Hello Long-Term Care Insurance

Transcription

1 Hello Long-Term Care Insurance (FY2015 edition) What Is Long-Term Care Insurance? With the advent of a society that is undeniably aging, the number of people in Japan who need nursing care continues to rise, and families are finding it increasingly difficult to take care of aging family members on their own. The long-term care insurance program aims to reduce any worries concerning the need for nursing care that may arise, and to create a mutually supportive society in which both those who provide nursing care and those who receive it enjoy peace of mind. Long-Term Care Insurance Helping Each Other and Widening Our Circle of Friends Kawasaki City

2 FY2015 Long-Term Care Insurance system revision As of April 2015 The long-term insurance system has been revised The rules have been changed to accommodate increases in long-term care benefits. The criteria for enrolling in a social welfare facility providing nursing care for the elderly (special nursing home for the elderly) are changing. In principle, new enrollees will be required to be certified at a nursing care level of 3 or greater. Nursing care benefits have changed. Long-term nursing care service user copayments will be revised. As of August 2015 For users who have greater than a specified level of income, the copayment will be revised to a level of 20%. For users who have greater than a specified level of income, the copayment will be revised from 10 to 20%. Under the revised system, a long-term care insurance copayment certificate will be issued. The individual user s copayment (either 10 or 20%) will be noted on the long-term care insurance copayment certificate. Upper limits on some high-cost long-term care insurance (nursing care prevention) services will also be revised. A new category, called income earners on par with working people will be introduced to define user levels for purposes of high-cost long-term care (nursing care prevention). Annual copayments for total high-cost medical care and nursing care services (also nursing care prevention services) will be revised. Annual copayments for total high-cost medical care and nursing care services (also nursing care prevention services) will be revised as of the August 2015 period. Prerequisites for food and housing cost subsidies for (nursing care services for specified individuals) for low-incomes earners using the facilities will be revised. If inhabitant taxes are assessed on an individual s spouse, and/or if the individual s savings exceed a certain amount, they will no longer be eligible for food and housing costs (nursing care services for specified individuals).

3 Handle Your Long-Term Care Insurance Membership Card Properly Note: Please keep the following points in mind regarding your long-term care insurance membership card: After you receive your membership card, please make sure the information on it is correct. If there are any mistakes, please report them immediately. Please keep your card in a safe and convenient place so that you can show it to your service provider whenever you apply for nursing care/nursing assistance or use the card for other services. If any of the information written on your card changes, please bring your membership card and file a notification with the city within 14 days after the change. You cannot use a copy of your membership card, only the original, when applying for nursing care/nursing assistance and/or services. Do not lend your membership card to anyone or borrow anyone else s card. If a member loses eligibility because of a move out of the city or death, a notification must be filed and the membership card must be returned immediately. If you lose your membership card, or if it is too damaged or dirty to use, please apply for a new card. Please direct inquiries and notifications about your long-term care insurance membership card to the long-term care insurance service counter at your local Ward Office or District Health and Welfare Station. The Difference between Long-Term Care Insurance and Medical Health Insurance Membership Cards Long-Term Care Insurance Membership Card You must submit your long-term care insurance membership card when applying for nursing care/nursing assistance. A person who is bedridden or suffering from dementia must also show his or her membership card (and as of August 2015 the Long-Term Care Insurance Copayment Certificate) to the service provider to take advantage of services based on the care plan, such as long-term care, nursing, or physical therapy services, whether at home or at an institution. Medical Health Insurance Membership Card You must show your medical health insurance membership card at the service counter of the medical institution you are visiting when receiving medical services such as an examination, treatment/therapy, or medicine for an illness or injury.

