喜讯|热烈祝贺广州市松鹤护理院有限公司成为长护定点机构
从最开始准备资料、初审、现场核查、集体评估、再到参加考试、安装线路,最后是顺利签约,经过前期严谨有序、细致扎实的准备,广州市松鹤护理院有限公司于2020年2月29日,经广州市医疗保险服务中心批准,正式成为长期护理保险协议定点服务机构(以下简称长护定点机构)!
这样一来,广州市松鹤护理院有限公司的长者和患者不仅能享受医保定点服务,也能享受长护定点待遇了。(注:医保定点和长护定点待遇选其一,不可同时享用)
那么,在广州市松鹤护理院有限公司能享受到的长护险待遇是什么样子的呢?
(一)入住长护定点机构享受长期护理保险的(以下简称机构护理),按75%的比例支付;
(二)对基本生活照料费用按相应的支付比例支付,纳入支付范围的费用限额标准为:机构护理不高于每人每天120元(包括床位费,不高于每人每天35元)
(三)对经核定的医疗护理费用按项目及相应支付比例支付,基金最高支付限额为每人每月1000元。
这么好的待遇,是不是迫不及待地想更多地了解长护险了呢?
01、什么是长期护理保险?
什么长期护理保险制度是以社会互助共济方式筹集资金,为长期失能人员的基本生活照料和与基本生活密切相关的医疗护理提供资金或服务保障的社会保险制度。
02、长护定点机构是什么样的?
长护定点机构,是指在本市行政区域内依法批准设立、登记,经市医疗保险经办机构确定符合条件并与医疗保险经办机构签订了服务协议,为长期护理保险参保人员提供长期护理服务的医疗机构、养老服务机构、家庭服务机构。
03、长护险申请条件有哪些?
参加职工社会医疗保险并正常享受职工社会医疗保险待遇的参保人员(以下简称参保人员),参保人员因年老、疾病、伤残等原因,生活完全不能自理已达或预期将达六个月以上,病情基本稳定且符合以下条件的,可申请评估,经长护评估后按以下规定享受长期护理保险待遇:
(一)参保人员按日常生活活动能力评定量表评分,符合以下情形之一的,可享受基本生活照料待遇:
(1)参保人员日常生活活动能力评定不高于40分(含40分);
(2)经本市二级以上(含二级)社会医疗保险定点医疗机构中的精神专科医院或综合性医院神经内科诊断为痴呆症(中、重度),且参保人员日常生活活动能力评定不高于60分(含60分)。
(二)参保人员达到第(一)项标准,且符合以下情形之一的,可享受医疗护理待遇:
(1)长期保留气管套管、胃管、胆道等外引流管、造瘘管、尿管、深静脉置管等管道,需定期处理的;
(2)疾病、外伤等导致的瘫痪(至少一侧下肢肌力为0-3级)或非肢体瘫的中重度运动障碍,需长期医疗护理的;
(3)植物状态或患有终末期恶性肿瘤(呈恶病质状态)等慢性疾病,需长期医疗护理的;
(4) 经长护评估认定的其他符合享受医疗护理待遇的情况。
广州市松鹤护理院有限公司成为长护定点机构后,能够帮助更多失能和失智长者的家庭提供优质服务,减轻长者家庭的经济负担和养老压力,非常欢迎有需要的长者和家属来了解、咨询,松鹤与您不见不散!
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