The highest reimbursement is 2384 yuan per month!The long protection risk officially landed on Ruian's insured objects, how to apply ...

Author:Ruian Rong Media Center Time:2022.07.13

"My son was paralyzed in bed for more than ten years. I usually take care of my nanny. The monthly babysitter fee costs at least 4,500 yuan. Save money again! "Recently, the 78 -year -old Bai Grando heard that Ruian issued a long -term care insurance policy and immediately came to the Yuhai Care Station of Ruian Pojia Health Pension Service Co., Ltd. to consult with the help of the staff. Application for disability evaluation.

On the morning of July 12, the press conference of Ruian City Long -term Nursing Insurance (hereinafter referred to as the "Changbang") was held in Anyang Building, which represents the formal landing in our city, so that more disabled elderly people can achieve the old protection for the elderly protection. , Help more families reduce the burden.

At the scene, Xu Dingheng, the relevant person in charge of the Municipal Medical Security Bureau, introduced the basic situation and treatment standards of our mayor's protection, and the underwriting company explained the process and evaluation method. This year, the city's more than 450,000 employees' medical insurance insured participated in the insurance. According to the management model of "government -led, market mechanism, purchase service, and social supervision", the Municipal Medical Insurance Bureau entrusted the Chinese People's Property Insurance Co., Ltd. Ruian Branch to host 2022 2022 Management services for annual long -term protection.

Ruian Hongjingtian Elderly Apartment caregiver care for the elderly

It is reported that the long -term care insurance system refers to raising funds based on social mutual assistance and a good luck, and providing funds or service guarantee for long -term disabled personnel to provide funds or service guarantee for medical care services that are closely related to basic life. In 2019, the pilot work of the long -term protection insurance was launched in Wenzhou City. In 2022, the pilot scope was expanded from the medical insurance of employees in the urban area to the medical insurance of employees in the city. The city actively responded to the deployment of Wenzhou's long -term care insurance system throughout the city, and set up special classes for the first time to implement the work of long protection. At present, there are 4 units that are included in the designated agreement management of long nursing care service agencies in our city, including 3 nursing stations and 1 pension institutions, namely Ruian Baijia Health Pension Service Co., Ltd. Yuhai Care Station, Ruian Fushou Kanggu Station, Ruian Chenxi Health Pension Service Co., Ltd. Jinhu Nursing Station and Ruian Hongjingtian Elderly Apartment.

Mr. Chen's father is a disabled old man who has been staying at the Red Jingtian Elderly Apartment in Ruian City for 5 years. He needs to pay 56,000 yuan a month. Two thousand yuan, he became the first group to declare the guards. "This policy is the most direct way to warm the heart of disabled elderly people, and it is also the most direct way to help families with disabled elderly people to reduce the burden."

In the context of accelerating population, the importance of meeting the needs of pension services is self -evident. Against such a background, the long -standing danger of "wrapping warmth" came into being. "Long protection is an important measure to solve the problem of long -term care services of disabled personnel. It is an important deployment made by our city to respond to the aging of the population and improve the medical security system. Social difficulties in protecting 'have to effectively improve the sense of gain and happiness of the masses. "Xu Dingheng said.

Who can declare? How much premiums need to be paid? ...… The reporters will sort out the issues that the people care about at the press conference as follows.

Q: Who is the person who participates in the insurance insurance? What is the funding standard?

Answer: The insured object of the long -term protection is the on -staff and retirees who have participated in the medical insurance of the municipal employees. The fundraising standards are raised according to the natural annual year. The annual premiums are temporarily raised at 100 yuan per person, and individuals and employers bear 50 yuan respectively. The employment as the same payment standard as the retirement personnel is implemented; the flexible employees participating in the employee's medical insurance shall be implemented with reference to the employee. Among them, the unit's payment section is transferred from the employee's medical insurance premiums they paid without increasing the burden on the employer; the personal payment part can be deducted from the employee's medical insurance personal account; Payment of personal accounts of employees who use family members or one -time payment by me; retirees shall be paid by themselves by year or choose to be deducted by the endowment insurance (withdrawal deposit).

Question: What is the scope and protection object of long protection?

Answer: Anyone's basic medical insurance participants (including retirees) in our city, due to diseases and disability, have been treated at no less than 6 months or are old -age. You can apply for long -term protection disability assessment.

Q: How to apply for the treatment of disabled personnel?

Answer: The application for disability level evaluation shall be proposed by the legal guardian or close relatives of the insured person. The above -mentioned personnel can bring the application materials to the Ruian Branch Company (Ruian Wan Songdong Road, Ruian Wan Songdong Road) from the People's Property and Insurance Co., Ltd. on July 1. After the applicant accepts the on -site evaluation and passes the review, if it is evaluated as a severe disabled person, he can enjoy long -term protection.

Q: What information is needed for treatment application?

Answer: It should be truthfully fill in the "Application Form for Long -term Nursing Insurance Insurance Insurance in Wenzhou City" and submit the following materials:

(1) Original and photocopy of the applicant's ID card shall provide the original and photocopy of the agent's ID card by the agent.

(2) Applicants who have disabled due to diseases and disability need to provide the original or photocopy of the medical records, medical diagnosis, and medical examination inspection reports.

Q: What are the specific care methods?

Answer: The long -term care benefits mainly guarantee the basic life care and necessary medical care for severe disabled personnel to provide nursing services. Nursing methods include nursing of pension institutions, medical institutions nursing, on -site care for institutions, and family affection. (1) Nursing of the elderly institution refers to the nursing homes, community pension centers and other types of pension service institutions in the nursing institutions of the protection agency of the protection object of the elderly, and accept the medical care services that are closely related to the basic life care and closely related to the basic life.

(2) Medical institutions Nursing refers to long -term coma, irreversible general paralysis due to various reasons, and long -term support for treatment. Medical institutions that take care of long -term care services to nursing beds, nursing ward or grass -roots medical institutions, nursing institutions, etc. Medical institutions for the protection agreement receive nursing services.

(3) On -site nursing of the organization pointed out that the protection object has no willingness or no conditions to stay in the institutional care, and the agreement nursing institution sent nursing staff to provide basic living care and closely related medical care services.

(4) Family nursing of the home refers to the protection object of the protection object or no condition to accept institutional care. Family members or designated personnel provide home care services.

The cost of nursing service that meets the requirements of the long nursing insurance is included in the payment scope of the long nursing fund. According to the nursing method selected by the insured person, the nursing service providing unit is paid according to different proportions, and the maximum limit is set according to the disabled level. The evaluation of severe disability levels is divided into first, second, and third levels. The maximum monthly limits are calculated at 50%, 40%, and 30%of the treatment base (2022 annual treatment bases of 5960 yuan). Transfer.

Reporter: Zhang Yanyu Xiang Ying Zhang Shaotie

Correspondent: Zhou Ye

Edit: Cai Yi

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