4 Long-Term Care Insurance Premiums As a rule, long-term care insurance premiums must be paid by everyone 40 years of age or older; however, payment procedures are different for those 65 years of age or older and for those between 40 and 64 years old. Long-term care insurance benefits are covered by insurance premiums and public funds (see the chart at right); the insurance premiums of members 65 years of age or older account for about one-fourth of all insurance benefits. Financial Resources for Long-Term Care Insurance Benefits Insurance premiums of members 65 years of age and older: 24.3% Insurance premiums of members between 40 and 64 years of age: 28.0% Funding from the national government/kanagawa prefectural government: 35.2% Funding from Kawasaki City government: 12.5% Members 65 Years of Age and Older (Category 1 Member) Long-Term Care Insurance Premiums Insurance premiums for those 65 years of age and older are divided into 14 levels according to their level of municipal inhabitant tax (see pages 5 and 6). The municipal government determines these insurance premiums every three years after reviewing its financial plans involving long-term care insurance and based on standards designated by the national government. How to Pay Your Long-Term Care Insurance Premiums As a rule, the insurance premiums for members receiving a public pension are deducted from their pension (a system known as special collection). However, premiums cannot be immediately deducted from the pensions of individuals who have just reached 65 years of age or for those who have recently moved to Kawasaki City. (It takes about eight months for these deductions to begin.) During that period, you will need to pay your insurance premiums using the invoices provided or via account transfer (referred to as regular collection). Note: Even if a member had insurance premiums deducted from the pension before moving to Kawasaki City, the automatic deductions will be temporarily halted on procedural grounds.

5 Reduction/Exemption of Long-Term Care Insurance Premiums If you are 65 years of age or older and are having difficulty paying your long-term care insurance premiums due to a disaster or similar reason, long-term care insurance premium reduction/exemption programs are available. Please consult the long-term care insurance service counter at your local Ward Office or District Health and Welfare Station. If You re Behind on Your Long-Term Care Insurance Premium Payments If you are behind in paying your long-term care insurance premium payments for no special reason, use of long-term care services will be restricted. Notes: * If you do not pay your insurance premiums by the designated deadline, you will be maileda reminder. If you fail to pay after the due date written on the reminder, an extension fee will be added based on the number of days from the deadline until the date of payment. * If you continue to avoid payment over a long period, your assets (such as your savings) may be legally seized. Members between 40 and 64 Years of Age (Category 2 Members) Members between 40 and 64 years of age enrolled in medical health insurance pay their long-term care insurance premiums together with their medical insurance premiums. The amount of insurance premiums and the payment method vary depending on the type of medical insurance they join. Members Who Can Use Long-Term Care Insurance Category 1 or 2 members who need nursing care because they are weak, bedridden, or suffering from dementia, etc., are eligible for long-term care insurance services. Note: Category 2 members must have one of the 16 specially designated illnesses (such as a cerebrovascular disorder) associated with aging in order to be eligible.

6 How Premiums Are Determined for Members 65 Years of Age and Older Eligible Members The person is receiving public assistance or a support benefit for Japanese war orphans left behind in China. The applicant is an old-age welfare annuity recipient, and the entire household is exempt from municipal inhabitant tax. All household members are exempt from municipal inhabitant tax, and the applicant had 800,000 or less in total annual income and taxable pensions during the previous year. All household members are exempt from municipal inhabitant tax, but the applicant is other than level 1 or 2 and had 1,200,000 or less in total annual income and taxable pensions during the previous year All household members are exempt from municipal inhabitant tax, but the applicant is other than level 1, 2, or 3. The applicant is exempt from municipal inhabitant tax, but other household members pay the tax, and he/she had 800,000 or less in total annual income and taxable pensions during the previous year. The applicant is exempt from municipal inhabitant tax, but other household members pay the tax, and he/she does not belong to level 5. The applicant pays municipal inhabitant tax and had less than 1,250,000 in total income during the previous year. The applicant pays municipal inhabitant tax and had between 1,250,000 and 1,899,999 in total income during the previous year. The applicant pays municipal inhabitant tax and had between 1,900,000 and 2,899,999 in total income during the previous year. The applicant pays municipal inhabitant tax and had between 2,900,000 and 3,499,999 in total income during the previous year. The applicant pays municipal inhabitant tax and had between 3,500,000 and 4,999,999 in total income during the previous year. The applicant pays municipal inhabitant tax and had between 5,000,000 and 6,999,999 in total income during the previous year. The applicant pays municipal inhabitant tax and had between 7,000,000 and 9,999,999 in total income during the previous year. The applicant pays municipal inhabitant tax and had 10,000,000 or more in total income during the previous year. Total income refers to the sum of all income, including pension, wages, and business revenues after subtracting the necessary expenses from earnings.

