,000 for those with 30%
copays) will be paid from Long-Term Care Insurance.
・Any amount exceeding ￥200,000 must be paid by the user.
・If you change your address or if your long-term care level becomes three or more levels higher than at the time of the ﬁrst home
modiﬁcations, you can re-apply for an allowance for home modiﬁcations of up to ￥200,000.
〈Application procedures〉
Consultation withlong-term care
support specialist

Application to
your ward oﬃce
before modiﬁcations

Home modiﬁcations/payment of the priceNotiﬁcation to yourward oﬃce after
completion of
modiﬁcations

Notice of theward oﬃceʼsdecision

Note:You will only be able to receive the payment by applying before making modiﬁcations.
Failure to submit an application before the modiﬁcations begin will serve as grounds for ineligibility for home
modiﬁcation allowance, in addition to other reasons, such as insuﬃcient documentation or types of modiﬁcations
not covered by insurance. Be sure to consult long-term care support specialist (care manager) before modiﬁcations.
For details, contact the payment arrangement subsection of the health and welfare section of your ward oﬃce.

Allowance for purchasing assistive equipment
Costs for purchasing assistive equipment (e.g., portable toilets) for a person certiﬁed as needing long-term care or
support will be partially reimbursed by the Long-Term Care Insurance based on an application.
〈Requirements for payment〉
・The equipment must be purchased from a home care-providing business establishment designated by the government.
・Such equipment must be necessary to help a person with long-term care (support) certiﬁcation to be independent in daily life.
・The type of equipment must be covered by insurance.
【Assistive equipments covered】 stool toilet seats, spare parts of automatic excretion treatment apparatuses, bathing aids,
simple bathtubs, hoisting accessories for lifts〈Maximum amount of allowance〉
・Up to ￥100,000 per year regardless of certiﬁcation as needing long-term care or support. After a 10% copayment (20% or 30% if yourincome is exceeds a certain level) is deducted, up to ￥90,000 (￥80,000 for those with 20% copays, or ￥70,000 for those with 30% copays)
will be paid from Long-Term Care Insurance.
・Any amount exceeding ￥100,000 must be paid by the user.
〈Application procedures〉
Consultation withlong-term care
support specialist

Purchase of/payment
for assistive equipmentfrom a designatedbusiness establishment

Application for
payment at yourward oﬃce

Notice of the ward
oﬃceʼs decision

Note:You will only be able to receive the payment by making the purchase from a designated business establishment.

Failure to make the purchase from a designated business establishment will serve as grounds for ineligibility forreimbursement of costs for purchasing assistive equipments, in addition to other reasons, such as insuﬃcient
documents or types of assistive equipments not covered by insurance. Be sure to consult long-term care support
specialist (care manager) before purchase. For details, contact the payment arrangement subsection of the healthand welfare section of your ward oﬃce.

28

To allow you to live comfortably and independently
in your own community(community support projects)
Various community support projects are oﬀeredin addition to comprehensive programs.

Major community support projects in Sapporo
Meal delivery service

Diaper service

Delivering nutritionally balanced dinners.
Details

Dinner delivery plans are formulated based on thecircumstances of users who require meal delivery.
Dinners are delivered six days a week (Monday throughSaturday), except on national holidays and between
December 29 and January 3. Delivery persons will also
talk to you to conﬁrm your safety.

Eligibility Those aged 65 or over who are living by themselves andhave diﬃculty preparing meals daily due to advanced
age or poor health
Use fee￥500 per meal

Application At the health and welfare section of your ward oﬃce.

Delivering diapers to your home.
Details

Eligibility Those aged 40 or over with Long-Term Care Levels 4 or 5
or with Long-Term Care Levels 3 or higher who havemoderate to severe dementia use diapers at all times athome, and satisfy the care conditions and otherpayment criteria.
Use fee

Details● SOS network system

Contact the safety call center by just pressing
a button for consultation on health or to reportsudden illness.

③Discovery/protection① Search
request
PoliceEmergency
measures

Hospital

Care facility
for the elderly④ Consultation on
dementia, etc.

Community general
support center/preventive long-termcare center②Request forcooperationin search by fax

Fire bureau, ﬁre stations, radio

A device to connect you to medical and welfare
specialists at the call center at the press of a button will
be installed at your home.
Health consultations and responses to sudden illness
are provided 24 hours a day. Call center staﬀ will also
call you regularly to conﬁrm your safety.

Eligibility 1) If you are aged 65 or over and are living by yourself or
if all members of the household are aged 65 or over,then you must fall under one of the following to beeligible.
● You require care in everyday life due to a chronic illness● You have certiﬁcation as needing long-term care or
support● You are a candidate for Sapporo Cityʼs comprehensive
programs for preventive long-term care and support indaily life

Cooperating stations, taxis, subway and otherpublic transport, post oﬃce delivery
parties2) If you are aged 85 or over and are living by yourself(no requirements concerning physical conditions),
then the following are required for eligibility.

and pickup in the city

- You have a ﬁxed-line telephone (an NTT analog line, in principle).
- You have designated an emergency contact person, in principle.

Application If an elderly person with dementia is lost, contact yourlocal police station immediately.

(Free for welfare recipients)

Safety call for the elderly

Details
FamilyAmount equivalent to 10% of the actual cost

Application At the health and welfare section of your ward oﬃce.

SOS network for wanderers
with dementia
If an elderly person with dementia gets lost, theperson will be searched for immediately.

Diapers are delivered to your home every month(limited to ￥6,500 per month).

Use fee￥900 per month(￥300 per month for households exempt from municipal tax, and free
for welfare recipients)

Application At the health and welfare section of your ward oﬃce.

