The identification of veterans returning home with illness is limited to demobilized conscripts and junior noncommissioned officers, and the types of diseases during their service must conform to the provisions of the Scope of Common Chronic Diseases in Returning Home with Illness (Implementation) (Minfa [2011] No.208) before they can apply for returning home with illness. The specific procedures are as follows:
(1) Designated hospital for settlement. If the settlement is not made, the hospital will issue an unsettled certificate;
② Other hospitals need to provide the following materials for reimbursement: medical insurance settlement compensation form (residents' hospitalization settlement form), diagnosis certificate, discharge record (medical record), hospitalization expenses summary, ID card, medical security manual for special care recipients, and personal bank card (or passbook) for special care recipients.
(3) to apply for approval once a month to the veterans affairs bureau entitled groups, punch in.
The conditions and standards for applying for Medicaid are subject to local policies and regulations. Please consult the Veterans Affairs Bureau of the resettlement place.
First, the previous policies and regulations were rigid and dogmatic, which was suspected of being biased.
According to the previous Regulations on Pensions and Preferential Treatment for Soldiers, there are some conditions for retired soldiers to apply for returning home sick, mainly in the following aspects: First, the identification targets are limited to rural demobilized conscripts and junior noncommissioned officers. Article 53 of the Regulations on Pensions and Preferential Treatment for Military Personnel stipulates that "veterans who return home sick refer to those who have fallen ill during their active service, have not yet reached the conditions for assessing the level of disability, and have been discharged after being certified by military hospitals". Article 23 stipulates that disability assessment due to illness is limited to conscripts and junior non-commissioned officers who are ill during their active service. Therefore, the identification of veterans returning home with illness is limited to demobilized conscripts and junior noncommissioned officers who are sick during their service. Second, he suffered from chronic diseases prescribed by the state during his service and has not been cured; Third, family life is difficult.
Here are these questions:
1. Is it enough to be limited to demobilized conscripts and junior noncommissioned officers who fell ill during their service? The relevant person in charge of the Special Care and Resettlement Bureau of the former Ministry of Civil Affairs explained: "Because the treatment of junior noncommissioned officers during their service and the method of retiring from active service are basically the same as those of conscripts, the level of medical security during their service is relatively low. Therefore, the basic life of these people can be guaranteed by evaluating the disability. " "Intermediate noncommissioned officers retired from active service, resettlement or retired. During his service in the army, he shall enjoy the same basic guarantees as the officers in active service, such as life and medical care, and shall no longer enjoy the treatment of disabled soldiers as stipulated in these regulations.
This explanation is very confusing. It is true that non-commissioned officers at or above the intermediate level are resettled or discharged from active service. During their service in the army, they enjoy the same basic living security and medical security as active officers. However, it is not comprehensive to resettle or retire after retiring from active service. What about soldiers who are self-employed after retiring from active service? What should I do after monthly selection? Individual chronic diseases can be cured without hospitalization, and many people can't afford long-term outpatient fees. How to solve them?
2. Should the scope of common chronic diseases in Returning Home with Illness be revised? At present, the scope of common chronic diseases in returning home with illness (Minfa [2011] No.208) is not included in the scope, although it is clear in the Remarks on the Scope of Common Chronic Diseases in Returning Home with Illness that rare chronic diseases that are not included in the scope can be identified with reference to the corresponding system. There is also a realistic question, that is, who will come and who has the authority to determine that his conditions are equivalent to those of disabled people above grade 10? This also brings a lot of confusion to the grass-roots operation execution files.
Two, the relevant provisions of the draft, should be balanced, long-term consideration.
At present, veterans who return home sick can enjoy a monthly living allowance (202 1, 1) not less than that of 650 yuan, as well as local medical benefits. According to the newly revised Regulations on Pension and Preferential Treatment for Soldiers (Draft for Comment), veterans who return home sick in the future will no longer enjoy regular pensions and living allowances.
According to Article 36 of the draft Regulations on Pensions and Preferential Treatment for Soldiers, after the implementation of the regulations, veterans who apply for returning home sick will no longer receive regular living allowance, but they can pay the basic medical insurance premium for employees according to local standards. In addition, the application period for veterans who come home sick is also stipulated. Paragraph 2 of Article 36 stipulates that eligible conscripts and junior noncommissioned officers shall, within 1 year after going through the retirement formalities, apply for corresponding treatment to the veterans affairs department of the people's government at the county level where their household registration is located on the basis of the original medical certificate issued by the former military system hospital during their active service or the exact file records of illness treatment.