7 * Amounts and calculations shown in parentheses for Levels 1 and 2 are the reduced amounts based on government ordinances should they go into effect. Income Level Level 1 * Level 2 * Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Level 9 Level 10 Level 11 Level 12 Level 13 Level 14 Annual Insurance Premiums 33,240 ( 29,920) 33,240 ( 29,920) 43,210 49,860 59,830 66,480 76,460 83,100 99, , , , , ,920 Estimated Monthly Amount 2,770 ( 2,493) 2,770 ( 2,493) 3,601 4,155 4,986 5,540 6,372 6,925 8,311 8,865 9,418 10,527 11,635 12,743 Compared to the standard amount, your long-term care insurance premiums are: 0.5 times (0.45 times) 0.5 times (0.45 times) 0.65 times 0.75 times 0.9 times Standard Amount 1.15 times 1.25 times 1.5 times 1.6 times 1.7 times 1.9 times 2.1 times 2.3 times Total income is prescribed by Article 292, Paragraph 1-13 of the Local Tax Act.

8 Procedures for Using Long-Term Care Insurance (authorization for nursing care/nursing assistance is required) (for members 65 years of age and older) Long-term care insurance services Nursing care prevention programs Persons who need nursing care or assistance Persons who currently do not need nursing care or assistance Application for nursing care/nursing assistance* The applicant or his/her family member applies for authorization at the long-term care insurance service counter of their local Ward Office or District Health and Welfare Station. Authorization process for nursing care/nursing assistance* Authorization interview and family doctor s statement on general health An examiner will conduct an interview to assess the physical and mental state of the applicant. (Physical mobility is checked as well.) Authorization interview results Doctor s statement The city office will ask the applicant s family doctor to write a statement on his/her general condition. Early recognition of elderly persons who may require nursing care or assistance Assessment using results of the basic checklist ( Everyday Life Health Checklist ) sent to members by mail Assessment through public health nurse visitation programs and community programs Assessment using information from related institutions or local communities (letters from doctors, social workers, senior citizen clubs, etc.) Assessment of persons determined to be ineligible for nursing care/nursing assistance

9 Note: If a person or one of the person s family members is unable to apply for certification as someone who requires care or assistance, he/she can have someone else apply on the person s behalf at the Community Comprehensive Assistance Center. The cost of the certification exam and the primary care doctor's report will be covered by the city, so there is no burden on the patient. For those authorized for nursing care levels 1 5 Nursing care authorization screening committee Doctors and health and welfare specialists determine the level of nursing care needed based on the interview results and the doctor s assessment. Authorization results Nursing care level 5 Nursing care level 4 Nursing care level 3 Nursing care level 2 Nursing care level 1 Nursing assistance level 2 Nursing assistance level 1 Not applicable You can use nursing care services of long-term care insurance. A care plan will be prepared for you at a Home Nursing Care Support Center. For those authorized for nursing assistance levels 1 or 2 You can use nursing care preventative services provided through long-term care insurance. A Community Comprehensive Assistance Center will prepare a nursing care preventative care plan for you. Everyday Life Health Checklist (Excerpt) You can use nursing care prevention programs. (See page 14.) No. Category Question Response Lifestyle Are you able to take the bus or train by yourself? Do you do your own shopping for everyday necessities? Can you make bank deposits and withdrawals by yourself? 0. Yes 1. No 0. Yes 1. No 0. Yes 1. No A Community Comprehensive Assistance Center will provide a nursing care preventative care management program (secondary prevention services) for you. Do you visit friends homes? 0. Yes 1. No Do your family and friends ask you for advice? 0. Yes 1. No Those who are likely to need care or assistance based on an evaluation of how healthy they are ( Everyday Life Health Checklist ) can take advantage of nursing care prevention programs (secondary prevention programs).

