NationalHealth & medical
High-Cost Long-Term Care Service Benefit
高額介護サービス費
In short: If monthly long-term care co-pays exceed an income-based cap, the excess is refunded by long-term care insurance.Users of long-term care insurance services whose total monthly co-pays (excluding some items like equipment purchase, meals and accommodation) exceed the cap for their income tier.(Source: www.kaigokensaku.mhlw.go.jp, verified on 2026-10-15)
Validity: MHLW care information system page checked 2026-10-15. Verified on 2026-10-15. Official source: https://www.kaigokensaku.mhlw.go.jp/commentary/fee.html
- Application procedure — confirm with ward.
- Residence-status rule — not stated on source; confirm with office.
Who qualifies
- Users of long-term care insurance services whose total monthly co-pays (excluding some items like equipment purchase, meals and accommodation) exceed the cap for their income tier. [official source · verified on 2026-10-15]
Conditions by topic
| Age | Not stated in the sources we checked — confirm with the office. |
|---|---|
| Income | Cap depends on household tax status and income. [official source · verified on 2026-10-15] |
| Household | Not stated in the sources we checked — confirm with the office. |
| Child age | Not stated in the sources we checked — confirm with the office. |
| Residence in Japan | Not stated in the sources we checked — confirm with the office. |
| Residence in Tokyo / municipality | Not stated in the sources we checked — confirm with the office. |
| Work / insurance type | Not stated in the sources we checked — confirm with the office. |
| Disability | Not stated in the sources we checked — confirm with the office. |
Residence status
Not stated in the official sources we checked — unknown.
Where to apply
- Paid via your municipality's long-term care insurance. [official source · verified on 2026-10-15]
Find addresses in the office finder.
Deadlines
Not yet verified from an official source.
Documents
Not yet verified from an official source.
Key details
- Monthly household caps for taxable households: ¥44,400 (taxable income under ¥3.8M); ¥93,000 (¥3.8M–¥6.9M); ¥140,100 (¥6.9M+). Lower caps (¥24,600 / ¥15,000) apply to non-taxable households. [official source · verified on 2026-10-15]
Phone / counter phrases
すみません、高額介護サービス費について伺いたいのですが、対象になるか、何を持っていけばよいか教えていただけますか。
Hello. I would like to ask about the high-cost long-term care benefit. Am I eligible, and what documents should I bring?
すみません、もう少しゆっくり話していただけますか。
Sumimasen, mō sukoshi yukkuri hanashite itadakemasu ka.
Sorry, could you please speak a little more slowly?
Generic phrases for practical help, not official wording.