Current long term care system for elderly
Long term care coverage1 for residents is available through a national long-term insurance program.
Program and nature of coverage
In Japan, all patients aged 65 and above are covered under the national long term insurance program. The program is managed by municipalities.
Nature of benefit coverage
Services provided under long term elderly care include institutional care, rehabilitation, home help and day services.
Source of funding
The program is managed by municipalities and financed by taxes and premiums collected (linked to income, though such premiums vary across municipalities). Copayment of 10 percent is required for all such services (subject to an income-linked ceiling).
Reforms initiated/ future direction
With a large and growing elderly population, establishment of comprehensive regional care system for elderly people who need long-term care and want to remain in their homes is one of Japan’s key policy priorities. As a first step toward this goal, the Japanese Government currently provides home help services and housing with care services.
The importance of prevention and wellness is also pushed, aimed at controlling healthcare costs.
A number of preventive measures, such as screening, health education, and counseling, are covered under the statutory benefit package, for people aged 40 and above.
1Long term care coverage for residents is available through a national long-term insurance program.