10 Persons Authorized for Nursing Care Levels 1 5 You can use nursing care services provided through long-term care insurance. These services help members who have a need for nursing care in everyday life to maintain or improve their condition. Services Available at Home Home nursing care (home help service) A home helper visits your home to provide physical care and/or assist with household chores. Home bathing service A vehicle equipped with a portable bath is brought to your home to provide bathing services. Home nursing Under the instructions of a doctor, a registered nurse visits your home to provide treatment and nursing services. Home rehabilitation A physical therapist visits your home to offer physical rehabilitation. Home medical advice A doctor, dentist, or pharmacist visits your home to provide medical instruction or advice. Commuting nursing care (day service) A daycare service facility provides nursing care services such as bathing, the supply of meals, and physical rehabilitation. Commuting rehabilitation (day care) A physical therapist at an elderly nursing care health facility or medical institution provides physical rehabilitation. Short-term stay nursing care (short stay) Daily life nursing care and physical therapy are provided during short-term institutionalization in a special nursing home for the elderly. Short-term stay medical care (short stay) Nursing care and physical therapy are provided under medical supervision during short-term institutionalization in an elderly nursing care health facility.

11 Health care equipment rental Wheelchairs, special beds (nursing care beds), walking frames and the like can be rented as needed. Note: As a rule, persons authorized for nursing care level 1 are not eligible to use items such as wheelchairs and special beds (nursing care beds) that appear unnecessary for their level of need. Reimbursement on purchases of special health care equipment Part of the expense incurred when purchasing equipment for assisting in bathing or using the toilet will be reimbursed. (The maximum reimbursement per year is 100,000.) Notes: * Only equipment bought from designated dealers is eligible. * There are restrictions on the items that are eligible for reimbursement, so please check in advance to confirm details. Reimbursement for home remodeling Part of the expense is reimbursed for home remodeling, such as the installation of handrails or for eliminating differences in floor levels between rooms. (The maximum reimbursement is 200,000.) Notes: * Application must be filed before the remodeling is done. Please be sure to consult the long-term care insurance service counter at your local Ward Office or District Health and Welfare Station before construction begins. * There are restrictions on the types of remodeling that you can be reimbursed for, so please check in advance to confirm details. * Reimbursements for special health care equipment or home remodeling are made after you pay the total cost, and apply later to receive an insurance benefit reimbursement (80 or 90 percent of the cost). If paying the total cost upfront is difficult for you, please make use of the proxy payment program, in which the concerned company of remodeling, etc., requests reimbursement by proxy and you only need to pay 10 or 20 percent of the total cost. Nursing care for persons admitted to special facilities Pay nursing homes and other such facilities provide daily life nursing care and physical therapy services. Institutionalization Services at Facilities Welfare nursing homes (special homes for the elderly) Services are provided to persons who need constant nursing care and who have difficulty doing everyday activities at home. Note: In principle, new enrollees must be of a nursing care level of 3 or greater. Health facilities for the elderly Physical therapy and assistance for daily living are provided to persons whose health has stabilized and require nursing care with an emphasis on physical rehabilitation to enable them to return to their own homes. Medical nursing care facilities (such as sanatorium wards) Nursing care, physical therapy, and medical treatment are provided under medical supervision to those requiring long-term medical treatment.

12 Community-Based Services Community-based services help persons who require nursing care lead life as independently as possible in their own communities. As a rule, only insurance members living in Kawasaki City can use these services. Periodic rotational/continual home nursing Services are provided through regular rounds conducted during the day and night, as well as through occasional visits, as necessary. Nighttime home nursing care Home nursing care services are provided regularly at night, as well as on an on-call basis with a special notification system. Commuting nursing care at facilities for members with dementia Nursing care services such as bathing, the supply of meals, and physical rehabilitation are provided at a daycare service center for elderly members with dementia. Small-scale multifunctional home nursing care Users mainly visit the facility to receive services. Depending on the situation, users may stay at the facility overnight, or staff may visit the users home. Combined services (nursing care/small-scale multifunctional home nursing care services). Services are flexible to meet the needs of users and include a combination of small-scale multifunctional home nursing care services and home nursing services. Communal nursing care for persons with dementia (group home) Nursing care services such as bathing, the supply of meals, and physical rehabilitation are provided for persons who have dementia but are in comparatively stable condition and living together in a group home. Nursing care at community-based elderly welfare nursing facilities Nursing care services are provided at a small-scale special home for the elderly (with a capacity of up to 29 people) to those who need constant nursing care in everyday life and have difficulty with everyday activities in their own home. Note: In principle, new enrollees must be of a nursing care level of 3 or greater. Persons Authorized for Nursing Assistance Levels 1 or 2 You can use preventive nursing care services provided through long-term care insurance. These services are offered to help persons with a comparatively light need for maintaining or improving their physical and/or mental condition. Preventive Nursing Care Services Available while Staying at Home Visiting care (home help service) A home helper visits the home to help the person with household chores.

