Yunnan Kunming: Long -term care insurance supports the family of the disabled person

Source: Kunming Learning Platform

Author: Liao Jingrong

At 9 o'clock every day, the 86 -year -old old man Su Yonggui got up to the sun. The old man was severely disabled, and his lower limbs were almost lost. At least one male caregiver was needed to hold him face to face, and he was careful to move the old man to the chair by the window. As long as the elderly's body allows, the caregiver will do so. As soon as he saw the sun, the old man was very happy.

From the years of home beds and the pension institutions that can afford medical care, Su Huanzhi, Su Yonggui's wife, bluntly said that long -term care insurance (referred to as "long nursing") system that is piloted by Kunming City, Yunnan Province, allows their families to re -"re -" Live "came over and resolved the worries.

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One person's disability and family imbalance is a true portrayal of Su Yonggui's family.

When Su Yonggui was in his 50s, his physical function began to decrease, suffering from hypertension, cerebral atrophy, and cerebral infarction, and he basically entered a severe disorder three years ago. The elderly children were busy, and the heavy responsibility of taking care of him fell on his wife. Three meals a day, personal hygiene, etc., are basically independent of my wife. Over time, the wife's body began to have problems.

The family had thought about sending Su Yonggui to the elderly institution, but the conditions were not assured, and the conditions were good and could not afford the cost. In the second half of 2021, Su Yonggui was coma again and was sent to the Kunming official room rehabilitation hospital. Fortunately, the rescue was timely, and life was not hindrance, but the physical condition became worse.

"There is a long -term protection danger in Kunming. Like your family, you can try to apply ..." With the help of the hospital, Su Yonggui's family submitted a treatment application to the Kunming medical insurance department. Not long after submitting the information, the three reviewers from the mayor of Kunming Mayor's Resorting Expert Library came to the hospital and evaluated the physical condition of the elderly in accordance with the disabled standards. After identification, the elderly were rated as a secondary disability.

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In January 2022, Su Yonggui successfully enjoyed long -term care benefits and lived in the medical care area of ​​the Kunming official house rehabilitation hospital. According to Lu Huanzhi, the cost of care for his wife per month is 5950 yuan, long nursing insurance can bear 2340 yuan for him, and their family only needs to pay 3610 yuan per month.

Kunming's official house rehabilitation hospital is equipped with doctors, nurses and nurses, and provides 45 professional pension care services to the elderly every day. After more than half a year of conditioning, Su Yonggui's consciousness resumed significantly, and the situation of coma was significantly reduced.

Full coverage

Since 2021, the pilot work of the long protection insurance has been officially launched in Kunming. Insured people can choose three treatment methods: care for medical care, nursing of pension institutions, and home care. The selected care methods are different, and the benefits of enjoyment are also different.

With the in -depth development of the pilot work, the number of elderly people who choose the medical and nursing institutions gradually increased, but about 80 % of the disabled elderly people choose home care.

He Yu, a nursing staff of Yunnan Yonghong Pension Service Co., Ltd., goes to the 4 or three kilometers apart every day. At 10:30, He Yu came to the house of Wang's family in a hospital in a hospital in Kunming. The old man is 92 years old. In July 2021, he was evaluated by the disabled grade and was rated as a three -level severe disability. After choosing home care, he can enjoy a long -term care benefits of 1760 yuan per month.

On the premise of ensuring the prevention and control measures of the epidemic, He Yu skillfully helped the elderly to the chair, gently held up the old man's legs, and began massage massage, cut nails, scrubbing, etc. Two hours each time, 4 times a week, a total of 32 hours of service time per month.

At present, all counties (cities and districts) in Kunming have achieved full coverage of designated service agencies. There are 57 in total, providing about 2,300 nursing service positions, which effectively drives the development of Kunming's urban pension care industry and promotes employment.

Provincial insurance employees are expected to be included in the scope of guarantee

According to the relevant person in charge of the Kunming Medical Security Bureau, in accordance with the guidance of the national pilot, Kunming City focuses on the long -term nursing protection of severe disabled personnel, combined with the actual situation, starting from the basic medical insurance insured in urban employees, establishing a multi -channel funding mechanism, reasonable reasonable, reasonable Determine the treatment guarantee standards, formulate and distribute supporting policy documents, and build a long -term nursing insurance system.

A few days ago, the Yunnan Provincial Medical Security Bureau affirmed the achievements of the pilot work of the mayor of Kunming. It was believed that Kunming made full play to the role of the provincial capital in the pilot. The template for reference, and clearly planned the provincial -level insured employees into the scope of the long -term protection insurance guarantee of the Kunming area in accordance with the principles of "same cities" in the medical security.

In the next step, Kunming City will explore and introduce an independent professional disorder evaluation team in the pilot work of long -term protection to ensure that the evaluation work is fair, fair, long -term, and stable. Institutions have started benign competition. On the basis of ensuring the security and long -term stable operation of the fund, Kunming City will establish a payment system according to the basic principles of service payment, quality priority, and promoting the industry to achieve comprehensive supervision of the long -term protection fund. The actual action supports the family of severe disabled elderly people.

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