This year's insurance premiums for the "Medical Care System for the Elderly" for people aged 75 and over will be the national average. This is due to system reforms to reduce the increased burden on the working generation due to the growth in medical costs.

Tokyo has the highest premium at 9,180 yen, followed by Kanagawa Prefecture at 8,803 yen. The cheapest prefecture is Akita at 4,397 yen,. The national average is expected to increase by 110 yen to 7,192 yen next fiscal year.