介護保険制度における自己負担割合について、厚生労働省は、現行の「原則1割負担」に加え、一定以上の所得がある利用者を対象とした「2割負担」の適用範囲を拡大する方針を専門家会議において示した。
The Japanese Ministry of Health, Labour and Welfare presented a proposal at a panel of experts to expand the scope of the “20% co-payment” for users with a certain level of income, in addition to the current principle of a “10% co-payment” under the long-term care insurance system.
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Currently, when using long-term care insurance services, people living alone with an annual income of 2.8 million yen or more pay 20% of the costs, but there is a proposal under consideration to expand this to include those with an annual income between 2.3 million and 2.6 million yen as well.
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If this revision is implemented, the personal burden ratio will be raised from 10% to 20%, which is expected to result in a maximum monthly increase of 22,000 yen.
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However, in order to avoid a sudden increase in burden, various support measures are also being considered, such as initially limiting the maximum increase to 7,000 yen per month, or allowing users to self-report their financial assets and keeping their personal burden ratio at 10% if their savings are below a certain amount.
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Regarding the asset criteria, for people living alone, various options have been proposed, such as having savings of less than 3 million yen, less than 5 million yen, or less than 7 million yen, and the focus of future discussions is expected to be on which level to choose.
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The Ministry of Health, Labour and Welfare will compile these discussions and is scheduled to decide on the final policy by the end of this year.
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