29

What kind of health and welfare service
are there beside long-term care insurance services?
Some services for persons aged 65 or over may be available for persons
aged 60 or over, depending on their physical and other conditions.
For details, contact the place of application.

Living support short stayHome-visit guidanceCare for an elderly person is provided for a shortperiod when family members are unable to lookafter that person.
Details

Details●Short stay
Meal, bathing and other services similar to those forlong-term users are provided. The maximum period ofstay is 14 days per year, in principle, but care may beprovided for up to 30 days if necessary.

Eligibility Persons aged 65 or over with poor health due toillnesses or for other reasons and who have not beencertiﬁed as needed long-term care or who have notapplied for Long-Term Care Insurance
Facilities

Providing advice on treatment and care at home.

●Chosei-en Nursing Home
Odori Nishi 19-chome, Chuo-ku TEL : 614-1171

Advice and guidance are provided on the following matters.
①Methods of treatment and care at home
②Preventive long-term care
③Training for daily movement at home (e.g., standing up,
walking, bathing), methods of improving living
conditions and the use of assistive equipment④Nutrition and oral health⑤Prevention of illness, family health management,
methods of using various systems

Eligibility Persons receiving treatment due to aging, disabilities,
dementia, etc.
Use feeNone

Application At the health and welfare section of your ward oﬃce

●Jikeikai Fureai-no-sato Retirement Home for the Elderly
2-17, Akebono 5-jo 2-chome, Teine-ku TEL : 682-1821
Use fee￥320 per day plus the cost for meals(For welfare recipients, only the cost for meals is charged.)

Application At the health and welfare section of your ward oﬃce

Haircut services
A barber or beautician will visit your home.
Details

A barber or beautician will visit the home of a bedridden person
to cut his or her hair (up to 4 times a year).

Eligibility Bedridden persons aged 65 or overUse fee￥2,000 per visit(Free for welfare recipients)

Application At the health and welfare section of your ward oﬃce.

Telephone consultation service for dementia

Sapporo City Dementia Call Center Tel : 011-206-7837
Hours : 10:00 ‒15:00 on Monday through Friday(except on national holidays and around New Year)

Qualiﬁed advisors will respond to your call. Depending on the content of the consultation,
you will be referred to an appropriate medical, welfare or care facility.

30

If the cost of care insurance services
the balance will be reimbursed upon
High-cost long-term care service beneﬁts

If the amount paid by users who bear 10% to 30% of the long-term care cost of care insurance services exceeds thelimit, the balance will be refunded as a beneﬁt for high-cost services.
● If the amount paid by users of care insurance services (including home-visit and day-care services undercomprehensive programs, see p. 18 for details) exceeds a certain limit, the users may apply for and receive thebalance as an allowance for high-cost services (a project cost equivalent to the cost of high-cost preventive careservices in case of using home-visit or day-care services under comprehensive programs).
● In this case, the amount borne by users does not include the costs for meals, housing, everyday living and otherservices not covered by insurance, or usersʼ copayment for the purchase of welfare equipment or housing renovations.
● If two or more members of the same household use long-term care insurance services (including home-visit andday-care services under comprehensive programs), the amounts of all users in the household can be totaled.

Limits of individual payments for receiving a high-cost long-term care service beneﬁts
Limits of individual payments for care

Copayment level
Level 1

Recipients of public assistance
Old-age welfare pension recipients whose entire
households are exempt from paying the municipal tax

Level 2

Persons whose entire households are exempt frompaying the municipal tax and whose taxable pension
income (*1) and total income (*2) totals ￥800,000 or lessLevel 3

Level 4

Level 5

Persons whose entire households are exempt frompaying the municipal tax and who do not fall under
Level 1 or 2 above
Those who do not fall under Level 1, 2, 3 or 5

*An annual copayment limit (¥446,400) has been established for households
in which all persons aged 65 or older in the same household (including
those who do not use care services) bear 10% of long-term care costs.

Persons in households including primary insured
persons with income comparable to general income
earners (￥1,450,000 or more)

Individual

Total of the household￥15,000/month￥24,600/month(*3)

￥24,600/month￥44,400/month￥44,400/month￥44,400/month￥44,400/month(*1) The public pension income does not include non-taxable pension (e.g., survivorʼs pension, disability pension).
(*2) Gross income refers to the amount after deductions for employment income and public pension, including land/building transfer income (before special
deduction) as well as stock transfer income (before carryover) in the ﬁnal tax return or municipal tax return. However, when the high-cost long-term careservice beneﬁt is determined after August 2018, gross income shall exclude the following items. If the gross income is a negative ﬁgure, it will be calculated
as ￥0.
i) Special deductions applying to land/building transfer income under the Act on Special Measures Concerning Taxationii) Other income including public pension in the case of a person exempt from municipal tax(*3) The limit of copayment by a Level 1 household may vary. Please conﬁrm at the health and welfare service section at your nearest ward oﬃce.

● For those who fall under copayment level 4 (from August 2017)

The monthly copayment limit for those who fall under copayment level 4 was raised from ¥37,200 to ¥44,400 asof August 2017. However, in consideration of those who have been using care services for a long period of time,an annual limit of ¥446,400 (¥37,200 × 12 months from August to July of the following year) has been establishedfor households in which all persons aged 65 or older in the same household (including those who do not use careservices) bear 10% of long-term care costs to keep the annual total copayment from increasing (time limit of three
years).