13 Home bathing service A vehicle equipped with a portable bath is brought to the home to provide home bathing services. Home nursing service Under the instructions of a doctor, a registered nurse visits the home to provide medical treatment and nursing services. Home rehabilitation service A physical therapist visits the home to conduct home rehabilitation service. Home medical treatment guidance and advice A doctor, dentist, or pharmacist visits the home to provide medical guidance and advice. Commuting nursing care (day service) Nursing care services such as bathing, the supply of meals, and physical rehabilitation (gymnastic exercises, resistance training, etc.) are provided at a day care service center. Commuting rehabilitation (day care) Physical rehabilitation is provided by a physical therapist at a long-term care health facility or medical institution. Short-term stay nursing care (short stay) During the short-term institutionalization in a special nursing home for the elderly, everyday life nursing care, physical therapy, etc., are provided. Short-term stay medical nursing care (short stay) During the short-term institutionalization in a long-term care health facility, nursing care, physical therapy, etc., are provided under medical supervision. Rental of welfare equipment Welfare equipment for nursing care prevention that is recognized as necessary for the user can be rented when needed. Note: As a rule, items such as wheelchairs and special beds (nursing care beds) that are difficult to consider as necessary for the level of need are not applicable. Reimbursement for purchase of special nursing care prevention welfare equipment Part of the expense incurred when purchasing welfare equipment for assisting in bathing or using toilet will be reimbursed. (The maximum reimbursement per year is 100,000.) Notes: * Only equipment bought from designated dealers is applicable. * Since the applicable items are restricted, please check in advance to confirm details.

14 Reimbursement for home remodeling meant to help prevent the need for nursing care Part of the expense is reimbursed for home remodeling, such as the installation of handrails or for eliminating differences in floor levels between rooms. (The maximum reimbursement is 200,000.) Notes: * Application must be filed before remodeling is done. Please be sure to consult the long-term care insurance service counter at your local Ward Office or District Health and Welfare Station before construction begins. * Since the applicable items are restricted, please check in advance to confirm details. * For reimbursements for special nursing care prevention welfare equipment or home remodeling, you must first pay the entire cost, and receive an insurance benefit reimbursement (80 or 90 percent of the cost) upon application at a later date. If it is difficult for you to make the payment, please make use of the proxy payment program in which you only need to pay 10 or 20 percent of the total cost. Nursing care for persons admitted to nursing care prevention special facilities Everyday life nursing care and physical therapy services are provided at pay nursing homes and other such facilities. Community-Based Nursing Care Prevention Services Community-based nursing care prevention services are designed to help users lead life as independently as possible in the community they are accustomed to living in. As a rule, these services can be used only by insurance members living in Kawasaki City. Commuting care at facilities for persons with dementia Day care services to prevent nursing care, such as bathing, the supply of meals, and physical rehabilitation, are provided at a day care service center for the elderly with dementia. Small-scale multi-functional home care This service aims to prevent the need for nursing care, and users mainly visit the facility to receive services. Depending on the situation, users may stay at the facility overnight or staff may visit the users home. Communal care for persons with dementia (group home) With the goal of nursing care prevention, day care services such as bathing, the supply of meals, and physical rehabilitation are provided for persons with dementia who are in a comparatively stable condition and living together in a group home. Note: Only those authorized for nursing assistance level 2 are eligible for this service.

