Kaifeng severe disability participants can enjoy long -term care insurance

(Reporter Chang Juan Zhang Zhiping) After incorporating the medical insurance of urban employees into the pilot scope of long -term care insurance, this year Kaifeng also incorporated personnel who participated in the basic medical insurance of urban and rural residents in the city's administrative area into the scope of long -term care insurance insurance for urban and rural residents. In order to solve the demand for basic nursing protection for severe disabled personnel, it has also accumulated valuable experience for the construction of a long -term nursing service system in Henan. This is the information obtained from the Henan Provincial Medical Security Bureau on June 21.

A few days ago, the Kaifeng Municipal Government issued a special notice of Kaifeng City on the coverage of urban and rural residents into the coverage of long -term care insurance systems. " According to the spirit of the document, the long -term care insurance funding funding for urban and rural residents follows the principles of co -sharing funds, finances, and individuals, and raised in accordance with the standard of 40 yuan/person/year. Among them, urban and rural residents' basic medical insurance coordinated funds transferred 20 yuan/person/year; fiscal subsidies were 10 yuan/person/year, and funds were arranged by financial arrangements at the same level; personal payment was 10 yuan/person/year, and basically basically paid urban and rural residents. Medical insurance premiums are time -consuming. Special difficult group funds such as special difficulties such as special difficulties will be established separately. According to economic and social development and fund operation, the medical security department and the financial department dynamically adjust the fund raising methods, fundraising standards and treatment levels.

After the medical institution or rehabilitation institution regulates diagnosis and treatment, severe disabled persons who have a disabled state for more than 6 months can enjoy long -term care insurance benefits for urban and rural residents in accordance with regulations. The cost of nursing expenses that occur during the treatment period shall be paid by the fund according to the fund, and the excess of the limit shall be borne by the insured person. The specific standards are: the monthly payment limit of the institutional nursing fund is 1,300 yuan/person; It is 1300 yuan/person; the monthly payment limit of the home independent nursing fund is 540 yuan/person, of which the monthly limit of the insured person is 270 yuan/person, and the monthly limit for the payment care service agency is 270 yuan/person.

According to the staff of the Kaifeng Medical Insurance Bureau, at present, the city is vigorously promoting the informatization construction of long -term care insurance for urban and rural residents. At this stage, the city's long -term nursing insurance system mainly implements the basic living care of the disabled personnel and medical care services that are closely related to the basic life. There are 43 items, which are mainly divided into: 32 basic living care service projects (including 32 (including the basic living care service items (including 32 (including Ten items of medical care service items (including phlegm, injection, enema, subcutaneous injection, intravenous blood collection, blood sugar detection, pressure ulcers wound medicine, etc.), and service facility projects), and service facility projects), and service facility project (Nursing bed), of which medical care service projects must be completed by the practice nurse in accordance with the doctor's advice.

As the only national pilot city in Henan Province's only national long -term care insurance system, from January 2021, Kaifeng will include 540,000 citizens (excluding insurance officers) participating in the basic medical insurance for urban employees. 5,151 people enjoy long -term care insurance benefits, and the benefits were 18.57 million yuan, which effectively reduced the pressure of long -term nursing life and economic burden on the family of disabled personnel.

At the same time, the implementation of long -term care insurance has played a significant role in employment of nursing services. According to the above -mentioned staff of the Kaifeng Medical Insurance Bureau, at present, Kaifeng City has been included in a total of 52 parental security designated nursing institutions, which enriched and enhanced the city's nursing market service supply capacity. Among them, 26 are newly opened institutions, which have attracted more than 40 million yuan in social investment; they have also developed the development of the upstream and downstream of nursing services such as nursing training and aging transformation. According to statistics, more than 600 new jobs have been added due to the piloting of long nursing pilots; more than 40 people managers who have returned to Kaifeng entrepreneurial institutions from domestic large and medium -sized cities, and more than 90 nursing staff, effectively promoted entrepreneurial employment.

Link: What is long -term care insurance?

It refers to a social insurance system that provides services or fund guarantee for the basic life care of long -term disabled personnel and closely related medical care.

Why carry out long -term care insurance pilots?

Answer: The pilot of long -term nursing insurance is an important institutional arrangement for the national health care system, and it is a measure to actively respond to the aging of the population. Establishing a long -term nursing insurance system is conducive to protecting the basic living rights and interests of severe disabled persons, improving the quality of survival of the elderly in the disabled, reducing the dual burden on the economy and spiritual spirit of family care, promoting traditional Chinese culture and virtue, and promoting social harmony.

In June 2016, the General Office of the Ministry of Human Resources and Social Security issued the "Guiding Opinions on Carrying out the Pilot of the Long -term Nursing Insurance System", and the first special policy for the development of long -term nursing insurance at the national level. Subsequently, my country's long -term escort has gone through the development process of initial exploration, expansion of pilots and standardized standards, and achieved a general change in universal to selective changes. Pilot cities are also expanding. The first batch of 15 pilot cities, the second batch of 34 pilot cities.

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