● For those who fall under copayment level 5

For a household in which the annual total copayment exceeds ¥446,400 and in which all persons aged 65 orolder in the same household (including those who do not use care services) bear 10% of long-term care costs, if
the income of the primary insured person in the household is less than ¥3,830,000 (single-person household) or
less than ¥5,200,000 (household of two or more persons), an annual limit of ¥446,400 (¥37,200 × 12 months from
August to July of the following year) has been established to keep the annual total copayment from increasing(time limit of three years).

31

Application procedure
・Submit the application for the standard income evaluation for long-term care insurance together with a document
evidencing your income of the previous year (e.g., a copy of the public pension withholding record, employment
income withholding record or tax return).
・The application form for the standard income evaluation for long-term care insurance will be sent to candidate
households around November every year.

exceeds the limit of an individual payment,
application.
Allowance provision for high-cost medical and long-term care expenses

If a householdʼs 10% to 30% copayment for services is extremely high, an allowance for high-cost medical andlong-term care expenses will be refunded.
● If the total annual copayment (from August 1st to July 31st) when using medical insurance services (e.g., healthinsurance at workplaces, national health insurance, medical insurance system for elderly people aged 75 or over)
and when using long-term care insurance services (including home-visit and day-care services undercomprehensive programs, see p. 18 for details) exceeds a certain limit, the balance will be refunded as anallowance for high-cost medical and long-term care expenses (project cost equivalent to high-cost medical andlong-term care expenses in case of using home-visit or day-care services under comprehensive programs) upon
application.
● In this case, the amount borne by users does not include costs for meals, housing, everyday living and other services
not covered by insurance, or usersʼ copayment for the purchase of welfare equipment or housing renovation.
● In principle, applications for the allowance can be made at the counter of your medical insurance on thereference day (July 31st).

Limit amounts【 Households with members aged 70 and over 】

Income category(taxable income amount)Note:A diﬀerent category applies to thosewith health insurance at workplaces.

● Medical insurance system for elderly people aged 75 or over+ long-term care insurance● Health insurance at the workplace or national healthinsurance + long-term care insurance (*1)

Those with income comparable
to general income earners‒ July. 2018

Aug. 2018 ‒￥2,120,000￥1,410,000￥1,410,000￥670,000￥670,000￥560,000￥560,000￥600,000

Low income II￥310,000￥310,000

Low income I￥190,000 (*3)

￥190,000 (*3)

More than￥3,800,000
but less than
￥6,900,000￥670,000More than￥1,450,000
but less than
￥3,800,000

Those exempt
from municipal
tax

Health insurance at theworkplace or national healthinsurance + long-term careinsurance (*2)

￥2,120,000

More than￥6,900,000

General【Households with members
under 70】

less than￥1,450,000 (*4)

￥340,000(*1,2) If there are both elderly (70 to 74 years old) and younger (under 70) members in a household:① The limit amount for the (*1) category will ﬁrst apply to the total amount of copayment for the elderly member(s) and,
② The limit amount for the (*2) category will then apply to the total of the remaining copayment amount and the copayment amount for the member(s) under 70.
(*3) In case of a low income I household with two or more users of long-term care services, the total limit for low income II will apply as the total limit amount(￥190,000) is less than the limit amount for high-cost services (approx. ￥300,000 per year).
(*4) Including cases in which total income is less than ¥5,200,000 (less than ¥3,830,000 for a single-personhousehold) and cases in which the total sum of the former proviso income is ¥2,100,000 or under.

32

There are other systems that reduce the costs ofLong-term care service allowance for persons admitted to speciﬁed facilities● Low-income persons admitted to long-term care insurance facilities (including short stay) listed in the tablebelow and without a certain amount of assets may apply for and receive a refund of the diﬀerence between the
copayment for meals and housing and the basic cost as an allowance for long-term care service for thoseadmitted to speciﬁed facilities.
● However, if a copayment does not exceed the basic cost, the diﬀerence between the actual amount paid and the
copayment amount will be provided. This does not apply to day-care services.
〈Procedures to be followed〉● You have to apply for issuance of the certiﬁcate of the copayment limit for long-term care insurance at the wardoﬃce.
● Present the certiﬁcate of the copayment limit for long-term care insurance at the long-term care insurance
facility and pay the amount of the copayment limit.
● The long-term care service allowance for persons admitted to speciﬁed facilities will be paid to the careinsurance facility as an insurance payment from the City of Sapporo (beneﬁt in kind).

Basic amount and copayment limit (daily amount) for the allowance for long-term care service to persons admitted
to speciﬁed facilities
Unit : yen
Copayment level

Copayment limit【Level 1】

Recipients of public assistance,
old-age welfare pension recipients
without a certain amount of assets,
whose entire households andspouses (*1) are exempt frommunicipal tax￥1,380￥300￥1,380￥390

Basic cost

Copayment limit

Unit private room

￥1,970￥ 820

Unit pertitioned multi-bed room
Conventional private room

￥1,640￥ 490

Conventional private room

￥1,150￥ 320

Multiple-bed room

￥ 840

￥

0

Multiple-bed room(other than special nursing homes)

￥ 370

￥

0

Unit private room

￥1,970￥ 820

Unit pertitioned multi-bed room
Conventional private room

￥1,640￥ 490

Conventional private room

￥1,150￥ 420

Multiple-bed room

￥ 840

￥ 370

Multiple-bed room(other than special nursing homes)

￥ 370

￥ 370

Unit private room

￥1,970￥1,310

Unit pertitioned multi-bed room
Conventional private room

￥1,640￥1,310Conventional private room

￥1,150￥ 820

Multiple-bed room

￥ 840

￥ 370

Multiple-bed room

￥ 370

￥ 370

(other than special nursing homes)(special nursing homes)(other than special nursing homes)(special nursing homes)(special nursing homes)【Level 3】

