Japan (since 2000) | Germany (since 1996) | |
Insurer | Municipality | Care Funds |
Insured | Persons aged 65 or older (Category 1), and persons aged 40 to 64 years old and subscribers of health insurance (Category 2) | All subscribers of health insurance |
Contribution (rate) | Category 1: about 5000 yen per month on average | 2.55% (+0.25% if childless) |
Category 2 | ||
Health Insurance Association: 1.55% | ||
Financial source | User charge: 10 (20)% | Contribution: 100% |
Government subsidy: 50% of LTC benefits | ||
Contribution: 50% of LTC benefits | ||
Beneficiaries | All Category 1 after care assessment + those Category 2 who suffer from age-induced illness (exceptional), both after care assessment. | All insured and their family who need long-term care of middle level or above. |
Care assessment | Municipal committee | MDK (Medizinische Dienst der Krankenversicherung) |
Care management | since April 2000 | since July 2008 |
Insurance benefits | Benefit in kind only. | Benefit in kind or in cash or in combination. |
Home care services: | Home care services: | |
Frail 1 - 2 | Level 1 - 5 (since 2017) | |
Level 1 - 5 | ||
Facility-based services: | Facility-based services: | |
Skilled nursing facilities | Level 1 - 5 (since 2017) | |
Health service facilities for the elderly | ||
Skilled nursing wings of geriatric hospitals | ||
Expenditure | 1.8% of GDP in 2015 | 0.9% of GDP in 2015 |
Responsible authority | Municipality | Provincial Government |