Long term care insurance individual fee standard, how much is long term care insurance per month

Different places have different requirements, and Guangzhou is like this:

Please ask the caregiver of the designated institution: The designated institution will submit the details of the expenses that can be reimbursed by the long-term care insurance in the previous month to the medical insurance bureau, and after about 20 days of approval, the reimbursement fee will be transferred to the account of the designated institution, and this fee will be directly used to offset part of the care expenses charged by the designated institution to the family in the next month. (Examples:.)

Customers spend 6,900 yuan per month to buy home care services, from July 1 to enjoy long-term care insurance, August 8 designated institutions will be customers in July a month of long-term care insurance can be reimbursed to the cost of the yuan to submit to the medical insurance bureau, about August 28 the medical insurance bureau will be long-term care insurance reimbursement yuan transferred to the designated agency account, in September designated institutions to collect family home service fees of 6,900 yuan can be offset by the reimbursement of long-term care insurance, family members only need to pay yuan).

Family care of patients: In the current month, the designated institution will submit the details of the expenses that can be reimbursed by the long-term care insurance in the previous month to the medical insurance bureau, and after about 20 days of approval, the reimbursement expenses will be transferred to the account of the designated institution, and the designated institution will transfer the reimbursed expenses to the family account in the form of wages. (Examples:.)

Customers from July 1 to enjoy long-term care insurance, August 8 designated institutions will be customers in July a month of long-term care insurance to enjoy the labor subsidy of 65 yuan a day, a total of 2015 yuan reported to the medical insurance bureau, the medical insurance bureau will be on August 28 to transfer the fee to the designated agency account, the designated agency will be received within 3-5 working days will be transferred to the account of the examiner.

The so-called long-term care insurance (known as the "sixth insurance" of social insurance) is mainly an institutional arrangement that focuses on providing nursing protection and economic compensation for the insured when he loses his or her ability to live in daily life, old age, illness or death.

In 2016, long-term care insurance began to be piloted, targeting the insured population who have been in a state of disability for a long time, focusing on solving the basic living care and medical care costs of severely disabled people.

Long-term care insurance is insurance that covers the expenses incurred by an individual who is unable to take care of himself or herself due to old age, illness or disability, and who needs to be accompanied by a person for medical treatment at home or in a nursing home. Long-term care insurance is a category of health insurance, and the subject matter is the physical health status of the individual. Usually the nursing period is longer, may be half a year, a year, a few years or even more than ten years, the meaning of nursing is to maintain the physical function of the individual as long as possible rather than to ** as the main purpose, long-term care insurance can be used as a financial compensation for the cost of care.

Long-term care insurance coverage mainly covers the day-to-day care costs of an elderly person, or the day-to-day care costs due to illness or disability. It is generally divided into family care and institutional care. The difference with medical insurance is that medical insurance mainly covers the expenses required for medical treatment**, while long-term care insurance is mainly used to cover the expenses paid for general life care and generally does not include medical intervention.

Summary. Dear, hello, the payment standard of long-term care insurance in 2022 is 122 yuan, and the long-term care insurance participants who meet the conditions for treatment can determine the standard medical care of long-term care insurance treatment according to their disability status, nursing needs and family situation, and determine 1,000 yuan per person per month according to the medical care service item**. Home care: Basic living care is not higher than 115 yuan per person per day, 90% and 10% per person per day.

Medical care is determined according to the medical care service item** 1,000 yuan per person per month.

Dear, hello In 2022, the payment standard of pure long-term care insurance is 122 yuan, and the long-term care insurance participants who meet the conditions for enjoying the treatment can determine the standard medical care hole pants according to their disability status, nursing needs and family situation, and the standard medical care hole pants according to the medical care service item** 1,000 yuan per person per month. Home care, basic life care is not high, and the fibrillation is only 115 yuan per person per day, 90% and 10% per person per day. Medical care is determined according to the medical care service item** 1,000 yuan per person per month.

Friends, I really don't understand, you can be more specific.

What is Long-Term Care Insurance? -- Cooperative medical long-term care insurance is a long-term care insurance strategy. It is mainly for a series of expenses incurred due to old age, illness, and disability that make it impossible to take care of oneself, and can only be maintained in one's own home or in a nursing home.

1000 yuan a month.

How to apply for long-term care insurance?

