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Nursing Care Insurance and Welfare

Kaigo Hoken: The Long -Term Care Insurance System
The Kaigo Hoken system provides such services as: home visits, day care and brief stays at nursing facilities. Those who have completed foreign residents registration Osaka City and are 65 years old or over (category 1 insured), or 40 to 64 years of age (category 2 insured), are covered by medical insurance, and whose residency permit exceeds 1 year in length, must enroll in the Osaka City Kaigo Hoken system. The insurance expenses will be charged under your income. Those people whose residency permits are initially for a stay of less than 1 year, but are likely to stay longer, are also obliged to enroll.

•Application for Nursing Care
In order to utilize the Kaigo-Hoken service, it is necessary to submit an application to the Long-Term Care Insurance Section (Kaigo Hoken Tanto) at the Public Health and Welfare Center in the ward where you completed your registration of foreign residents to receive recognition of your need for care (need for assistance). You may submit the application in person, or ask a family member or other person such as your home care worker to submit it on your behalf.  Please consult with the Public Health and Welfare on this matter.

For Category 1 insured persons, insurance premiums are divided into 5 levels, and fees are based on yearly income.
Category 2 insured persons pay their Kaigo-Hoken premiums along with their medical insurance premiums.  The fees in this case are determined according to the calculation method used by the medical insurance system under which they are covered.

•Self-pay ratio
When receiving services, the insured are required to pay 10% of the total cost.  When receiving services at a care facility, staying briefly at a nursing facility, or receiving home visits the insured must bear the cost of meals and/or accommodation charges in addition to the 10% of the total cost.

•Kaigo-Hoken Insurance Card
Insurance cards will be issued to all people over 65 years of age.  Please bring the insurance card with you when you apply for recognition of need for care (need for assistance) at the ward office.

•Nursing Care Prevention Program
It is a service for elders over 65 years old who are not certified as nursing care need. They offer a Prevention Service from Nursing Care such as updating exercise equipment, creating nutrition or oral function improvement programs.



Consultation regarding care services
The Long-Tern Care Insurance System Section of the Public Health and Welfare Center in your local ward office.


Inquiry:Information Plaza Osaka TEL.06-6773-6533
Place: International House, Osaka