15 Services for Persons Not Authorized to Receive Nursing Care/Nursing Assistance and Recognized as Not Applicable for Authorization Nursing Care Prevention Programs (Secondary Prevention Programs) Programs to prevent the need for nursing care are offered for persons not authorized to receive nursing care/nursing assistance as well as those who were deemed not eligible, but are judged to be in poor health based on the Everyday Life Health Checklist distributed by the city office. To access these services, you must apply at the Regional Comprehensive Support Center. Ambulatory combined program course The purpose of the course is to improve participants functionality in daily life by performing calisthenics and stretches to prevent falls. They also learn about nutrition as related to oral cavity function. Attendees can relax and know that they are in good hands under the guidance of specialists in each field. Nursing Care Prevention Programs (Primary Prevention Programs) Ikoi Genki Plaza (Recreation and Revitalizing Plaza) At Ikoi-no-Ie (Home of Recreation) facilities, strength-development exercises that help prevent falls and mini-lectures that help prevent the need for nursing care are offered once a week. The program, which is six months long, is offered to persons 65 years of age and older who live in Kawasaki City, have permission to exercise by their doctors, and are not using long-term care insurance services and are not designated at any of the 1-5 care levels. Services for Everyone (Nursing Care Prevention Programs in Each Ward) Health classes and group support programs are available for anyone 65 years of age and older. For details, contact the Community Health and Welfare Section of your local Ward Office. Community Health and Welfare Section of Local Ward Offices Ward (Area code: 044) Telephone No. Fax No. Ward Telephone No. Fax No. Kawasaki-ku Saiwai-ku Nakahara-ku Miyamae-ku Tama-ku Asao-ku Takatsu-ku

16 Cost of Long-Term Care Insurance Services In general, the user pays 10 percent of the cost of services used. Note: Please note that expenses for some services are not covered by long-term care insurance. As of August 2015 Individuals 65 and older whose income exceeds a certain amount are responsible for a co-payment of 20% (changed from 10%) of long-term care insurance services utilized. All individuals authorized to receive nursing care/nursing assistance will be issued a long-term care insurance copayment certificate noting the percentage to be paid by the individual (either 10% or 20%). As of August 2015, users will need both their long-term care insurance membership card and their long-term care insurance copayment certificate to access services. The long-term care insurance copayment certificate is scheduled to be sent to recipients in July Maximum Limit of Long-Term Care Insurance Services A monthly limit is decided according to the nursing care level. Note: If nursing care services above the limit are used, the user must bear the portion exceeding the designated amount of benefits. Level of Nursing Care Needed Nursing assistance level 1 Nursing assistance level 2 Nursing care level 1 Services Available Nursing care prevention services Community-based nursing care prevention services Amount of Monthly Limit 5,003 points (approx. 60,000) 10,473 points (approx. 120,000) 16,692 points (approx. 180,000) Nursing care level 2 Nursing care level 3 Nursing care level 4 Home services Community-based services Facility services 19,616 points (approx. 210,000) 26,931 points (approx. 290,000) 30,806 points (approx. 330,000) Nursing care level 5 36,065 points (approx. 390,000)