In order to facilitate the insured to apply for disability assessment to enjoy the benefits of long-term care insurance, the process of treatment application is divided into two parts: application acceptance and disability assessment, specifically: the insured person or his entrusted person submits the application materials to the long-term care insurance contractor, including the application form, self-assessment form, letter of commitment, relevant medical records, etc.; If the conditions for disability assessment are met, the undertaking institution shall organize the assessor to conduct the disability assessment and issue an assessment conclusion; For those who meet the criteria for severe disability, the assessment conclusions are to be publicized to the public; If there is no objection to the publicity, the undertaking agency shall issue a notice of conclusion to the applicant; The applicant is entitled to long-term care insurance benefits from the month following the issuance of the assessment conclusion. If there is any objection to the publicity or the applicant has objections to the assessment conclusion, the applicant may submit an application for re-evaluation to the undertaking agency, and the undertaking agency shall organize the assessment expert to conduct a re-evaluation.

What is the content of long-term care insurance?

Long-term care insurance can provide nursing services and financial compensation for people with disabilities, and the care services provided by long-term care insurance vary from place to place.

Taking Guangzhou as an example, the long-term care insurance medical care services include oral care, sputum suction care, diabetic foot care, nasogastric tube placement, enema, catheterization, bladder irrigation, perineal irrigation, anal canal exhaust, extra-large dressing change, large dressing change, medium dressing change, small dressing change, alcohol scrub bath, ice pack cooling, low-flow oxygen, medium-flow oxygen, high-flow oxygen, home rounds, joint loosening training, exercise**, weight loss support system training, electric standing bed training, balance function training, hand function training, homework**, There are 30 types of swallowing dysfunction training, cognitive perceptual dysfunction training, hemiplegic limb comprehensive training, and paraplegia limb comprehensive training.

What are the requirements to apply for long-term care insurance?

1) 60 years of age or older;

2) Participate in the city's employee medical insurance or resident medical insurance;

3) Personnel who participate in the city's employee medical insurance also need to apply for basic pension procedures in accordance with the regulations;

4) Insured persons who have reached the assessment level 2 to 6 and are within the validity period of the assessment after the unified needs assessment of elderly care.

2. In the recovery period of the disease, the vital signs are stable, and the family needs to continue professional care, but the family is unable to meet its needs;

3. Have a discharge summary issued by a designated medical institution in the city within the last 6 months;

4. Apply by yourself or your family members. Shanghai Long-Term Care Insurance Application Process.

1. The applicant shall apply for the "green channel" assessment at the Community Affairs Acceptance Service Center, submit the materials required for the initial assessment, and also provide the discharge summary issued by the designated medical institution in the city within the last 6 months.

2. The designated assessment agency shall issue an assessment report within 3 working days after receiving the acceptance information.

3. Inform the district medical insurance center that it shall issue a "Notice of Long-term Care Insurance Nursing Needs Assessment Results" on the next day after receiving the assessment report, and inform the applicant of the assessment level and the corresponding long-term care insurance treatment through the community affairs acceptance service center.

4. Infectious diseases.

Next, I will tell you how to apply for Shanghai long-term care insurance. 1. Insured persons can apply to the nearest community affairs reception service center and choose a designated nursing service institution suitable for them. 2. The designated assessment agency organizes the assessors to complete the unified needs assessment of elderly care.

3. The Community Affairs Reception Service Center shall inform the applicant of the assessment result after receiving the notice. 4. Long-term care insurance participants with an assessment level of 2 to 6 can enjoy the corresponding long-term care insurance services after confirming the service relationship with the designated nursing service organization.

The applicant participates in the medical insurance for local residents or employees, and pays the fee in accordance with the regulations, pays the fee for two years or more, and enjoys the medical insurance treatment; Disabling state persists for more than 6 months; Insured persons who have applied for the assessment and identification of medical institutions or ** institutions can enjoy relevant treatment according to the regulations.

Summary. Hello dear, happy to answer for you. Long-term care insurance application process:

1.To apply, for example, you can call the local social security service center** to apply, or call the customer service of the underwriting insurance company** to apply; 2.The insured himself, his or her relatives or designated ** person, bring the long-term care insurance certificate, application form, disease diagnosis certificate, inspection report and other required materials of the insured person to the local long-term care insurance designated institution to apply for long-term care assessment; 3.

