What is the Long-Term Care Insurance?

The Long-Term Care Insurance System involves the whole of society and is run by the social insurance system to ensure long-term care for elderly. According to their needs people or families needing long term care are able to choose from medical and welfare services. The City of Nagoya will administer the system as insurer.  

Who is enrolled in this insurance program?

All aged 65 and over (Category 1 insured ) and those between the ages of 40 and 64 (Category 2 insured ) who are enrolled in a public medical insurance program.

This is a compulsory insurance program. Therefore every insured person has to be enrolled in it. Thinking that it is not necessary for you to enroll or thinking that the premiums are too expensive are not acceptable reasons for not enrolling in the Long-Term Insurance program. Please understand that the purpose of this insurance program is to support each other from now into the future, so we ask for everyone concerned to join it.

Do foreigners living in Japan have to be enrolled in this program?

Foreigners residing in Nagoya City must enroll if the following applies to them:

	If they are registered as foreign residents with the Nagoya Municipal Government.
	If they have a valid visa permitting them to stay for 1 year or more starting from their date of entry into the country. (Diplomatic personnel and other people holding official visas are exempt)
	If they are over 40 years old. (However, those over 40 and under 65 must be enrolled in one of Japan’s public medical insurance programs in order to enroll  in the system)

When to apply: For those people who have been enrolled in one of the national health insurance programs, they will automatically be enrolled in Long-Term Care Insurance once they reach the age of 65. For new enrollees, those people who are 65 years old should apply for this insurance (within 14 days of completing alien registration procedures) at the Nursing Care and Welfare Division (Kaigo Fukushi-ka) at  your local municipal office or its branch office.

Premium: The premium for people 65 years and older is determined by the individual's income and the amount of residential tax paid by their household. The premium for people over 40 and under 65 years old is determined by the computation rules of their medical insurance program and is deducted from their monthly salary or must be paid at a bank or post office with the payment notice from the local municipal office.