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Japan Opens Long-Term Care Review as 75+ Outpatient Cost Cap Expires

Officials seek to ease costs on workers under an all‑generation social security plan.

Overview

  • The health ministry’s expert panel began a scheduled review of the long‑term care insurance system, including user co‑payments, with guidance to be compiled within the year.
  • The temporary measure that softened higher co‑pays for certain people aged 75 and over ends on September 30, with higher outpatient payments taking effect from October 1.
  • The ministry estimates about 3.1 million people will face higher out‑of‑pocket costs, averaging roughly ¥9,000 per year, while premiums for working‑age payers are projected to fall by about ¥24 billion annually.
  • The now‑ended mitigation had capped monthly outpatient increases at ¥3,000, and the high‑cost medical expense scheme continues to limit monthly outlays to a maximum of ¥18,000.
  • The June Basic Policy calls for reducing burdens on the working generation and reconsidering the 10% co‑payment principle, and the health minister has asked for public understanding and pledged clear communication.