Persons without a certain amountof assets, whose entire households
and spouses (*1) are exempt frompaying the municipal tax andwhose copayment level is otherthan Level 1 or 2

Division(special nursing homes)【Level 2】

Persons without a certain amountof assets, whose entire households
and spouses (*1) are exempt frompaying the municipal tax andwhose taxable and non-taxable
pension income and gross income(*2) totals ￥800,000 or lessAccommodation expenses

Meal expenses
Basic cost

￥1,380￥650(other than special nursing homes)(special nursing homes)(special nursing homes)(other than special nursing homes)(*1) Spouses include those on residentʼs cards of separate households or de-facto partners.
(*2) Gross income refers to the amount after deductions for employment income and public pension, including land/building transfer income (before special deduction)
as well as stock transfer income (before carryover) in the ﬁnal tax return or municipal tax return. However, when the copayment level is determined after August 2018,gross income shall exclude the following items. If the gross income is a negative ﬁgure, it will be calculated as ￥0.
i) Special deductions applying to land/building transfer income under the Act on Special Measures Concerning Taxationii) Other income including public pension in the case of a person exempt from municipal tax● Conditions for a certain amount of assets

If your savings and other assets exceed a certain amount (￥10,000,000 for those without
spouses, ￥20,000,000 for those with spouses), you do not qualify for the beneﬁts.

33〈Scope of savings, etc.〉
・The judgment will be made based on the balance after deducting liabilities (e.g., debts, housing
loans) from the total of savings (ordinary and term-deposit), securities (e.g., stocks, state bonds,
local bonds, corporate bonds), gold, silver, investment trusts and cash.

low-income persons● Non-taxable pensions (survivorʼs pension, disability pension)

The income used to determine the copayment level includes income from non-taxable pension (survivorʼspension and disability pension) in addition to the taxable pension (e.g., old-age pension).

〈What is included in the non-taxable pension〉
Survivorʼs pension and disability pension under the national, welfare or mutual aid pension system, speciﬁcally,pensions for which “survivor” or “disability” is mentioned on the bank transfer, payment, revision or other notices(e.g., survivorʼs basic pension, disability employee pension), as well as pensions that mention “widow,” “widower,”“mother and child,” “quasi-mother and child” or “orphan”〈What is not included in the non-taxable pension〉
Pensions other than the above, condolence money, and beneﬁts, even with names including “survivor” or“disability”● Application method

・Judgment of savings, etc. will be made based on your personal statement.
・Although the amount of non-taxable pension is notiﬁed by your pension provider to the City of Sapporo, please
report the type of non-taxable pension you are receiving to further ensure the provision of correct information.
・When submitting your application to determine the limit on your long-term care insurance, you must also attach
copies of your bank books, the balance of your accounts at security companies or other documents with whichyour assets can be conﬁrmed.
・If necessary for determining the limit on your long-term care insurance, you may have to allow the City of
Sapporo to inquire at government agencies, pension providers and other relevant organizations.
・If you receive an allowance payment for long-term care service for persons admitted to speciﬁed facilities
based on a false declaration, you may have to return the paid amount and an additional payment of up to twice
the paid amount pursuant to the provision under Article 22, Paragraph 1 of the Long-Term Care Insurance Act.

● Even if you do not qualify for a burden reduction due to your income and asset conditions, you may apply for a

reduction if you become eligible in the middle of the year.

● Special reduction for households subject to municipal tax

Even if you do not qualify for burden reduction because your household is subject to municipal tax, you may
become subject to Level 3 reduction upon application if you satisfy all of the following requirements:
・Your household has two or more members (including the spouse on the resident card of a separate household)・The amount found by deducting the estimated total of the userʼs copayment (userʼs copayment for care services,
meals and accommodation expenses) from the total annual income of the household and spouse is ￥800,000 or less.
・The total amount of cash, savings, etc. of the household and spouse is ￥4,500,000 or less.
Note :The above conditions do not apply to short-term stay.
Reducing the usersʼ burden through social welfare corporations
When using the following services provided by social welfare corporations, etc., the userʼs copayment and costs ofmeals, housing and accommodation may be reduced for those in especially diﬃcult ﬁnancial conditions.
Services provided by social welfare corporations, etc.
Services provided by care and elderly welfare facilities, community-based care and elderly welfare facilities, routine
inspection/as-needed-base home visits, small-scale multifunctional home nursing care, day care, community-based day care,day care for people with dementia (preventive), short stay (preventive), visit care, night-visit care, small-scale multifunctional
home care (preventive), home-visit and day-care services under comprehensive programs

Reducing the usersʼ burden through transitional measures
Exception for the burden of users who are in special care nursing homes under old measures
The 10 to 30% copayment and costs for meals and housing will be reduced for those who have been in special care nursing
homes since March 31, 2000 or before to avoid the copayment from exceeding the cost collected from the users by such facilities.
Measures to support users of home help services for persons with disabilities
If you are a member of a low-income household and your ﬁxed burden amount is ￥0 because you fall under the boundary levelof a user of home help services under the Comprehensive Supports for People with Disabilities Act, or if you used home help services
under the measures for disabled people in the year before turning 65, the copayment for services will be 0% (total exemption).