Preliminary examination: After the preliminary examination of the designated institution of long-term care insurance, after passing the examination, the designated institution of long-term care insurance will declare the information of the insured online; 4.On-site assessment:

Generally, the Municipal Labor Ability Appraisal Center arranges for the insured to receive on-site assessment; 5.Collective assessment: According to the arrangement of the Municipal Labor Ability Appraisal Center, the insured person also needs to accept the collective assessment;

Hello dear, happy to answer for you. Long-term care insurance application process:1

To apply, for example, you can call the local social security service center** to apply, or call the customer service of the underwriting insurance company** to apply; 2.The insured himself, his or her relatives or designated ** person, bring the insured's long-term care insurance certificate, application form, diagnosis certificate of illness, examination report and other required materials, and go to the local long-term care insurance designated institution to apply for long-term care assessment; 3.Preliminary Examination:

After the preliminary examination of the long-term care insurance designated institution, the designated institution of long-term care insurance will declare the information of the insured online; 4.On-site assessment: Generally, the Municipal Labor Ability Appraisal Center arranges for the Shenhu Zhongbao to receive on-site assessment; 5.

Collective assessment: According to the arrangement of the Municipal Labor Ability Appraisal Center, the insured person also needs to accept the collective assessment;

6.Publicity: After the assessment is completed, the assessment results will be publicized in the municipal human resources and social security department**, long-term care insurance designated institutions, and the insured can view it by themselves. 7.

If there is no objection after publicity or review, the Labor Ability Appraisal Center will issue a "Long-term Care Needs Assessment Opinion" within 60 days from the date of online declaration, and the long-term care insurance designated institution will deliver it to the applicant; 8.The applicant chooses the type of care on his/her own; 9.Reimbursement Settlement:

The applicant accepts the relevant liability protection provided by the long-term care insurance, which is generally booked by the designated institution of long-term care insurance, and then reimbursed and settled by the designated institution of long-term care insurance and long-term care insurance**.

Long-term care insurance: complete preparation is required, and the specific information is as follows: SFZ, social security card, and medical insurance card of the applicant; Proof of hospitalization and discharge summary of the most recent period, information about the disease; If it is an accident or disability, the original materials of the relevant certificate must be provided; Human SFZ.

After collecting these materials, you can go to the medical insurance director and care window in the place of insurance to fill in the "XX City Long-term Care Insurance Treatment Application Form" for processing. You can apply through the urban area and county medical insurance chief care insurance service window and mobile app where the spine guarantor is located. You can infiltrate the state to choose offline outlets to operate or choose offline outlets to operate according to your own situation.

Summary. Hello dear, it is a pleasure to serve you <>

1. The fee settlement system of long-term care insurance is:If the service costs of community home care and nursing institution care in accordance with the provisions of long-term care insurance are within the scope of payment of long-term care insurance, they shall be accounted for by the designated nursing service institutions, and the rest shall be borne by the individual. The service fees for bookkeeping shall be settled by the designated nursing service institutions to the district medical insurance center where they are located; Personally conceited.

2. The service expenses incurred by the insured person within the scope of community home care shall be settled with the designated nursing service institution within 3 months from the date of receiving community home care.

Long-term care insurance fee settlement system.

Hello dear, it is a pleasure to serve you <>

1. The long-term care insurance fee settlement system is:The service expenses of community home care and nursing institution care in accordance with the provisions of long-term care insurance are within the scope of payment of long-term care insurance, and the designated nursing service institutions shall be accounted for, and the rest shall be borne by the individual. The service fees for bookkeeping shall be settled by the designated nursing service institutions to the district medical insurance center where they are located; Personally conceited.

2. The service expenses incurred by the participants in the scope of community home care shall apply to the designated nursing service institution for settlement within 3 months from the date of receiving community home care.

Further information: Long-term care insurance is long-term care insurance, also known as the "sixth insurance" of social insurance, this kind of insurance is mainly for the insured to lose the ability of daily living, old age, illness or death, to provide nursing protection, economic compensation system arrangements. Long-term care insurance can protect the insured population who have been disabled for a long time, focus on solving the basic life care and medical care costs of severely disabled people, and improve the quality of life of disabled people.

How much does long-term care insurance cost? 1. Long-term care insurance in social insuranceLong-term care insurance has been piloted in many regions, and there may be differences in payment standards in different regions. However, generally speaking, the employer and the insured take the current payment base of the employee's basic medical insurance as the base for the payment of long-term care insurance, and the payment ratio is that the cost is borne by the employer and the individual, that is, each bears it.

The part of the personal contribution will be deducted from the employee's personal medical insurance account every month. 2. Commercial long-term care insuranceAt present, the commercial long-term care insurance on the market is usually a term life insurance with an increased rental state, and the amount of premium paid for this type of product is determined by itself, but the minimum investment threshold will be set, for example, the minimum investment threshold of Ruihua Yiyue Worry-free Life Care Insurance Kaiyuan Insurance is a minimum premium of 5,000 yuan, and the excess part must be an integer multiple of 1,000 yuan.