作者:謝(xie)瓊
1月28日(ri),審計離退休科和(he)離退休支部(bu)書(shu)記參加(jia)了省醫保(bao)召開的“省本級(ji)參加(jia)成都市(shi)長護(hu)險制度試點線上培(pei)訓(xun)會”。
長(chang)護險(xian)(xian)即長(chang)期(qi)護理保(bao)險(xian)(xian),是通過(guo)個人繳(jiao)費、單位繳(jiao)費、政府(fu)補助共(gong)同籌(chou)資,建立長(chang)期(qi)護理保(bao)險(xian)(xian)基金的(de)制(zhi)度。長(chang)護險(xian)(xian)是對(dui)失能老(lao)人的(de)一份(fen)及時關愛,通過(guo)醫療資源、人力(li)資源的(de)配置(zhi),大大減輕失能家(jia)庭的(de)經濟負擔(dan),讓(rang)失能老(lao)人也能安度晚年。
長(chang)護險(xian)與每個家庭息(xi)息(xi)相關,故(gu)將培訓會基本情(qing)況(kuang)公示如下:
怎樣參(can)(can)加長護險(xian)?不需(xu)要辦理任何手續,2021年2月(yue)1日(ri)起,參(can)(can)加了省(sheng)本級基(ji)本醫療保險(xian)的參(can)(can)保人員(含(han)退休同(tong)志)自動同(tong)步參(can)(can)加成都市(shi)長護險(xian)。
參(can)(can)加長護險(xian)(xian)(xian)怎樣繳(jiao)(jiao)費(fei)(fei)?試點(dian)階段,按照統(tong)賬結合方式(通過(guo)單(dan)位參(can)(can)保(bao))參(can)(can)加醫(yi)療保(bao)險(xian)(xian)(xian)的參(can)(can)保(bao)人(ren)(ren)員(yuan),所在單(dan)位和(he)個人(ren)(ren)均(jun)不(bu)用(yong)繳(jiao)(jiao)費(fei)(fei),醫(yi)保(bao)通過(guo)劃(hua)撥醫(yi)保(bao)統(tong)籌基金和(he)個人(ren)(ren)賬戶(hu)籌資(zi)。退休人(ren)(ren)員(yuan)按每月(yue)基本醫(yi)療保(bao)險(xian)(xian)(xian)個人(ren)(ren)賬戶(hu)劃(hua)入基數(shu)的0.3%劃(hua)撥,即退休人(ren)(ren)員(yuan)個人(ren)(ren)賬戶(hu)上賬金額從2021年2月(yue)1日起每月(yue)將減少劃(hua)入基數(shu)的0.3%。
哪些參保人(ren)員(yuan)可以申請(qing)長護(hu)險(xian)(xian)待遇(yu)?參加長護(hu)險(xian)(xian)人(ren)員(yuan)因年(nian)老、疾病、傷(shang)殘等導致生活不能(neng)自理(li)6個月(yue)以上時,可申請(qing)長護(hu)險(xian)(xian)待遇(yu),經失能(neng)評定等級后,由長期(qi)護(hu)理(li)保險(xian)(xian)基金(jin)支付(fu)護(hu)理(li)費。已由工傷(shang)保險(xian)(xian)等社會保險(xian)(xian)基金(jin)支付(fu)了應由第三方承擔的護(hu)理(li)費人(ren)員(yuan)不再享(xiang)受長護(hu)險(xian)(xian)待遇(yu)。
長(chang)(chang)護險(xian)待遇申(shen)請(qing)受參(can)(can)保(bao)年(nian)限(xian)限(xian)制嗎?在2021年(nian)2月(yue)1日前已經參(can)(can)加(jia)醫(yi)療(liao)(liao)保(bao)險(xian),且(qie)在2021年(nian)2月(yue)1日后連(lian)續繳(jiao)納(na)長(chang)(chang)護險(xian)保(bao)險(xian)費(fei)的參(can)(can)保(bao)人員,參(can)(can)加(jia)長(chang)(chang)護險(xian)后即可申(shen)請(qing)長(chang)(chang)護險(xian)待遇,不(bu)受繳(jiao)費(fei)年(nian)限(xian)限(xian)制;2021年(nian)2月(yue)1日后參(can)(can)加(jia)醫(yi)療(liao)(liao)保(bao)險(xian)的,應(ying)當(dang)連(lian)續參(can)(can)加(jia)長(chang)(chang)護險(xian)保(bao)險(xian)2年(nian)(含(han))以(yi)上且(qie)基本醫(yi)療(liao)(liao)保(bao)險(xian)累(lei)計繳(jiao)費(fei)滿15年(nian),方(fang)可申(shen)請(qing)長(chang)(chang)護險(xian)。享受待遇期間(jian)應(ying)當(dang)持續參(can)(can)保(bao)繳(jiao)費(fei)。
長(chang)護險的申(shen)請(qing)方式(shi)有哪些?長(chang)護險申(shen)請(qing)有二種方式(shi)。
方式一,線下(xia)申請,向(xiang)現居住地所(suo)在區受(shou)委托的商(shang)業保險經(jing)辦機構服(fu)務網點(dian)受(shou)理(li)窗口提出申請。目(mu)前成都市有七個片區可以申請。
方式二,線上申請(qing)(qing),通過“蓉(rong)城照護”手機APP提(ti)出申請(qing)(qing)。
申請(qing)長護(hu)(hu)(hu)險(xian)后(hou)能享受(shou)多少護(hu)(hu)(hu)理(li)(li)費(fei)?選擇機(ji)構照顧的(de),護(hu)(hu)(hu)理(li)(li)費(fei)支(zhi)(zhi)(zhi)付(fu)標(biao)準:重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)一(yi)級(ji)(ji)(ji)1377元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人、重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)二(er)級(ji)(ji)(ji)1837元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人、重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)三(san)(san)級(ji)(ji)(ji)2296元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人;選擇居家(jia)照顧,由失能人員(yuan)家(jia)屬、親戚、鄰(lin)居等居家(jia)人員(yuan)護(hu)(hu)(hu)理(li)(li)的(de),護(hu)(hu)(hu)理(li)(li)費(fei)支(zhi)(zhi)(zhi)付(fu)標(biao)準:重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)一(yi)級(ji)(ji)(ji)862元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人、重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)二(er)級(ji)(ji)(ji)1150元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人、重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)三(san)(san)級(ji)(ji)(ji)1437元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人。居家(jia)護(hu)(hu)(hu)理(li)(li)人員(yuan)參加規(gui)范化培訓(xun)(免費(fei))后(hou),護(hu)(hu)(hu)理(li)(li)費(fei)待遇支(zhi)(zhi)(zhi)付(fu)標(biao)準調為:重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)一(yi)級(ji)(ji)(ji)1077元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人、重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)二(er)級(ji)(ji)(ji)1437元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人、重(zhong)(zhong)(zhong)(zhong)(zhong)度(du)(du)(du)三(san)(san)級(ji)(ji)(ji)1796元(yuan)(yuan)(yuan)/月(yue)(yue)(yue)/人。