34

35

Shiroishi

Higashi

Kita

Chuo

Ward

Kawashimo 4-jo 6-chome 2-23
Higashi-Sapporo 3-jo 3-chome 7-25 Shiva bldg. 5F
Kikusui 4-jo 1-chome 9-22 Kin-ikyo-Sapporo Hosp.
Kikusui-Motomachi 8-jo 2-chome 7-15
Hongodori 9-chome Minami 3-6
Hondori 16-chome Kita4-30

Kikusui Senior Activities Promotion Center

Kikunosato Senior Activities Promotion Center

Shiroishi-ku Integrated Community Care Support Center III

Hondori Senior Activities Promotion Center

Okadama-cho 167-13 Ozora

Sakae Okadama Senior Activities Promotion Center

Shiroishi-ku Integrated Community Care Support Center II

Kita 44-jo Higashi 8-chome 1-6 Teishinkai-Higashi-Center

Sakae-machi Senior Activities Promotion Center

Hongodori 3-chome Minami 1-35 Community-home-Shiroishi

Kita 40-jo Higashi 15-chome 3-19 Shinwa-Kita40-jo bldg. 3F

Higashi-ku Integrated Community Care Support Center III

Kawashimo Senior Activities Promotion Center

Higashi-Naebo-cho 1089-1

Higashi-Naobo Senior Activities Promotion Center

Shiroishi-chuo Senior Activities Promotion Center

Fushiko 7-jo 3-chome 1-33 Fujizono

Fushiko Honcho Senior Activities Promotion Center

Hondori 4-chome kita 6-1 Goko bldg.3F

Kita 24-jo Higashi 18-chome 4-30

Motomachi Senior Activities Promotion Center

Shiroishi-ku Integrated Community Care Support Center I

Honcho 2-jo 5-chome 7-10 Takeda bldg. 1F

Higashi-ku Integrated Community Care Support Center II

Yurigahara 11-chome 185-13

Tonden Shinkotoni-Nishi Senior Activities Promotion Center

Kita 23-jo Higashi 15-chome 5-26 Shoeido bldg. 3F

Shinkawa715-2

Shinkawa Shinkotoni-Nishi Senior Activities Promotion Center

Kita 17-jo Higashi 5-chome 2-5 Otomokeiaien

Shinkotoni 8-jo 14-chome 2-1

Kita-ku Integrated Community Care Support Center III

Hokuei Senior Activities Promotion Center

Shinoro 2-jo 9-chome 1-80 Greenpia Shinoro

Shinoro Senior Activities Promotion Center

Hokko Senior Activities Promotion Center

Higashi-Barato 2-jo 2-chome 8-21

Barato Senior Activities Promotion Center

Honcho 2-jo 5-chome 7-10 Takeda bldg. 1F

Yurigahara 11-chome 185-13

Yurigahara Senior Activities Promotion Center

Naebo Senior Activities Promotion Center

Kita 40-jo Nishi 4-chome 2-7 Sapporo N40 bldg. 2F

Kita-ku Integrated Community Care Support Center II

Kita 23-jo Higashi 15-chome 5-26 Shoeido bldg. 3F

Shinkotoni 8-jo 9-chome 2-1 Marusanshin bldg. 2F

Higashi-ku Integrated Community Care Support Center I

Kita 24-jo Nishi 5-chome Sapporo sanpuraza 5F

Asahigaoka 5-chome 6-51

Asahigaoka Senior Activities Promotion Center

Shinkotoni Senior Activities Promotion Center

Maruyama nishi-machi 4-chome 3-20 Nishimaruyamakeijuen

Akebono Kosai Senior Activities Promotion Center

Shindominami Senior Activities Promotion Center

Minami 19-jo Nishi 8-chome 1-14 18thFujiitakken bldg. 2F

Chuo-ku Integrated Community Care Support Center III

Kita 24-jo Nishi 5-chome Sapporo sanpuraza 5F

011-205-0537

Miyanomori 1237-1

Miyanomori Senior Activities Promotion Center

Kita-ku Integrated Community Care Support Center I

011-611-7741

Maruyama Nishi-machi 4-chome 3-20 Nishimaruyamakeijuen

Maruyama Senior Activities Promotion Center

011-861-6110

011-860-1611

011-879-6012

011-820-1365

011-837-6800

011-875-6810

011-864-5535

011-864-4614

011-786-0030

011-748-8484

011-722-4165

011-789-6050

011-781-1100

011-784-0808

011-781-8061

011-751-1294

011-752-6110

011-782-7010

011-711-4165

011-774-3740

011-764-2232

011-214-1422

011-770-6161

011-773-6110

011-774-3333

011-736-4165

011-769-2800

011-707-4129

011-700-2939

011-532-6110

011-633-6055

011-633-6056

Higashi-Shiroishi, Shiroishi-Higashi

For the following 2 areas

Kita-Shiroishi, Kikunosato

Higashi-Sapporo, Kikusui

For the following 4 areas

Hokutoshiroishi

Shiroishi

For the following 2 areas

Sakae-Higashi, Okadama

Sakae-Nishi

For the following 3 areas

Satsunae

Fushiko Honcho

Motomachi

For the following 3 areas

Hokuei

Hokko

Tetto, Naebo-higashi

For the following 4 areas

TondenShinkawa, Shinkotoni-Nishi

For the following 3 areas

ShinoroTakuhoku/Ainosato

Asabu, Taiheiyurigahara

For the following 4 areas

Shinkotoni

Tessei, Kohoku, Kita

For the following 4 areas

Yamahana

Akebono, Kosai

For the following 3 areas

Miyanomori

Minami-Maruyama, Maruyama

Tohoku, Naebo, Higashi, Hosui
For the following 3 areas

011-520-3668

Asahigaoka 5-chome 6-51

Chuo-ku Integrated Community Care Support Center II

Hoｍpu/Chuo, Nishi-sosei, Odori/Nishi, Soen

011-251-1340

Kita 1-jo Higashi 1-chome, Caress Sapporo bldg. 8F

Responsible areas
For the following 8 areas

011-271-1294

Minami 2-jo Nishi 10-chome 1001-5, Pearl town

Kita 1-jo Senior Activities Promotion Center

TEL
011-209-2939

Odori Park Senior Activities Promotion Center

Location
Minami 2-jo Nishi 10-chome 1001-5, Pearl town

Chuo-ku Integrated Community Care Support Center I

Center“Chiiki hokatsu shien center ” or “Kaigo yobo center ”

