The Outline of the New Public Long-term Care Insurance Program
(Using 1995 exchange rate： $1.00 = \130.2)
Time of Start： April 1, 2000
Insurer： Local Autonomy (Municipality) - City, Township, Village, and Ku of Tokyo Metropolis
Insuree： Japanese citizens aged 40 and over
(1) Type I Insuree： Those who are aged 65 and over
(2) Type II Insuree： Those who are aged between 40 and 64
Benefits： Care and domiciliary services to the insuree who has come to be in need of long-term institutional or home care services or domiciliary services.
In case of Type II Insuree, however, the program only covers the care service needs Or domiciliary service needs caused by such age-related diseases as stroke and Alzheimer's Disease.
Insurance premiums：
A. Type I Insuree
(1) In principle, the amount of insurance fee is to be decided taking the amount of income into consideration.
(2) The amount of insurance fee is to be decided in accordance with the level of services available in the community.
(3) The insurance fee of those whose amount of public pension is above certain level is to be deducted when public pension is paid. Those whose amount of public pension is less than certain level are required to pay individually to the insurer (local government).
B. Type II Insuree
(1) The amount of insurance fee varies according to what kind of public medical care insurance the insuree participates in.
(2) The Type II Insuree is to pay the insurance fee along with the insurance fee for public medical care insurance.
(3) The amount of insurance fee varies according to the amount of income in case of the employed. The payment of fee is to be shared between the employed and the employer with the ratio of one to one.
