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% 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 (does not include the room and board fee)
| |
Care Level 1 |
850 yen/day |
(767 yen/day for a private room) |
| |
Care Level 2 |
901 yen/day |
(819 yen/day for a private room) |
| |
Care Level 3 |
957 yen/day |
(874 yen/day for a private room) |
| |
Care Level 4 |
1,013 yen/day |
(930 yen/day for a private room) |
| |
Care Level 5 |
1,068 yen/day |
(986 yen/day for a private room) |
2. Room Fee (exemptions may be allowed; contingent upon household income)
| |
Private Room |
1,640 yen/day |
| |
Multi-Bed Room |
520 yen/day |
3. Meal Charge (exemptions may be allowed; contingent upon household income)
4. Snack Charge
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. Nutrition Management Fee
| i) |
Room Charge
2-Person Room
Private Room |
420 yen/day
1,050 yen/day |
| ii) |
Barber Fee |
actual cost |
| iii) |
Activity Fee |
actual cost |
| iv) |
Laundry |
5,250 yen/month |
| v) |
Beverages (e.g. coffee, English tea, green tea) |
60 yen/cup |
| vi) |
Short-Term Intensive Rehabilitation |
251 yen/day |
| vii) |
Dementia Short-Term Intencive Rehabilitation |
251 yen/day |
| viii) |
Therapeutic Meals |
24 yen/day |
| ix) |
Feeding Support |
30 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) |
|
Care Level 1 |
102,990 yen |
|
Care Level 2 |
104,520 yen |
|
Care Level 3 |
106,200 yen |
|
Care Level 4 |
107,880 yen |
|
Care Level 5 |
109,530 yen |
|
B: Short-Stay
1. Co-payment of the Kaigo Hoken
| |
Need support 1 |
660 yen/day |
| |
Need support 2 |
821 yen/day |
| |
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 |
883 yen/day |
| |
Care Level 2 |
935 yen/day |
| |
Care Level 3 |
990 yen/day |
| |
Care Level 4 |
1,046 yen/day |
| |
Care Level 5 |
1,102 yen/day |
2. Room Fee (exemptions may be allowed; contingent upon household income)
3. Meal Charge (exemptions may be allowed; contingent upon household income)
| |
Breakfast |
350 yen/day |
| |
Lunch |
650 yen/day |
| |
Dinner |
650 yen/day |
4. Snack Charge
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. Enhanced Rehabilitation Program Fee
10. Pick-Up/ Drop-Off Service
| Approximate Daily Charge (e.g. client staying in a 4-Person Room without Pick-Up/ Drop-Off Service) |
|
Need Support 1 |
3,260 yen (until the certification expires) |
|
Need Support 2 |
3,421 yen (until the certification expires) |
|
Care Level 1 |
3,483 yen |
|
Care Level 2 |
3,535 yen |
|
Care Level 3 |
3,590 yen |
|
Care Level 4 |
3,646 yen |
|
Care Level 5 |
3,702 yen |
|
C: Day Rehabilitation Care (for 6 hours, to a maximum of 8)
1. Co-payment of the Kaigo Hoken
| |
Care Level 1 |
726 yen/day |
| |
Care Level 2 |
889 yen/day |
| |
Care Level 3 |
1,050 yen/day |
| |
Care Level 4 |
1,213 yen/day |
| |
Care Level 5 |
1,375 yen/day |
2. Daily Living Expenses (e.g. soap, shampoo, facial tissues, oshibori, etc.)
3. Other Expenses (e.g. cultural, arts and crafts activities)
4. Meal Charge (lunch)
5. Snack Charge
6. Bathing Service
7. Rehabilitation Management
8. Intensive Short-Term Rehabilitation
| |
1 Month (or less after discharge from a hospital/ facility) |
296 yen/day |
| |
1 Month to 3 Months |
148 yen/day |
| |
More than 3 Months |
85 yen/day |
9. Individualized Rehabilitation Care (more than 3Months)
| |
maximun 13 times/Month |
85 yen |
10. Dementia Short-term Intensive Rehabilitation
11. Improve Nutrition
12. Oral Care
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 |
1,837 yen |
|
Care Level 2 |
2,000 yen |
|
Care Level 3 |
2,161 yen |
|
Care Level 4 |
2,324 yen |
|
Care Level 5 |
2,486 yen |
|
| 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) |
Barber Fee |
actual cost |
| iii) |
Activity Fee |
actual cost |
| iv) |
Beverages (e.g. coffee, English tea, green tea) |
60 yen/cup |
| v) |
Extra-Hour Charge |
1,000 yen/hour |
|
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