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About us

Philosophy

Address

〒420-0845
NakanoBuilding a fourth floor,12-6 Oota-machi,Aoi-ku,Shizuoka-shi,Shizuoka-ken

Business hours

Monday to Friday(Excluding national holidays and year-end and New Year holidays)
8:30AM to 17:30PM

Insurance contents

Private nursing

• Out of the home (example for when you go to the restaurant to eat sushi. you want to attend a wedding ceremony.)
• Visiting a medical institution(We assist your understanding of medical explanations from Dr)
• Following travel or amusement spot
• Aromatherapy

long-term care insurance

Details of User contributions and service fees

If you have any questions or required more detailed information about the following items, contact the Station or your home nursing manager.

Table 4:User contribution and service fee by duration (per visit)

Service Fee, etc.	Less than 20 minutes	Less than 30 minutes	30–59 minutes	60-89 minutes
User contribution	Amount according to User contribution rate
Service fee	¥3,130	¥4,700	¥8,210	¥11,250

• Note 1: These amounts are for nurses or public health nurses. Amounts for assistant nurses are as described in Note 4.
• Note 2: Method for calculating the User contribution: Service fee – Service fee × User contribution rate (90/100, 80/100 or 70/100)
• Note 3: Method for calculating the service fee: Service fee is calculated by multiplying the prescribed number of units by the price per unit (\10), in accordance with the provisions specified by the Minister of Health, Labour and Welfare. When calculating the number of units, any fractions are rounded to the nearest whole unit, and when converting into monetary amounts, any fractions are rounded down to the nearest one yen.
• Note 4: In cases where home nursing is provided by an assistant nurse, calculations are made using a number of units equivalent to 90/100 of the prescribed number of units.
• Note 5: In cases where home nursing is provided to a User who resides in a building located on the same or adjacent premises as the Station, or in the same building as the Station (hereinafter referred to as a “building on the same premises, etc.” in this Note) (excluding Users who reside in a building where at least 50 monthly Users of the Station reside in buildings on the same premises, etc.), or to a User who resides in the same building where at least 20 monthly Users of the Station reside, the number of units is calculated equivalent to 90/100 of the prescribed number of units per visit. In cases where home nursing is provided to a User who resides in a building where at least 50 monthly Users of the Station reside in buildings on the same premises, etc. the number of units is calculated equivalent to 85/100 of the prescribed number of units per visit.
• Note 6: “Duration” is not the actual time spent for home nursing, but the standard time needed to provide the home nursing as detailed in the Home Nursing Plan.
• Note 7: Home nursing of less than 20 minutes is calculated in cases where the In-Home Services Plan or the Home Nursing Plan includes at least one home nursing visit per week by a nurse or public health nurse of at least 20 minutes.
• Note 8: The service fee amount is the amount after supplementing for enhancing service provision systems (supplement of 6 units per visit) (see 2. (6) (i) above [p. ○]).

Table 5: User contribution and service fee (per visit) where visit is by a physiotherapist, etc

Service Fee, etc.	2 or fewer visits per day	More than 2 visits per day
User contribution	Amount according to User contribution rate
Service fee	¥2,930	¥2,637

• Note 1: This is the Service Fee, etc. in cases where home nursing is provided by a physiotherapist, occupational therapist, or speech therapist.
• Home nursing by people in these occupations is conducted for at least 20 minutes per visit.
• Note 2: Calculations in Notes 2, 3 and 5–7 of Table 4 also apply in this case.

Table 6: Supplement where home nursing is provided in the early morning, night, or late night (per visit)

Service Fee, etc.	Early morning (6:00–8:00)	Night (18:00–22:00)	Late night (22:00–6:00)
Supplemental User contribution	Additional 25% to each User contribution listed in Tables 4	Additional 25% to each User contribution listed in Tables 4 and 5	Additional 50% to each User contribution listed in Tables 4 and 5
Supplemental Service fee	Additional 25% to each service fee listed in Tables 4 and 5	Additional 25% to each service fee listed in Tables 4 and 5	Additional 50% to each service fee listed in Tables 4 and 5

• Note 1: Method for calculating the supplemental User contribution: Supplemental service fee – Supplemental service fee × 10/100
• However, if the insurance benefit rate is not 90/100, that rate is used in the calculation.
• Note 2: Method for calculating the supplemental service fee: Supplemental service fee is calculated by adding the basic number of units to the number of units obtained by multiplying the basic number of units by the supplemental ratio and multiplying this sum by the price per unit (\10). When calculating the number of units, any fractions are rounded to the nearest whole unit, and when converting into monetary amounts, any fractions are rounded down to the nearest one yen.
• Note 3: The supplement is added if the home nursing service starts during the time period subject to the supplement.
• Note 4: See Note 3 of Table 9 regarding the relationship with emergency visits.