List of Integrated Community Care Center and Senior Activities Promotion Center

36

Ward

Tsukisamu
Minami-Hiragishi

011-375-0610
011-896-1475
011-894-6110
011-841-4165
011-817-1294
011-813-3311
011-836-6110
011-581-3000
011-852-8830
011-857-6110
011-584-1325

Atsubetsu-Minami 5-chome 1-10
Atsubetsu-Chuo 5-jo 6-chome 5-20 Karipu-Atsubetsu
Oyachi-Higashi 5-chome 7-10 Nursing-villa-Oyachi
Misono 12-jo 7-chome 7-8 Yachiyo bldg. 1F
Misono 12-jo 7-chome 7-8 Yachiyo bldg. 1F
Nakanoshima 1-jo 8-chome 3-18
Nishioka 4-jo 3-chome 7-5 Taketa bldg. 1F
Nishioka 5-jo 12-chome 1-2 Midori-no-oka
Tsukisamu-Higashi 3-jo 18-chome 20-48
Tsukisamu-Chuodori 7-chome 6-20 JA-Tsukisamu-Chuo bldg. 2F

Tsukisamu-Nishi 2-jo 5-chome 1-2 Koei-no-sato

Atsubetsu-ku Integrated Community Care Support Center II

Atsubetsu-Chuo Aoba Senior Activities Promotion Center

Oyachi Senior Activities Promotion Center

Teine

Nishi

Minami

KiyotaToyohira

Toyohira-ku Integrated Community Care Support Center I

Misono Senior Activities Promotion Center

Nakanoshima Senior Activities Promotion Center

Toyohira-ku Integrated Community Care Support Center II

Nishioka Senior Activities Promotion Center

Higashi-Tsukisamu Fukuzumi Senior Activities Promotion Center

Toyohira-ku Integrated Community Care Support Center III

Tsukisamu Senior Activities Promotion Center

Inaho 5-jo 2-chome 6-1 Teine-Anju

Inaho Kanayama Hoshioki Senior Activities Promotion Center

011-685-8366011-682-1294

011-686-7000
Teine-Honcho 2-jo 2-chome 1-1 Murata bldg 1F

011-685-3141
Akebono 5-jo 2-chome 8-1

Maeda 2-jo 10-chome 1-7 Teine-Tumugi-no-moriMaeda Senior Activities Promotion Center

011-695-8000

Chuo Tetsuhoku Senior Activities Promotion Center

Maeda 4-jo 10-chome 3-20-101

Teine-ku Integrated Community Care Support Center I

011-666-6855

011-671-8200

Teine-ku Integrated Community Care Support Center II

Hassamu 14-jo 12-chome 2-22

Hassamu Senior Activities Promotion Center

011-683-5561

Hassamu 3-jo 1-chome 2-25 Hirogami bldg. 1F

Nishi-ku Integrated Community Care Support Center III

011-668-3300

011-663-2558

011-661-3929

011-631-6110

Shin-Hassamu Tomioka Nishi-Miyanosawa Senior Activities Promotion Center Nishi-Miyanosawa 4-jo 3-chome 3-40 airin-en

Nishino 2-jo 8-chome 1-8
Nishino 7-jo 3-chome 5-36

Nishimachi Senior Activities Promotion Center

Nishino 2-jo 2-chome 5-7 Royal-San-O bldg. 3F

Nishi-ku Integrated Community Care Support Center II

Nishino Senior Activities Promotion Center

Hachiken 5-jo Nishi 3-chome 4-8 Corpo. Hachiken 1F
Yamanote 4-jo 5-chome 3-1 Seijyu Yamanote

