How to reimburse the sixth social security?

Regarding the sixth social security insurance proposed by the state, users need to know that the money of long-term care insurance is not for the elderly and their families, but for the care providers. In addition, the overall reimbursement rate is 70%, and the remaining 30% of the nursing expenses are paid by individuals at their own expense, which may vary from place to place. Then, how to reimburse the sixth social security insurance?

How to reimburse the sixth social security insurance?

1 Apply for nursing needs assessment.

If you need to handle it, you can call 12333 or 9622 18 for consultation, or you can inquire in official website, local medical insurance network and local comprehensive service platform of the Municipal People's Social Security Bureau.

2. Evaluate the level of nursing care

The evaluation of nursing grade can only be carried out by institutions that have signed long-term service agreements with the municipal medical insurance center. These institutions are all qualified insurance companies. It should be noted that only the insured who is rated as Grade II to Grade VI can enjoy long-term insurance benefits.

3 Enjoy nursing service

Nursing services are divided into home care, nursing care in old-age care institutions and hospitalization care, and individuals with different physical conditions enjoy nursing services in different ways. After being rated as two to six levels of nursing, different people need to meet different conditions to enjoy long-term care insurance benefits.

4 expense settlement

The cost settlement of long-term insurance is also very simple, and the reimbursement system is adopted. All expenses incurred are accounted by the institutions providing nursing services, and then directly settled by the institutions and long-term insurance funds.

It should be noted that the insured who participates in employee medical insurance can only enjoy it after going through retirement procedures, and the insured who participates in urban and rural medical insurance must be over 60 years old to enjoy long-term insurance benefits. Moreover, it must be evaluated by medical diagnosis, and the disability status can only be enjoyed for more than 6 months.