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Total
population
123.61 million
100
age
70
90
Over 75
5.97 million (5%)
65-74
8.92 million (7%)
80
70
60
60
50
50
40
20-64
75.90 million (61%)
20
20
0
Population of 65Population of 20
1
5.1
Total
population
120.66 million
100
10
0
2060
age
60
90
Over 75
21.79 million
(18%)
6574
14.79 million
(12%)
50
20-64
65.59 million (54%)
74.97million
30
(59%)
Generation Y
(born between
20
1971 and 1974)
1
2.6
80
70
Over 75
23.36 million (27%)
6574
11.28 million (13%)
60
50
40
19 and below
22.87 million
(18%)
Total
population
86.74 million
100
90
Over 75
Baby boomers
14.07 million
(born between 80
(11%)
1947 and 1949)
6574
70
15.17 million
(12%)
20-64
30
19 and below
32.49 million
(26%)
age
40
30
10
Total
population
128.06 million
100
90
80
2025
2010 (actual)
20-64
41.05 million
(47%)
40
30
20
19 and below
18.49 million (15%)
10
0
10
19 and below
11.04 million (13%)
0
0
1
1.8
1
1.2
64
Source: Population Census and Population Estimates published by the Ministry of Internal Affairs and Communications and Population Projections for Japan (January 2012):
2
Medium-fertility/medium-mortality assumptions (based on the population as of October 1 each year) published by the National Institute of Population and Social Security Research
30,000
25,000
15,940
20,000
15,000
4,930
2,350
10,000
1,080
5,000
0
9,680
790
490
5,090
7,290
11,480 12,380
10,400
9,030
without
Support for independence: The idea of Long-Term Care Insurance System is to support
the independence of elderly people, rather than simply providing
personal care.
User oriented: A system in which users can receive integrated services of health,
medicine, and welfare from diverse agents based on their own choice.
Social insurance system: Adoption of a social insurance system where the relation
between benefits and burdens is clear.
Municipalities (Insurer)
Municipalities
Prefectures
12.5%
Tax
State
12.5%(*)
50%
25%(*)
Premiums
22%
50%
28%
Application
In-home services
Home-visit care
Outpatient Day Long-Term Care, etc.
Community-based services
Home-Visits at Night for Long-Term
Care
- Communal Daily Long-Term Care for
Dementia Patients, etc.
Facility Services
- Welfare facilities for the elderly
- Health facilities for the elderly, etc.
Determined based on
the population ratio
(JFY2015-2017)
Fiscal Stability
Funds
Premiums
National pool of
money
Individual
municipality
Withheld from
pensions, in principle
Certification of Needed
Long-Term Care
Insured persons
Note: The figure for Primary Insured Persons is from the Report on Long-Term Care Insurance Operation (provisional) (April, 2009), Ministry of Health, Labour and Welfare and that for
Secondary Insured Person is the monthly average for JFY2008, calculated from medical insurers reports used by the Social Insurance Medical Fee Payment Fund in order to
determine the amount of long-term care expenses. Burden ratio for persons with income above certain level is 20:80, after Aug 2015.
Day Services
Outpatient Day Long-Term Care, Outpatient
Rehabilitation, etc.
Short-stay Services
Short-Term Admission for Daily Life Long-Term
Care, etc.
Residential Services
Daily Life Long-Term Care Admitted to a Specified
Facility and People with Dementia etc.
In-facility Services
Long-term
Care Facility
Facility Covered by Public Aid Providing LongTerm Care to the Elderly, Long-Term Care Health
Facility, etc.
7
Long-term care
Commuting to medical
facilities/care facilities
Community-based
integrated care
support center/
care manager
Provides consultation
and coordinating
services
Home-visit care
Nursing care
Housing
Living support
Prevention
8