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Advisory Panel Endorses Raising Health Premium Cap for High-Income 75+ to ¥850,000

The ministry aims to shield middle incomes by shifting more costs to wealthier seniors.

Overview

  • Japan’s health ministry presented a draft to lift the late‑stage elderly premium cap from ¥800,000 to ¥850,000 for fiscal 2026–27, and an advisory council subcommittee approved it.
  • The increase targets high‑income seniors, such as those with combined pension and salary of at least ¥11.5 million, affecting about 1.2% of enrollees.
  • Officials say the change is intended to curb sharp burden increases for middle‑income elderly as medical costs rise with population aging.
  • The ministry is also preparing a second straight reduction in the employment insurance rate to about 1.35% in fiscal 2026, with details to be reviewed by the Labor Policy Council.
  • For long‑term care, officials are weighing a broader 20% copay with safeguards that cap monthly increases and keep 10% copays for people below certain asset levels, alongside talks on higher outpatient copays for those 70 and older.