Kaigo Rojin Hoken Shisetsu Santa Maria: Users' Fee
Kaigo Rojin Hoken Shisetsu users are required to pay two types of fees: (1) a co-payment equal to 10% or 20% of the Kaigo Hoken (long-term care insurance) benefits received, and (2) costs required for services and/or items that are not covered by the Kaigo Hoken. The latter includes a room and board fee; expenses for daily personal items; a barber's fee; a materials charge for arts and crafts activities; and a processing fee (pertinent to either documentation of the client's medical certificate or the long-term care insurance application).
Services covered by the Kaigo Hoken are determined separately by Home-Based Services and In-Facility Services.
Clients' out-of-pocket expenses may differ in accordance with the benefits covered by the Kaigo Hoken; this is contingent upon a number of factors: the location of the facility; the number of staff; whether the facility provides special care for clients with dementia, etc. Other costs (e.g. facility fees) are determined by each facility.
Clients can apply for In-Facility Services directly at the facility office window.
However, in order to apply for Short-Stay and Day Rehabilitation Care (provided at the Santa Maria, but categorized as Home-Based Services), clients must have their care manager make a home-based care plan that explicitly includes Short-Stay and Day Rehabilitation Care. If clients wish to use Pick-Up/Drop-Off, Bathing, and Meal Services during their Short-Stay and Day Rehabilitation Care period, they are required to have their care manager include these services in their care plan.
A: In-Facility Services (admission)
1. Co-payment of the Kaigo Hoken (in the case of 20% : co-payment)
| Care Level 1 |
821 yen/day |
(1,641 yen/day) |
| Care Level 2 |
872 yen/day |
(1,743 yen/day) |
| Care Level 3 |
937 yen/day |
(1,874yen/day) |
| Care Level 4 |
992 yen/day |
(1,983 yen/day) |
| Care Level 5 |
1,048 yen/day |
(2,096 yen/day) |
2. Room Fee (exemptions may be allowed; contingent upon household income)
| Private Room |
1,640 yen/day |
| Multi-Bed Room |
570 yen/day |
3. Meal Charge (exemptions may be allowed; contingent upon household income)
5. Daily Living Expenses (e.g. soap, shampoo, facial tissues, oshibori, etc.)
6. Other Expenses (e.g. cultural, arts and crafts activities)
7. Service System Reinforcement Fee
| 20 yen/day |
→ |
(39 yen/day) |
8. Night Duty Staff Placement Fee
| 26 yen/day |
→ |
(52 yen/day) |
9. Nutrition Management Fee
| 15 yen/day |
→ |
(30 yen/day) |
| i) |
Room Charge
2-Person Room
Private Room |
430 yen/day
1,080 yen/day |
| ii) |
Barber Fee |
actual cost |
| iii) |
Activity Fee |
actual cost |
| iv) |
Laundry |
5,450 yen/month |
| v) |
Beverages (e.g. coffee, English tea, green tea) |
60 yen/cup |
| vi) |
Short-Term Intensive Rehabilitation |
257 yen/day (513 yen/day) |
| vii) |
Dementia Short-Term Intencive Rehabilitation |
257 yen/day (513 yen/day) |
| viii) |
Therapeutic Meals |
20 yen/day (40 yen/day) |
| ix) |
Feeding Support |
30 yen/day (60 yen/day) |
In the case of Gaihaku (when clients return to their homes for up to several days), daily In-Facility Service fees will be reduced to 462 yen, excluding both departure and arrival days.
If specialized medical care is provided during an emergency, the cost for this care will be added.