Hachiken Senior Activities Promotion Center

Yamanote Kotoni Senior Activities Promotion Center

011-624-7026

011-581-1294

011-588-6510

011-578-4525

011-598-3311

011-572-6110

011-611-1161

Makomanai Saiwai-Machi 2-chome 1-5 Makomanai Saiwai-Machi bldg. 701

Makomanai Senior Activities Promotion Center

011-592-7622
011-598-1295

Nijuyonken 4-jo 5-chome 11-14

Makomanai Saiwai-Machi 2-chome 1-5 Makomanai Saiwai-Machi bldg. 701

Minami-ku Integrated Community Care Support Center III

Nishi-ku Integrated Community Care Support Center I

Jozankei Onsen-Nishi 3-chome 71 Jozankei-Hospital
Kitanosawa 1819-9

Jozankei Senior Activities Promotion Center

Kawazoe 14-jo 2-chome 1-36

Minami-ku Integrated Community Care Support Center II

Moiwa Senior Activities Promotion Center

Tokiwa 5-jo 1-chome 1-7
Sumikawa 3-jo 6-chome 3-3 Jotetsu Dwell Makomanai 1F

Ishiyama Geijutsu-no-mori Senior Activities Promotion Center

Sumikawa Senior Activities Promotion Center

011-867-0710

011-882-5322

Kiyota 6-jo 1-chome 1-30 Shin-ai-en-Kiyota

011-885-7119

Shin-ei 395-1 Syujyu-en

Kiyota Satozuka Utsukushigaoka Senior Activities Promotion Center

Sumikawa 3-jo 6-chome 3-3 Jotetsu Dwell Makomanai 1F

011-887-5588

Kiyota 1-jo 1-chome 5-1 Place bldg. 2F

Kiyota-ku Integrated Community Care Support Center II

Kiyota-Chuo Senior Activities Promotion Center

011-885-1230

Kitano 7-jo 4-chome 8-25

Kitano Hiraoka Senior Activities Promotion Center

Minami-ku Integrated Community Care Support Center I

011-888-1717

Nishioka 4-jo 13-chome 17-1
Kitano 1-jo 1-chome 6-28

Minami-Hiragishi Senior Activities Promotion Center

Kiyota-ku Integrated Community Care Support Center I

011-854-7777

011-898-8660

Atsubetsu-cho Shimo-Nopporo Die Grünen

Inaho-Kanayama, Hoshioki

Teine, Teinetetsuhoku

For the following 4 areas

Shin-Hassamu, Tomioka-Nishi-Miyanosawa

Maeda

For the following 3 areas

Hassamu-Kita, Hassamu

For the following 2 areas

NishinoNishimachi

For the following 2 areas

Kotoni-Nijuyonken, Yamanote

Hachiken, Hachiken-Chuo

For the following 4 areas

Makomanai, Moiwashita

For the following 2 areas

Moiwa(Moiwa, Minaminosawa)

Misumai, Fujino, Jozankei

For the following 4 areas

Sumikawa

Ishiyama, Geijutsu-no-mori

For the following 3 areas

Kiyota-Chuo

Kiyota, Satozuka/Utsukushigaoka

For the following 3 areas

Kitano, Hiraoka

For the following 2 areas

For the following 2 areas

Fukuzumi, Higashi-Tsukisamu

Nishioka

For the following 3 areas

Hiragishi, Nakanoshima

Toyohira, Misono

For the following 4 areas

Atsubetsu-Minami

Atsubetsu-Chuo, Aoba

For the following 3 areas

Momijidai

Atsubetsu-Nishi, Atsubetsu-Higashi

011-896-5019

Atsubetsu-cho Yamamoto 750-6

Momijidai Senior Activities Promotion Center

Responsible areas
For the following 3 areas

Atsubetsu-Saito Senior Activities Promotion Center

TEL
011-896-5077

Location
Atsubetsu-cho Yamamoto 750-6

CenterAtsubetsu Atsubetsu-ku Integrated Community Care Support Center I

Where can you ﬁle a complaint?
If you have any inconvenience or complaint about the services you have received,
you can ask for advice or ﬁle a claim for improvement.

Ask at a facility near you.

First, ask for advice at your service provider or the home care-providing business establishment or community
general support center where your service (care) plan was prepared.

Consultation on long-term care services in general

・Health and welfare section of your ward oﬃce
・Living Safety Support Center for the Elderly and Disabled (Anshin Center)・Hokkaido Federation of National Health Insurance Organizations
・See the back cover for the addresses and telephone numbers of the consultation facilities.

Handling of complaints about services (Sapporo City)
Complaint/request for advice

Users

Complaint/
request for advice

Communication

Home care-providing
business establishment

Communication

Ward oﬃce

Complaint/request for advice

Sapporo City Healthand Welfare Bureau

Hokkaido
Government

Sapporo City Council of Social Welfare : Anshin Center

Complaint/
request for advice

Welfare Service
Adjusting Committee
Investigation/
guidance/advice

Investigation/
guidance/advice

Cancellationof designation

Request for
improvements

Complaint/request for advice

Hokkaido National
Health Insurance
Organizations

Investigation/
guidance/advice

Investigation/
guidance/advice

Care-providing business establishment

You can request investigation on a decision concerning Long-Term Care Insurance.
If you are not satisﬁed with any decision on Long-Term Care Insurance (e.g., decision on insurance premiums or
certiﬁcation of needed long-term care), you make a request that the Hokkaido Certiﬁcation Committee for Long-TermCare Insurance investigate within 3 months from the day after the day when you ﬁnd out about the decision. For details,
read the notiﬁcation of each decision.
○Life Support Center for Seniors and Persons with Disabilities (Genaral)(Welfare Services Grievance Consultation)

TEL :011-632-7355
TEL :011-632-0550

3F, Sapporo Social Welfare Center, Odori Nishi 19-chome, Chuo-ku, Sapporo○Hokkaido Natiounal Health Insurance Organization
TEL :011-231-5175
1F, Kokuho Kaikan, Minami 2-jo Nishi 14-chome, Chuo-ku, Sapporo

Further information about long-term care insurance services
For information on nursing care service providers and facilities, please see the List of Designated Providers and Facilities at theconsultation desk of the Health & Welfare Section of your ward oﬃce or its website.
Name

37

URL

■City of Sapporo, Long-term care Insurance

http://www.city.sapporo.jp/koreifukushi/index̲12.html■Hokkaido Information System for Nursing Care Services

http://www.kaigokensaku.mhlw.go.jp/■Hokkaido Project Promotion Organization for Third Party Evaluation
Project on Welfare Services

http://3sya.hokkaido-csw.or.jp/■Welfare And Medical Service Agency (WAM)

http://www.wam.go.jp/

What can you do about taxes?
Information on taxes
Exemption for disabled persons without disability certiﬁcates
Even if you do not have a disability certiﬁcate, you are eligible for
exemption of residence and income taxes for disabled persons if you are
aged 65 or over and have been certiﬁed as a person equivalent to adisabled person or if you are bedridden.
Contact

