Social Welfare Legislation: The Application Procedure for Long-Term Care Eligibility and Types of Home-Based Benefits Under the Long-Term Care Insurance Act for Older Persons

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■ Social Welfare Legislation: The Application Procedure for Long-Term Care Eligibility and Types of Home-Based Benefits Under the Long-Term Care Insurance Act for Older Persons — Overview

A report written for a social welfare legislation assignment that describes the application procedure and the types of home-based benefit services under the Long-Term Care Insurance Act for Older Persons, in force since the second half of 2008. It explains the purpose of long-term care insurance as a social insurance scheme following health insurance, the national pension, employment insurance and industrial accident insurance, and its unified administration by the National Health Insurance Service, and summarizes the procedure (application for long-term care eligibility, a home-visit assessment, a decision by the grading committee, and delivery of the long-term care certificate and the standard long-term care use plan), along with eligibility to apply and the issuance of a doctor's opinion.

Among institutional benefits, home-based benefits and special cash benefits, it examines home-based benefits such as home-visit care and home-visit bathing, and concludes with the author's reflections on the problem of supporting older family members.

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■ Social Welfare Legislation: The Application Procedure for Long-Term Care Eligibility and Types of Home-Based Benefits Under the Long-Term Care Insurance Act for Older Persons — Excerpt from the original document (in Korean)

장기 요양 급여라 하여 시설급여, 재가급여, 특별현금급여로 나누어진다. 필자는 재가 급여를 살펴볼 계획이다. 재가급여 서비스의 종류는 방문 요양, 방문 목욕, 방문 간호, 주간 야간 보호, 단기 보호, 복지 용구 등이 있다.

우선 방문당과 1일당이 있는데 방문에 관한 급여부터 살펴보자. 방문요양은 장기요양요원이 수급자의 가정을 방문하여 신체 활동 및 가사 활동 등을 지원하는 장기요양급여이다. 그리고 인지 활동형의 방문요양이 있다.

장기 요양 5등급 수급자에게 인지 자극 활동 및 잔존 기능 유지 향상을 위한 사회 훈련을 제공하는 급여이다. 이것은 기존의 방문 요양과는 달리 빨래, 식사준비 등의 가사자원은 제공하지 않으나, 잔존 기능 유지 향상을 위한 사회활동 훈련을 제공하는 방법으로 수급자와 함께 옷을 개는 활동이나, 요리 하는 것은 가능하다. 방문 간호가 있는데, 이것은 의사, 한의사 또는 치과의사의 지시에 따라 간호사, 간호조무사, 치위생사가 수급자의 가정 등에 방문하여 간호, 진료의 보조, 요양에 관한 상담이나 구강위생 등을 제공하는 급여를 말한다.

주간 야간 보호도 있다. 마지막으로 방문 목욕이 있다. 장기 요양 요원이 목욕설비를 갖춘 차량을 이용하여 수습자의 가정을 방문하여 목욕을 제공하는 급여를 말한다.

다음으로 1일당 급여이다. 주간 야간 보호로 수급자를 하루 중 일정한 시간 동안 장기 요양 기관에 보호하여 목욕, 식사, 기본적인 간호, 치매 관리, 응급 서비스 등의 심신기능의 유지와 향상을 위한 교육과 훈련 등을 제공해주는 급여이다.

그리고 단기보호가 있다. 이것은 수급자를 월 15일 이내 기간 동안 장기 요양 기관에 보호하여 신체활동 지원 및 심신 기능의 유지와 향상을 위한 교육과 훈련 등을 제공하는 장기 요양 급여를 말한다.

■ Social Welfare Legislation: The Application Procedure for Long-Term Care Eligibility and Types of Home-Based Benefits Under the Long-Term Care Insurance Act for Older Persons — Contents and key concepts

Supporting older people: from a family problem to a social one

Long-term care insurance for older persons began with the aim of having society share the burden and tensions of caring for older people. This report summarizes the long-term care eligibility procedure and home-based benefit services step by step.

Report outline

  • The meaning and background of long-term care insurance for older persons
  • Application for long-term care eligibility and the home-visit assessment
  • The grading committee's decision and delivery of the use plan
  • Eligibility to apply and issuance of a doctor's opinion
  • Institutional benefits, home-based benefits and special cash benefits
  • Home-based services such as home-visit care and home-visit bathing

Long-term care eligibility procedure

StepBodyContent
1National Health Insurance ServiceApplication for long-term care eligibility and home-visit assessment
2Grading committeeRecognition of long-term care eligibility and grading
3National Health Insurance ServiceDelivery of the long-term care certificate and the standard long-term care use plan

Summary of the long-term care eligibility procedure and home-based services under the Act

  • From application to benefits, it lays out the procedure for using the system in order.
  • It is well suited to legal assignments in social welfare legislation or welfare for older persons courses.
  • It covers the provisions of the Enforcement Decree and the types of home-based benefits in detail.
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