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Living Information

Kaigo Hoken (介護保険)

2021.04.27

Kaigo Hoken (介護保険 / Public long-term care insurance system) is a public system where we all support life after retirement for the elderly.

How much do you know about Kaigo Hoken?


It is compulsory for all people over the age of 40 to take out and pay premiums for Kaigo Hoken.

  • Those aged 65 and over may receive nursing care services.
    * Those aged 40 and over may receive medical care if they have a medical condition that is caused by aging (e.g. terminal cancer, etc.).
    * A Kaigo Hoken Hi-hoken-sha Shō (介護保険被保険者証 / Long-term care insurance card) will be issued by your municipal government to people aged 65 and over.
  • To receive long-term care service, you must receive Yō Kaigo Nintei (要介護認定 / certification of requirement for long-term care) from your municipal government.
  • Kaigo Hoken offers a variety of services.
  • You can choose different services according to your needs.
    *Kaigo Hoken is made possible by the compulsory premiums paid by everyone.
How to use Kaigo Hoken


1. Yō Kaigo Nintei no Shinsei (要介護認定の申請 / Application to be certified in need of long-term care)

The application can be filled out at your local municipal office.


Q: Why should I apply to be approved for long-term care?
A: When certified as requiring long-term care, you are eligible to receive a variety of care services as provided under long-term care insurance.
Note: Eligible services and costs will vary depending on the degree of care required.


2. Yō Kaigo Nintei no Chōsa (要介護認定の調査 / Assessment of level of long-term care required)

Evaluation is conducted by staff members from your local municipal office at your place of residence.


Q: How will I be assessed?
A: A certified examiner will visit the applicant's home and ask questions to ascertain the applicant's condition.


3. Yō Kaigo Do no Nintei (要介護度の認定 / Determination of level of long-term care required)


You will receive the result of the assessment from your local municipal office, specifying the Yō Kaigo Do (要介護度 / degree of long-term care required)


4. Beginning of nursing care services


After receiving your certification, contact a care manager (an expert on nursing care) who will work with you to create a care plan. Services will be provided according to the care plan.



*If you have been certified as Yō Kaigo (要介護 / in need of nursing care), please consult a Kyotaku Kaigo Shien Jigyōsha (居宅介護支援事業者 / nursing home); If you have been certified as Yō Shien (用支援 / in need of assistance), please consult a Chiiki Hokatsu Shien Sentā (地域包括支援センター / local comprehensive support center).


The certification places the applicant into one of three categories:

・Yō Kaigo (要介護 / in need of nursing care)

・Yō Shien (用支援 / in need of assistance)

・Higaitō (非該当 / not applicable; does not require nursing care)

Yō Kaigo is further divided into 5 levels (the higher the number, the greater the need for nursing care); and Yō Shien is divided into 2 levels.


Services include


Home-visit care (Home help)
Day care center (Day service)
Day care rehab (Day care)
Nursing equipment rental, funding for home renovation
*Admittance to residential care facility also available.

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