Table 7: Supplement where home nursing is provided by more than one person (per visit)

Service Fee, etc.	Less than 30 minutes	30 minutes or longer
Supplemental User contribution	Amount according to User contribution rate
(I)Supplemental Service fee	¥2,540	¥4,020
(II)Supplemental Service fee	¥2,010	¥3,170

• Note 1: With the consent of the User or their Family Members, etc., home nursing by more than one person is provided in cases where: (a) it is recognized that home nursing by one person would be difficult due to physical reasons with respect to the User; (b) acts of violence, significantly disruptive behavior, or acts of property damage, etc. are recognized; or (c) there is another situation recognized as equivalent to (a) or (b) judging from the circumstances, etc. of the User.
• Note 2: (I) indicates the service fees in cases where more than one public health nurse, nurse, assistant nurse, physiotherapist, occupational therapist, or speech therapist provides home nursing to the same User at the same time.
• Note 3: (II) indicates the service fees in cases where a nurse or other person listed in the previous note provides home nursing to the same User at the same time as a nurse aide (someone other than a nurse or other person listed in the previous note).

Table 8: Supplement where extended home nursing is provided (per visit)

Service Fee, etc.	Cases where, after home nursing of 60-89 minutes in duration has been provided, home nursing continues to be provided to a User requiring special management with respect to home nursing, and the total duration of the whole home nursing is 90 minutes or longer
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥3,000

Note: A “User requiring special management with respect to home nursing” is a person in any of the following situations.

• (a) The person is receiving at-home guided management for malignancy patients or at-home guided management for tracheotomy patients or is using a tracheal cannula or an indwelling catheter.
• (b) The person is receiving at-home guided management for self-peritoneal dialysis, at-home guided management for hemodialysis, at-home guided management for oxygen treatment, at-home guided management for intravenous hyperalimentation, at-home guided management for elemental diet tube feeding, at-home guided management for self-catheterization, at-home guided management for continuous positive airway pressure, at-home guided management for the self-management of pain, or at-home guided management for pulmonary hypertension patients.
• (c) The person has an artificial anus or artificial bladder.
• (d) The person has bedsores deeper than the dermis.
• (e) The person is recognized as needing an intravenous drip at least three days per week.

Table 9: Supplement for emergency home nursing (per month)

Service Fee, etc.	Cases where, with the consent of the User, systems are in place ensuring 24-hour communication for the User and their Family Members, etc., and where systems are in place to make emergency visits as required which are not part of a scheduled visit
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥5,740

• Note 1: For information on establishing a system related to the supplement for emergency home nursing, see 2. (6) (ii) above [p. ○].
• Note 2: Depending on the situation, the Provider may respond by phone or may make an emergency visit, etc. as described in the following note. Such emergency visits are not always conducted.
• Note 3: In the event an “emergency visit that is not part of a scheduled visit” is actually conducted, the Service Fee, etc. is calculated based on the prescribed number of units for that emergency visit (the Service Fee, etc. listed in Table 4 or 5; however if the visit is “less than 20 minutes,” calculations are made using “less than 30 minutes”; if the emergency visit is conducted by an assistant nurse, calculations are made using 90/100 of the prescribed number of units). In this case, supplements for home nursing provided in the early morning, night or late night are not assessed (see Table 6). However, regarding second and subsequent emergency visits made within one month for a User with a condition for which the supplement for special management in the following table is assessed, supplements for home nursing provided in the early morning, night or late night are assessed.

Table 10: Supplement for special management (per month)

Service Fee, etc.	Cases where the Station has systematically managed the provision of home nursing for a User requiring special management with respect to home nursing
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	Supplement for special management (I) ¥5,000 Supplement for special management (II) ¥2,500

• Note 1: The supplement for special management (I) is a supplement assessed where the provision of home nursing has been systematically managed for a User with a condition listed in Note (a) of Table 8 above.
• Note 2: The supplement for special management (II) is a supplement assessed where the provision of home nursing has been systematically managed for a User with a condition listed in Note (b), (c), (d) or (e) of Table 8 above (for information on this and the previous note, see 2. (6) (iii) above [p. ○]).