17 Service Fee Reduction Programs High-Cost Nursing Care (Nursing Care Prevention) Service Benefit If the total copayment for services for one month exceeds the designated limit, a high-cost nursing care (nursing care prevention) service benefit is provided upon application according to the amount borne. Note: The copayment for purchase of welfare equipment or remodeling expenses for nursing care prevention are not covered. Eligible individuals will receive notification reminding them to apply. => The upper limit on user copayment for Individuals in the category of income earners on par with working people will be revised as of August High-Cost Medical and Nursing Care (Nursing Care Prevention) Service Benefit If the total copayment for medical treatment and nursing care services on the health insurance and long-term care insurance for one year exceeds the designated limit, a high-cost medical and nursing care (nursing care prevention) service benefit is provided upon application. Amongst individuals enrolled in the Kawasaki City National Health Insurance Program and Long-Life Medical System, eligible persons will be notified. (Apply at the Medical Insurance Desk with your details current as of July 31st, 2015). => The upper limit on total annual copayments for individuals under 70 years of age will be revised as of August Nursing Care Service Benefit for Specified Persons Admitted to Facilities The upper limit on copayments is set to avoid placing a heavy financial burden on service users whose income is below the designated level. Upon application, the cost for living and meals for those who use facility services is reduced according to their income level. => As of August 2015, spouse income and savings will be added to criteria determining benefits. Overview of the payment reduction system on social welfare corporation costs Individuals whose income and assets fall below a certain level, and who wish to use services offered by social welfare corporations, are eligible for reduced service, housing, and meal costs by applying for these reductions. Other Copayment Reduction Programs For individuals whose income and assets are below a certain specified level, and who wish to use the services, Kawasaki City has its own system for reducing service costs as well as housing and food costs. Such individuals are free to apply for this system. There are fee reduction programs for services other than those abovementioned. For details, please inquire at the Long-Term Care Insurance service counter at your local Ward Office or District Health and Welfare Station for more information.

18 What Is a Community Comprehensive Assistance Center? This is a local consultation center for the elderly, where public health nurses, care managers, social workers, and other professionals offer consultation services on nursing care, welfare, health, medical concerns, and other topics, so that older residents can lead self-sustaining lives in their own community. (Each center is in charge of a designated local community.) Comprehensive Consultation and Assistance, Human Rights Programs General consultation services including long-term care insurance are available, such as various support programs for abuse prevention and other human rights issues. Main Services Preventive Nursing Care Management Care plans detailing services for members authorized for nursing assistance and for members using community support programs are developed and evaluated. Community Comprehensive Assistance Centers Comprehensive and Continuous Management Support Logistical support of care management is offered to enable the elderly to lead healthy lives in their own community. Ward Name Telephone No. Fax No. Shion Koshun-en Kawasaki-ku Saiwai-ku Nakahara-ku Oshima Nakajima Kyomachi Viola Kawasaki Ojuen Daishi Chuo Fujisaki Daishi-no-Sato Kofuen Yumemigasaki Kashimada Shangri-la Minna-to-Kurasu Machi Saiwai Higashi Sumiyoshi Kodanaka Hirama-no-Sato Miyauchi Ida Todoroki

19 Ward Name Telephone No. Fax No. Takatsu-ku Miyamae-ku Tama-ku Asao-ku Waraku Suenaga Hidamari-no-Sono Mizonokuchi Hisasue Ki-no-Oka Re-Care Mukogaoka Mikado-so Washigamine Fujimi Plaza Restore Kawasaki Friend Shiboku Miyamaedaira Viola Miyazaki Nagasawa Soju-no-Sato Tamagawa-no-Sato Taiyo-no-Sono Suge-no-Sato Shukugawara Yomiuri Land Hana House Noborito Kakio Aruna-en Kurikidai Niji-no-Sato Katahira Yurigaoka Shinyuri Takaishi Note: Please inquire at the long-term care insurance service counter at your local Ward Office or District Health and Welfare Station for information about the Community Comprehensive Assistance Center responsible for your community.

20 For Further Information (Area code: 044) Subject of Inquiry; Ward of Your Residency Long-Term Care Insurance Premiums Long-Term Care Authorization Long-Term Care Services/Benefits Other Services Not Covered by Long-Term Care Insurance (Elderly Support) Fax No. Kawasaki-ku Daishi-chiku Tajima-chiku Saiwai-ku Nakahara-ku Takatsu-ku Miyamae-ku Tama-ku Asao-ku Aging Society Policy Department, Health and Welfare Bureau Premiums Unit Authorization Unit Benefits Unit Long-Term Care Insurance Section Health and Welfare Bureau Community Comprehensive Support Unit Preventative Nursing Care Unit Medical Cooperation Unit (about dementia) Community Care Promotion Office Note: Information on companies that provide long-term care insurance services can be viewed via the Internet. Long-Term Care Information Service Kanagawa Issued: April 2015 Long-Term Care Insurance Section, Aging Society Policy Department, Health and Welfare Bureau, Kawasaki City