| Approximate Monthly Charge (e.g. client staying in a 4-Person Room for 30 days) ( ) : 20% own expense |
| Care Level 1 |
107,563 yen (136,675) |
| Care Level 2 |
109,224 yen (139,818) |
| Care Level 3 |
111,227 yen (143,853) |
| Care Level 4 |
112,921 yen (147,212) |
| Care Level 5 |
114,647 yen (150,693) |
B: Short-Stay
1. Co-payment of the Kaigo Hoken (in the case of 20% : co-payment 20%)
| Need support 1 |
650 yen/day (1,299) |
| Need support 2 |
814 yen/day (1,628) |
| Note: This category was abolished in April 2006. However, those already in this category may continue to use the service until their Care-Level Certification expires. |
| Care Level 1 |
879 yen/day (1,758) |
| Care Level 2 |
931 yen/day (1,861) |
| Care Level 3 |
996 yen/day (1,991) |
| Care Level 4 |
1,050 yen/day (2,100) |
| Care Level 5 |
1,107 yen/day (2,213) |
2. Room Fee (exemptions may be allowed; contingent upon household income)
3. Meal Charge (exemptions may be allowed; contingent upon household income)
| Breakfast |
360 yen/day |
| Lunch |
670 yen/day |
| Dinner |
670 yen/day |
5. Daily Living Expenses (e.g. soap, shampoo, facial tissues, oshibori, etc.)
6. Other Expenses (e.g. cultural, arts and crafts activities)
7. Service System Reinforcement Fee
8. Night Duty Staff Placement Fee
9. Individual Rehabilitation Program Fee
| 257 yen/day (513 yen/time) |
10. Pick-Up/ Drop-Off Service
| 197 yen/day (394 yen/time) |
| Approximate Daily Charge (e.g. client staying in a 4-Person Room without Pick-Up/ Drop-Off Service) |
| Need Support 1 |
3,609 yen (4,585 yen) |
| Need Support 2 |
3,778 yen (4,923 yen) |
| Care Level 1 |
3,844 yen (5,056 yen) |
| Care Level 2 |
3,898 yen (5,162 yen) |
| Care Level 3 |
3,965 yen (5,296 yen) |
| Care Level 4 |
4,020 yen (5,407 yen) |
| Care Level 5 |
4,079 yen (5,524 yen) |
C: Day Rehabilitation Care (for 6 hours, to a maximum of 8)
1. Co-payment of the Kaigo Hoken : (in the case of 20% co-payment)
| Care Level 1 |
787 yen/day (1,641 yen/day) |
| Care Level 2 |
948 yen/day (1,743 yen/day) |
| Care Level 3 |
1,107 yen/day (1,874 yen/day) |
| Care Level 4 |
1,271 yen/day (1,983 yen/day) |
| Care Level 5 |
1,431 yen/day (2,096 yen/day) |
2. Daily Living Expenses (e.g. soap, shampoo, facial tissues, oshibori, etc.)
3. Other Expenses (e.g. cultural, arts and crafts activities)
7. Rehabilitation Management(Ⅰ)
7. Rehabilitation Management(Ⅱ)
| Within 6months |
1,105 yen/month(2,210 yen/month) |
| Over 6months |
759 yen/month(1,517yen/month) |
8. Intensive Short-Term Rehabilitation
| Within 3 months |
120 yen/time |
9. Rehabilitation for ADL improvement
| within 3 months |
2,166 yen(4,332 yen/month) |
| over 3 months within 6 months |
1,083 yen(2,166 yen/month) |
10. Dementia Short-term Intensive Rehabilitation
| (Ⅰ)260 yen/day |
(520 yen/day) |
| (Ⅱ)2,080 yen/month |
(4,159 yen/month) |
13. Service System Reinforcement
| Approximate Daily Charge (e.g. client using Rehabilitation, Bathing and Snack Services with Nutrition Management; no Short-Term Intensive Rehabilitation and Oral Care) |
| Care Level 1 |
2,108 yen (3,300)/day |
| Care Level 2 |
2,275 yen (3,413)/day |
| Care Level 3 |
2,439 yen (3,555)/day |
| Care Level 4 |
2,609 yen (3,675)/day |
| Care Level 5 |
2,794 yen (3,799)/day |
| i) |
Diaper (napkin)
Flat (normal)
Brief Type A
Brief Type B
Rehabilitation Type
Urine Absorbing Pad |
45 yen
150 yen
210 yen
210 yen
45 yen |
| ii) |
Activity Fee |
actual cost |
| iii) |
Beverages (e.g. coffee, English tea, green tea) |
60 yen/cup |
| iv) |
Extra-Hour Charge |
1,000 yen/hour |
