Changchun Medical care insurance: the bottom of the happiness of the disabled group

From "one person's disability, the whole family's imbalance" to "the elderly, it is not protected", benefiting from the in -depth implementation of medical care insurance, in Changchun, the life of more and more disabled persons has occurred "quality" Changes: While enjoying professional nursing, the double burden of family "care economy" and "nursing energy" was achieved.

The 83 -year -old Grandma Shi is one of them. Three years ago, Grandma, who was unable to take care of himself because of illness, lived in a designated service agency in medical care insurance for disabled personnel in Changchun. At the beginning, the elderly were very anxious about worrying that the cost of nursing was too high and the nursing effect was not good. Unexpectedly, under the careful care of the nursing staff, Grandma Shi not only became better and better, but also resumed the language ability due to the degenerate of the disease. What makes her feel at ease is that because of the subsidy for medical care insurance, the original cost of 6,000 yuan per month, individual only needs to bear 3,000 yuan, her own pension is enough. Without economic worries, Grandma Shi not only lived more and more, but also recommended this kind of pension method to relatives and friends around him.

In time, Grandma Shi painted and practiced in the nursing home.

The medical care risk of "sweat and horse contribution" for the happy life of Grandma Shi is a social insurance system for providing basic care and close -up daily care for disabled personnel to provide guarantees. The end of the "Trinity" innovation model is carried out to achieve seamless docking and medical care of the disabled personnel. Simply put, as long as the insured personnel who pass the disabled assessment can obtain basic living care and medical care in accordance with regulations.

As early as May 2015, Changchun City took the lead in launching medical care in the country. In June 2016, Changchun officially entered the country's first batch of medical care cities in the country. Based on the principle of "full coverage, basic, multi -level, and sustainable", in the past seven years, Changchun City has continuously adjusted, improved, and optimized medical care. While the guarantee people include employee medical insurance and residents' medical insurance, they also include all the disabled elderly people under the age of 90 and over 90 years old and the disabled and unable to disable the elderly over 90 years old. Gradually expand to short -term disabled personnel and moderate disabled personnel. In terms of the scope of payment, in order to effectively reduce the economic burden of disabled personnel, at the beginning of the policy implementation, Changchun City will include the prescribed bed fees, care labor costs, nursing equipment fees, and nursing daily necessities. Payment scope.

Nursing staff of medical care institutions patiently lying in bed for the elderly

For changes in medical care insurance to the lives of disabled personnel, the designated service institution of medical care insurance is also empathy during the work process. Many institutions said that when the policy was just introduced, due to the limited knowledge and acceptance of this "new thing", there were only dozens of or even a dozen people received by the designated service agencies every month. Nowadays, with the continuous increase in publicity, especially the word of mouth of the insured, more and more disabled personnel have begun to take the initiative to apply for medical care insurance, and the disabled persons received by designated service agencies have also steadily increased year by year.

With the steady growth of the stayers, the designated service agencies of the disabled care insurance insurance insurance in Changchun have also burst into new development vitality. On the one hand, the increase in the increase in groups has brought about reduced operating costs, and the institution can invest more funds into future development and optimization and upgrade. On the other hand, strict assessment of the medical insurance department and professional training of the system also prompted fixed -point care institutions Constantly make services and management work. As of the end of 2021, the designated service agency of Changchun Medical Care Insurance has increased from the initial 35 to 117, and provided more than 30,000 professional care services. More and more designated service agencies have embarked on the development path of professionalism and branding.

While the fixed -point nursing agencies flourish, at the end of 2021, Changchun City launched a pilot pilot to start medical care insurance with Nanyuan District and Erdao District as a pilot. Among them, life care is 40 yuan/hour, and each person can enjoy the on -site service twice per person; medical care is 50 yuan/hour, and each person can enjoy the on -site service once a week. Urban employee medical insurance reimbursement costs are 80%, and medical insurance for urban and rural residents can be reimbursed by 70%. In other words, the insured employees pay 168 yuan per month and pay 252 yuan for urban and rural residents to enjoy home care services of 12 and 20 hours a month.

Professionals are carrying out home care services

Uncle Leng and his wife who lived in Erdao District, Changchun City are the beneficiaries of this new policy. Uncle Leng is a severe disabled person with a certain cognitive obstacle. Grandma Leng has a heart disease. After applying for home care services, the nursing personnel will provide warm water wiping baths, turning back and sputum, physical exercise, incontinence care and other services for Uncle Leng on demand every week ... Also lighter. According to Grandma Leng's words: "It can be solved by one or two hundred dollars a month, which can solve the big problem of our daily life, which is too worth it."

From the "touching the river" at the beginning of the policy implementation, to the current "improvement and steady progress", the medical care insurance insurance insurance insurance insurance insurance in Changchun City has brought dawn and hope to the families of countless disabled personnel. Become an indispensable warmth in their happy life.

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