Payment standards are released, and it will be implemented from July 1st

Xiaobu was released before

The expansion of Chengdu's long -term nursing insurance insurance scope

Many citizens in the background are asking:

What are the long -term nursing insurance payment standards?

The answer is here!

According to the official website of the Chengdu Medical Security Bureau, the "Notice of the Chengdu Medical Security Bureau Chengdu Finance Bureau on the relevant matters related to the long -term care insurance payment standards of urban employees" " The notice of related matters has been released, and the payment standard for long -term care insurance for nursing insurance in Chengdu has been released.

Let's take a look at the specific payment standards

Long -term care insurance payment standard for urban employees

Scope

The disable evaluation reaches the second level of the moderate disability, the moderate disability level, and the first level of severe disability, the secondary level of the severe disability, and the severe disability level (referred to as the insured person). Long -term care insurance related benefits.

Home Nursing Treatment Standard

1. Basic care service

Scope of basic nursing service.

If the insured person chooses home care, it can provide basic care services (Annex 1) by the designated home care service personnel (Annex 1).

2. Basic care service treatment.

● If the insured person chooses home care, the basic care service treatment is based on the monthly nursing benchmark fee corresponding to the disabled level. According to a 75%ratio, the fixed payment is implemented by the long -term care insurance fund. 288 yuan/month/person, moderate 3 level 3 level 574 yuan/month/person, severe disability first level 862 yuan/month/person, severe disabled 2,150 yuan/month/person, severe disable 3 Grade 1437 yuan/month/person.

● The home care service personnel designated by the insured person through standardized training, the basic care service treatment is: moderate disabled 260 yuan/month/person, moderate disabled three -level 718 yuan/month/person, severe loss of severe loss, severe loss of severe loss, severe loss of severe loss, and severe loss of severe loss. It can be 1,077 yuan/month/person, severe disabled second -level 1437 yuan/month/person, and severe disabled three levels 1796 yuan/month/person.

2. Professional nursing service

1. Professional nursing service scope.

If the insured person chooses home care, on the basis of enjoying basic care services, you can voluntarily choose to provide professional nursing services (Annex 2) from the home -on -site designated nursing institutions (Annex 2).

2. Professional nursing service treatment.

● If the insured person chooses home care, the professional nursing service treatment depends on the disabled level, and the long -term nursing insurance fund is paid by the long -term care insurance fund. No more than 4 times/month/person, severe disabled level no more than 5 times/person, severe disabled secondary level no more than 8 times/month/person, severe disabled three -level level does not exceed 10 times /Month/person.

● Professional nursing services provided by the on -site designated nursing institutions at home, and the payment is implemented. The length of each service shall not be less than 1 hour, and the billing standard is 100 yuan/time.

● The home care service personnel provided by fixed -point nursing institutions and designated training institutions at home are standardized training services, which are included in the scope of home on -site service projects. 120 yuan/time in urban areas (except for eastern Chengdu), 150 yuan/time in the suburbs (cities) counties (including Eastern Chengdu).

Standards for treatment of fixed -point care institutions

Participants who choose to stay in the city's designated nursing institutions shall enjoy relevant service costs such as basic care, professional care, etc. The long -term care insurance funds will pay the fixed payment according to the disability level. The specific treatment standards are: moderate disability 2nd level 660 Yuan/month/person, moderate disabled three levels 1118 yuan/month/person, severe disabled level 1,577 yuan/month/person, severe disabled 2237 yuan/month/person, severe disabled three levels 2796 yuan 2796 yuan /Month/person.

Dynamic Adjustment

The Municipal Medical Insurance Bureau will adjust the payment standards and service items in a timely manner in accordance with factors such as the city's economic and social development level, long -term nursing insurance fund operations, and growth rate of nursing costs.

Implementation time

This notice will be implemented from July 1, 2022, and will be valid until December 31, 2026. The specific issues during the implementation process are explained by the Municipal Medical Insurance Bureau. If the relevant regulations are inconsistent with this notice before, this notice shall prevail.

Long -term care insurance payment standard for urban and rural residents

Scope

The disable evaluation reaches the second level of the moderate disability, the moderate disability level, and the first level of severe disability, the secondary level of the severe disability, and the severe disability level (referred to as the insured person). Long -term care insurance related benefits.

Home Nursing Treatment Standard

1. Basic care service

1. Scope of basic care services.

If the insured person chooses home care, it can provide basic care services (Annex 1) by the designated home care service personnel (Annex 1).

2. Basic care service treatment.

● If the insured person chooses home care, the basic care service treatment is based on the monthly nursing benchmark cost corresponding to the disabled level. According to the ratio of 60%, the fixed payment is implemented by long -term care insurance funds. Tier 2 145 yuan/month/person, moderate disabled 3rd level 289 yuan/month/person, severe disability first level 434 yuan/month/person, severe disability 2nd level 578 yuan/month/person, severe disability three Grade 722 yuan/month/person.

● The home care service personnel designated by the insured person through standardized training, the basic care service treatment is: moderate disability 2nd level 181 yuan/month/person, moderate disabled 361 yuan/month/person, severe loss of severe loss, severe loss Energy of 542 yuan/month/person, severe disability 2nd level 722 yuan/month/person, severe disabled three levels 903 yuan/month/person. 2. Professional nursing service

1. Professional nursing service scope.

If the insured person chooses home care, on the basis of enjoying basic care services, you can voluntarily choose to provide professional nursing services (Annex 2) from the home -on -site designated nursing institutions (Annex 2).

2. Professional nursing service treatment.

● If the insured person chooses home care, the professional nursing service treatment depends on the disabled level, and the long -term care insurance fund is paid by the limited amount. The specific treatment standard is: the moderate disability does not exceed 1/month/person. More than 2 times/month/person.

● Professional nursing services provided by the home -on -site designated nursing institutions, and implementation fees. Each service time is not less than 1 hour. City) County (including Chengdu New District) 120 yuan/time.

● The home care service personnel provided by fixed -point nursing institutions and designated training institutions at home are standardized training services, which are included in the scope of home on -site service projects. 120 yuan/time in urban areas (except for eastern Chengdu), 150 yuan/time in the suburbs (cities) counties (including Eastern Chengdu).

Standards for treatment of fixed -point care institutions

Participants who choose to stay in the city's designated nursing institutions shall enjoy the basic care and professional care costs that they should enjoy. Long -term care insurance funds will pay the fixed payment according to the disabled level. The specific treatment standards are: moderate disability 281 281 281 281 Yuan/month/person, moderate disability 3rd level 461 yuan/month/person, severe disabled level 742 yuan/month/person, severe disabled 222 yuan/month/person, severe disabled three levels 1103 yuan 1103 yuan /Month/person.

Dynamic Adjustment

The Municipal Medical Insurance Bureau will adjust the payment standards and service items in a timely manner in accordance with factors such as the city's economic and social development level, long -term nursing insurance fund operations, and growth rate of nursing costs.

Implementation time

This notice will be implemented from July 1, 2022, and will be valid until December 31, 2026. The specific issues during the implementation process are explained by the Municipal Medical Insurance Bureau. If the relevant regulations are inconsistent with this notice before, this notice shall prevail.

Scan code View attachment 1

Chengdu long -term care insurance basic care service project standard

Scan code View attachment 2

Chengdu long -term care insurance professional care service project standard

Source | Rongcheng Political Affairs, the official website of Chengdu Medical Security Bureau

Chengdu Published Edit | Big Orange

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