Table 11: Supplement for terminal care (month of death)

Service Fee, etc.	Cases where a User who dies at home was provided terminal care by the Station for at least two days on the day of death or within 14 days prior to the day of death (or for at least one day in cases where home nursing was provided to the said User on the day of death or within 14 days prior to the day of death) (including cases where the User died outside their home within 24 hours of being provided terminal care).
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥20,000

Note 1: “The said User” is limited to a User with a terminal malignancy or any of the following conditions:

• (a) Multiple sclerosis , myasthenia gravis, SMON, amyotrophic lateral sclerosis, spinocerebellar degeneration, Huntington’s disease, progressive muscular dystrophy, Parkinson’s disease-related disorders (meaning progressive supranuclear palsy, corticobasal degeneration and Parkinson’s disease (limited to patients at stage 3 or higher on the Hoehn and Yahr severity scale and stage 2 or 3 on the scale of functional disability in activities of daily living)), multiple system atrophy (meaning striatonigral degeneration, olivopontocerebellar atrophy, and the Shy-Drager syndrome) , prion disease, subacute sclerosing panencephalitis, lysosomal storage disease, adrenoleukodystrophy, spinal muscular atrophy, bulbospinal muscular atrophy, chronic inflammatory demyelinating polyneuropathy, acquired immunodeficiency syndrome, cervical spine injury, and conditions requiring use of a respirator
• (b) Acute exacerbation or other conditions recognized by the said User’s attending physician as requiring frequent home nursing in the short term

Note 2: For information on establishing a system related to the supplement for terminal care, see 2. (6) (iv) above [p. ○].

Table 12: Initial supplement (one month)

Service Fee, etc.	Cases where the Station provides home nursing to a User, for whom a new Home Nursing Plan has been prepared, for the first time or in the month containing the date on which the initial home nursing was provided
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥3,000

Note: The initial supplement is a supplement assessed where the User has not been provided home nursing (including home nursing services provided under medical insurance) from the Station during the past two months, and for whom a new Home Nursing Plan has been prepared.

Table 13: Supplement for joint guidance at discharge (in principle, once per discharge)

Service Fee, etc.	Cases where a nurse, etc. (excluding an assistant nurse) at a Station provides joint guidance at discharge at the time of discharge for a User currently admitted to a hospital, clinic, healthcare facility for the elderly requiring long-term care or integrated facility for medical and long-term care, and later visits that User for the first time after being discharged
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥6,000

• Note 1: “Joint guidance at discharge” refers to an attending physician together with other practitioners at a hospital, clinic, healthcare facility for the elderly requiring long-term care or integrated facility for medical and long-term care jointly giving a User, or the person in charge of nursing that User, necessary guidance for their treatment at home, and providing that guidance in writing.
• Note 2: Although the supplement is assessed at each discharge, for Users who require special management (that is, Users with a condition specified by the Minister of Health, Labour and Welfare; see the Note in Table 8 above), if joint guidance at discharge is provided on multiple days, the supplement is added only twice.
• Note 3: When calculating the initial supplement of Table 12 above, the supplement for joint guidance at discharge is not assessed.

Table 14: Supplement for enhancing cooperation between nursing personnel and long-term care personnel (once per month)

Service Fee, etc.	Cases where, in cooperation with a home-visit nursing care provider that is registered under the provisions of the Certified Social Worker and Certified Care Worker Act, a Station provides support to facilitate a home carer, etc. from the home-visit nursing care provider in carrying out activities for the User which are specified by Order of the Ministry of Health, Labor and Welfare, such as the suction of phlegm from inside the mouth, under the direction of a physician
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥2,500

Table 15: Supplement for enhancing nursing systems (II)

Service Fee, etc.	Cases where a Station that has notified the prefectural governor that it conforms to standards specified by the Minister of Health, Labour and Welfare has enhanced systems for providing home nursing to Users with high medical needs
Supplemental User contribution	Amount according to User contribution rate
Supplemental Service fee	¥5,500per month

Note: “Standards specified by the Minister of Health, Labour and Welfare” means that it conforms with all of the following standards:

• (i) During the six months prior to the month in which the calculation date occurs, the percentage of all Users at the Station for whom the supplement for emergency home nursing (Table 9) was calculated was at least 50%.
• (ii) During the six months prior to the month in which the calculation date occurs, the percentage of all Users at the Station for whom the supplement for special management (Table 10) was calculated was at least 30%.
• (iii) During the 12 months prior to the month in which the calculation date occurs, there was at least five User at the Station for whom the supplement for terminal care (Table 11) was calculated.

The User is required to pay for the month of home nursing by the last day of the following month by way of account transfer from the financial institution designated by the User.
Service Fees, etc. for periods of less than one month are calculated based on the number of days used.

medical Insurance

According to your income from 1% to 3% burden.

Private nursing

This service is full self-pay. There are reservation required 1 month ago at least.
There are 25% more day off.