노인장기요양보험의 수요자 권익 개선방안

Abstract

This Study proposes a plan to simplify the application process and to ensure objectivity in the objection process in order to improve the rights and interests of consumers of long-term care insurance for the elderly. To use long-term care insurance, grades must be received through applications for long-term care recognition, and when the recognition period has elapsed, they must be recognized again through renewal procedures. Applications for recognition must be made by visiting in person or by online with the application form and a doctor or oriental doctor's medical certificate. However, it is difficult for the elderly who have difficulty moving to the point of requiring long-term care or their agents to get medical certificate and apply on the Internet. This problem is expected to be solved by using the long-term care insurance portal and the comprehensive information management system of long-term care institutions more efficiently. In addition, if Consumer receives a rating through an application for long-term care recognition but object to it, Consumer can be reviewed by the Long-term Care examination Committee and the Long-Term Care Re-examination Committee (not applicable for Administrative Appeals Procedures instead), and if Consumer have disagrees with the objections, Consumer may file an Administrative Litigation. However, in order to ensure objectivity enough for consumers to accept the results, it is necessary to revise the Long-Term Care Re-examination Committee as the first Remedies Procedure and use the Administrative Appeals Procedures that is currently unavailable as the second Remedies Procedure.