The draft Regulations on Pensions and Preferential Treatment for Soldiers has changed a lot in returning home sick, which has caused more doubts.
1. According to Article 59 of the newly revised Regulations on Pensions and Preferential Treatment for Military Personnel (Draft for Comment), retired military personnel who retired from active service before the implementation of the revised regulations will continue to enjoy relevant treatment in accordance with relevant state regulations. There is a difference between the old methods of the elderly and the new methods of the new people. Although this provision is in line with the principle of stage transition, in the face of reality, especially in the context of rapid growth of medical expenses, can the subsidy for returning home sick still meet the actual needs of relevant sick comrades? Judging from the current practice in many places, the reimbursement for hospitalization of people who return home sick is basically within the scope of medical reimbursement stipulated by local medical insurance agencies, and the upper limit of supplementary reimbursement is limited to not less than 80%, and outpatient expenses are not handled. The new regulation of unified payment of basic medical insurance premiums for employees according to local standards includes a certain limit of outpatient expenses. We really need to wait and see which is more affordable, and then draw a conclusion after comparing and analyzing most similar personnel!
2. The responsibility of participating in the new regulations for paying employees' basic medical insurance premiums according to local standards is not clear. According to the usual practice, the local retired military departments should bear the overall planning part of the unit and the individual pays part (low-income households and poor households can be exempted). The new regulations of unified payment of employees' basic medical insurance premiums in local standards are also very different from the existing policies and regulations in many regions. Because most people who return home sick are rural residents, they can only participate in urban and rural residents' insurance and cannot participate in basic medical insurance for employees. If you participate in the basic medical insurance premium for employees, you may have achieved employment, thus losing the limited conditions for returning home sick. Who will solve this problem?
Third, it may be fairer to stick to it and return to China with illness.
In view of the changes in the regulations on returning home from sick leave, it is suggested to adhere to the principle of not violating the regulations. Since we want to break the routine, we might as well cut the gordian knot. Once we break it to the end, we may be able to bring forth the new and seek perfection.
1. It is suggested that, according to the actual situation, non-commissioned officers above the intermediate level (except retired and dependent personnel) suffer from chronic diseases during their active service, have not yet reached the conditions for assessing the level of disability, have a disability equivalent to 10 or above, have no work unit after going through the retirement formalities, and do not enjoy the basic medical insurance benefits for employees, so as to completely solve the post-retirement treatment guarantee for non-commissioned officers above the intermediate level who suffer from chronic diseases during their service.
2. It is suggested that the scope of common chronic diseases in Returning Home with Illness should be revised as soon as possible, and the scope of the Catalogue of Chronic Diseases should be appropriately expanded. At the same time, for rare chronic diseases that are not included in the scope, if their condition is equivalent to a disability of more than ten levels, they can be identified with reference to the corresponding system of chronic diseases, so as to improve operability and reverse the problem that no authoritative organization determines that their condition is equivalent to a disability of more than ten levels.
3. Combined with the actual situation of returning home sick, the retired soldiers who retired from active service before and after the implementation of the revised regulations will be treated consistently. On the surface, whether it is to grant subsidies for returning home sick or to participate in the basic medical insurance for employees, it is a question of which level of finance is responsible. In fact, it is a "scissors difference" problem that may occur with time. If the norms are not unified today, they may be changed in a few years, but the change is not worth the candle.
Why did the newly revised Regulations on Military Pensions and Preferential Treatment (Draft for Comment) make this adjustment, and will it be implemented according to the draft for comment in the end? Because it is only a draft for comments at present, it has not been formally implemented, so I don't make too much speculation and interpretation. For details, please refer to the full text and the interpretation of relevant departments after the revision and adoption of the regulations.
Legal basis:
Article 22 of the Regulations on Pension and Preferential Treatment for Soldiers stipulates that disability assessment due to illness is limited to conscripts and junior noncommissioned officers who are ill during their active service. Therefore, it should be limited to the illness of active duty soldiers. The disease here refers to a chronic disease that can directly cause the residual feelings listed in the Military Disability Grade Standard.