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Various application connection: Information for welfare for the elderly

Last update date August 3, 2020

1 certification for long-term care relation

Certification for long-term care application connection

※Address place exception eligible people after checking "insurer number" of identification of The Long-term Care Insurance person insured,
I would like submission in each ward Elderly and Disabled Support Division.
※In case such as not knowing personal number (my number), we accept application as non-entry.
Downloading (PDF: 195KB) of The Long-term Care Insurance (need of nursing care, support required) authorization application
Entry example of The Long-term Care Insurance (need of nursing care, support required) authorization application (PDF: 600KB)

Report is request for home, care prevention service program planning-related

Downloading (file: 212KB) of request for home, care prevention service program planning, care prevention care management registration form

※Please submit by all means by the last day of start month. (excluded on 31st from Saturdays, Sundays, and holidays and December 29)

 When it is past time limit, payment may be late more than one month.

2 qualification relations

The acquisition and the loss, address change of qualification

The Long-term Care Insurance transfer registration form (PDF: 153KB)
  [entry example] The Long-term Care Insurance transfer registration form (PDF: 311KB) (when pass away)

Report of The Long-term Care Insurance Address place exception application, change, end (PDF: 188KB) (only as for the person corresponding to Address place exception system)  
  [entry example] Report of The Long-term Care Insurance Address place exception application, change, end (PDF: 344KB)
  ※Please refer to "information for Address place exception system" for detailed contents of system.
  ※Style for office is on "information page (11.Address place special provision) for offices".

Re-grants such as identifications of person insured

Application for re-issue books (PDF: 102KB) such as identifications of The Long-term Care Insurance person insured 
  [entry example] Application for re-issue books (PDF: 335KB) such as identifications of care person insured

Reduction (burden limit authorization) of the food expenses, room charge

Please refer to "burden reduction <The Long-term Care Insurance burden limit certificate> (PDF: 733KB) of the food expenses, room charge" for summary of system.
In addition, please confirm judgment whether or not you correspond to system in "figure of flow" (PDF: 107KB).
The Long-term Care Insurance burden limit authorization application (PDF: 127KB)  
  [entry example] The Long-term Care Insurance burden limit authorization application (PDF: 401KB)

We send

・Application
・Documents which asset forehead of spouse (only when we need) can identify as person insured
※I would like confirmation with "submission check sheet" (PDF: 209KB) at the time of submission.

3 payment relations

Reduction of user burden

  <the care service self-pay furtherance>
   Please confirm system guidance flyer (PDF: 1,061KB) about system of the care service self-pay furtherance.
   ・Downloading (PDF: 135KB) of Yokohama-shi care service self-pay furtherance authorization application
   ・Downloading (PDF: 100KB) of Yokohama-shi care service self-pay furtherance transfer registration form

  <large amount care service costs>
   Please confirm this about system, procedure for large amount care service costs.

  <major medical service adding up care service costs>
   Please confirm this about system, procedure for major medical service adding up care service costs.

Request for health benefit when we used repayment payments (other than house repair, welfare tool purchase)

   We use home service, facility service by repayment payment and submit when health benefit requests.
   Main required documents is payment of applications such as (1) care payment costs, (2) service offer certificate, (3) receipt (for the person payment for (100%)).
   Please consult with each ward Insurance and Pension Division about the details about application method.

   ・Downloading (PDF: 139KB) of payment of application such as care payment costs
   ・We would like downloading of service offer certificate from "about this (3) service offer certificate".
   ・Downloading (PDF: 92KB) of petition (in the case of application by heirs) modifying insurance payment application

The Long-term Care Insurance house repair, the specific welfare tool connection

  <The Long-term Care Insurance house repair>
   Please confirm this about The Long-term Care Insurance house repair system, procedure, application documents.
  <the specific welfare tool purchase>
   Please confirm this about system, procedure for specific welfare tool purchase.
  <the welfare tool loan for slight person>
   Please confirm this about system, procedure for welfare tool loan for slight person, application documents.

Reduction of The Long-term Care Insurance user burden is exemption-related

   When, by earthquake disaster, storm and flood damage, fire, the death, unemployment of person of living maintenance, payment of user burden of The Long-term Care Insurance is difficult,
   We reduce or may exempt.
   For more details, please consult with each ward Insurance and Pension Division.
   Downloading (PDF: 362KB) of documentation package affecting The Long-term Care Insurance user burden reduction, exemption

Act connection of The Long-term Care Insurance third party

   When traffic accidents use The Long-term Care Insurance for act of third party (assailant),
   As burden methods of nursing-care cost are different, "registration form which affects The Long-term Care Insurance third party act" ※Please submit this by all means.
   ※As traffic accident certificates of the police are necessary for "registration form affecting The Long-term Care Insurance third party act", please consult with each ward Insurance and Pension Division.

  Downloading (PDF: 467KB) of report documentation package affecting The Long-term Care Insurance third party act


4 premium relations

About Long-term Care Insurance Premium

   About Long-term Care Insurance Premium

Premium reduction of taxes

   Reduction of taxes application (PDF: 109KB)

Adobe Acrobat Reader DC (old Adobe Reader) is necessary to open file of Portable Document Format.
Person who does not have can download free of charge from Adobe company.
Get Adobe Acrobat Reader DCTo downloading of Adobe Acrobat Reader DC

Inquiry to this page

※Contact information of ward office is this place

Telephone: Please refer to the above for reference Phone number.                              [clause turn 1: item each ward office Elderly and Disabled Support Division turn 2-4: each ward office Insurance and Pension Division]

Telephone: Please refer to the above for reference Phone number.                              [clause turn 1: item each ward office Elderly and Disabled Support Division turn 2-4: each ward office Insurance and Pension Division]

Health and Social Welfare Bureau advanced age Health and Welfare Department Nursing Care Insurance Section

Telephone: 045-671-4252

Telephone: 045-671-4252

Fax: 045-550-3614

E-Mail address [email protected]

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Page ID: 849-347-200

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