For the exemption for disabled persons, contact the municipal
tax section of the municipal tax oﬃce
For certiﬁcation as a person eligible for exemption fordisabled persons, contact the health and welfare sectionof your ward oﬃce

Reduction of ﬁxed property tax for “barrier-free” modiﬁcations
If certain “barrier-free” modiﬁcations (costing ￥500,000 or more, excluding
insurance beneﬁts) were completed in the home of a person with certiﬁcationof needed long-term by March 31, 2020, the person may apply for a reductionof ﬁxed property tax in the following year.
Contact

The ﬁxed property tax section of the municipal tax oﬃce

CITY TAX OFFICE● For inquries about taxes, contact the city tax oﬃce. ●Tax oﬃces

Responsible areas

Location & TEL

Chuo City Tax oﬃce

Chuo Ward

Sapporo Factory 2-jo Bldg. 4F, Kita 2-jo Higashi 4-chome, Chuo-ku
・Citizens Tax Section 011-211-3914 ・Fixed Assets Tax Section 011-211-3918

Hokubu City Tax oﬃce

Kita Ward
Higashi Ward

ASTY45 9F, Kita 4-jo Nishi 5-chome, Chuo-ku
・Citizens Tax Section 011-207-3914 ・Fixed Assets Tax Section 011-207-3918

Tobu City Tax oﬃce

Shiroishi WardAtsubetsu Ward

Transportation Burau Main Oﬃce Bldg. 1F and 2F, Oyachi Higashi 2-chome 4-1, Atsubetsu-ku
・Citizens Tax Section 011-802-3914 ・Fixed Assets Tax Section 011-802-3918

Nambu City Tax oﬃce

Toyohira Ward
Kiyota Ward
Minami Ward

East Hiraghishi 2F, 3F, and 4F, Hiraghishi 5-jo 8-chome 2-10, Toyohira-ku
・Citizens Tax Section 011-824-3914 ・Fixed Assets Tax Section 011-824-3918

Seibu City Tax oﬃce

Nishi Ward
Teine Ward

Kotoni 3.1 Bldg. 2F, Kotoni 3-jo 1-chome 1-20, Nishi-ku
・Citizens Tax Section 011-618-3914 ・Fixed Assets Tax Section 011-618-3918

38

● CONTACT LIST ●WARD OFFICE● To apply for certiﬁcation for long-term care and utilization of services, contact the Health & Welfare Section of your Ward oﬃce. ●Ward Oﬃce
Health & Welfare Section

Allowance for high-cost services
Allowance for home modiﬁcations

Application for certiﬁcation for long-term care

Location

Utilization of services

Consultation Subsection

Payment Arrangement Subsection

Chuo Ward

Minami 3-jo Nishi 11-chome

011 - 205 - 3306

011 - 205 - 3303

Kita Ward

Kita 24-jo Nishi 6-chome

011 - 757 - 2509

011 - 757 - 2463

Higashi Ward

Kita 11-jo Higashi 7-chome

011 - 741 - 2466

011 - 741 - 2462

Shiroishi Ward

Nango-dori 1-chome Minami

011 - 861 - 2451

011 - 861 - 2448

Atsubetsu WardAtsubetsu Chuo 1-jo 5-chome

011 - 895 - 2481

011 - 895 - 2478

Toyohira Ward

Hiragishi 6-jo 10-chome

011 - 822 - 2462

011 - 822 - 2454

Kiyota Ward

Hiraoka 1-jo 1-chome

011 - 889 - 2043

011 - 889 - 2040

Minami Ward

Makomanai saiwai-machi 2-chome

011 - 582 - 4747

011 - 582 - 4742

Nishi Ward

Kotoni 2-jo 7-chome

011 - 641 - 6948

011 - 641 - 6944

Teine Ward

Maeda 1-jo 11-chome

011 - 681 - 2504

011 - 681 - 2491

● For insurance certiﬁcates and premiums, contact the Insurance & Pension Section of your ward oﬃce. ●Ward Oﬃce

Insurance certiﬁcates / Calculation of premiums

Consultation on premium payments

Insurance & Pension Section

Insurance Subsection

Chuo Ward

011 - 205 - 3342

011 - 205 - 3343

Kita Ward

011 - 757 - 2492

011 - 757 - 2493

Higashi Ward

011 - 741 - 2532

011 - 741 - 2536

Shiroishi Ward

011 - 861 - 2493

011 - 861 - 2496

Atsubetsu Ward

011 - 895 - 2594

011 - 895 - 2597

Toyohira Ward

011 - 822 - 2506

011 - 822 - 2510

Kiyota Ward

011 - 889 - 2061

011 - 889 - 2064

Minami Ward

011 - 582 - 4772

011 - 582 - 4775

Nishi Ward

011 - 641 - 6974

011 - 641 - 6978

Teine Ward

011 - 681 - 2568

011 - 681 - 2575

Collection Subsection

Sapporo City Hall, Health & Welfare Bureau,
Senior Citizens Health & Welfare Department, Long-Term Care Insurance Section● Inquries about insurance premiums, Users bear, Certiﬁcation for long-term care
● Inquries about in-home services, community-based services, institutional services

TEL :011-211-2547
TEL :011-211-2972

This booklet was edited as of April 1, 2018.
The system is subject to change, so please conﬁrm details with the section in change.

●Published byLong-Term Care Insurance Section, Senior Citizens Health & Welfare Department,
Health & Welfare Bureau, City of Sapporo (May, 2018)
Kita 1-jo Nishi 2-chome, Chuo-ku, Sapporo 060-8611