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2008-11-01 7:13 pm
請領資格:
1.被保險人在參加農保期間因傷病致殘廢者。
2.被保險人因罹患傷病,經治療終止後或經治療1年以上尚未痊癒,身體遺存障害,適合農民健康保險殘廢給付標準表規定之項目,並經全民健保醫療機構診斷為永久殘廢者或永不能復原者,得按其當月投保金額,依同表規定之殘廢等級及給付標準,一次請領殘廢給付。
給付標準:
被保險人罹患傷病並經全民健保醫療院所診斷殘廢,其殘廢程度符合農民健康保險殘廢給付標準表之規定者,按其殘廢等級,給予殘廢給付。其給付標準按目前農保殘廢給付標準表共有160項,最高為第1等級,給付1,200日,最低為第15等級,給付30日,按目前農保每月投保薪資固定為10,200元(換算1日為340元),最高可給付408,000元,最低為10,200元。
有關農保殘廢給付標準表,請下拉至相關檔案欄位下載。
請領手續:
請領殘廢給付應備下列書件,送所屬投保農會轉本局核處:
更新1:

1.殘廢給付申請書兼給付收據(應詳填並加蓋投保單位、負責人、經辦人及請領人印章)。 2.農民健康保險殘廢診斷書(交由就診之全民健保醫療機構開具,如屬精神、神經障害者,須由精神科、神經科等專門醫師診斷;在國外致殘者,得由國外原應診之醫療機構出具)。 3.經X光檢查者,應附X光片。 4.全戶戶籍謄本及加保農地之地籍謄本或承租契約等相關資料 服務電話: 總機:(02)2396-1266轉分機:2330 注意事項: 1.請領殘廢給付,應自醫療院、所診斷為永久殘廢或永不能復原之當日起2年內提出申請,逾期不予給付。

更新2:

2.農民健康保險被保險人罹患慢性腎衰竭須長期規則血液透析治療並經審定殘廢者,比照「胸腹部臟器機能遺存顯著障害,終身祗能從事輕便工作者」按第7等級發給殘廢給付。如再併發其他器官障害時,應依綜合審定原則評定殘廢等級,惟應扣除前因尿毒洗腎已領取之殘廢給付日數。洗腎患者領取給付,嗣再行腎臟切除者,應不再給付。另農保被保險人接受血液透析治療(洗腎)申請殘廢給付,比照勞保被保險人,以其初次接受血液透析之日期為其審定殘廢日期,並據以計算2年請求權。」、「一側腎臟正常,另一側腎臟完全喪失功能,但未切除者,因一側腎臟已完全失去功能,比照一側腎臟切除發給給付。將來如該側腎臟切除,則不再給付。

更新3:

3.內政部民國89年11月18日台(89)內社字第8962228號函:「有關農保各項保險給付申請案以郵寄方式向本局提出者,其請領給付書件送達之計算時效以投保單位交郵寄局之當日為申請日。」 4.內政部民國90年3月16日台(90)內社字第9060489號函:「本部民國79年11月2日台(79)內社字第870385號函,有關農民健康保險被保險人於勞保有效期間內罹患之傷病,於退保後3個月內加入農保者,以同一事故請領保險給付,准予核發醫療及現金給付,惟同時享有申請各該保險給付之權利者,以擇一領取為限,不得重複請領。自本函發文之日起停止適用。」

更新4:

5.內政部民國90年10月22日台(90)內社字第9062035號令:有關農民健康保險條例第37條第2款、第3款、第4款、第5款及第9款所稱同時,係指被保險人於申請殘廢給付時,身體遺存適合殘廢給付標準表任何兩項目以上之障害。

更新5:

6.內政部民國91年1月22日台內社字第0910065166號函釋:「依本條例第36條規定,被保險人因遭受傷害或罹患疾病,如身體遺存障害,適合殘廢給付標準表規定之項目,得一次請領殘廢補助費之要件:為該條第1項所指『經治療終止後,並經保險人自設或特約醫療機構診斷為永久殘廢者』,即該條附表各障害系列中所指器官喪失、缺損或殘缺之器質障害(含機能完全喪失)者;或為第2項所指『經治療一年以上尚未痊癒,並經保險人自設或特約醫療機構診斷為永不能復原者』即附表各障害系列所指之畸形、醜形、運動或機能障害者

更新6:

之傷病,經治療後,症狀固定,再行治療仍不能期待其治療效果之狀態而言』,亦僅對本條例第36條第1項之『治療終止』作解釋,不得擴張適用於本條例第36條第2項。」 7.有關農保被保險人因農民健康保險條例第20條第3款規定之事由導致殘廢或死亡,除因麻醉藥品嗜好症而需勒戒服刑致無法實際從事農業工作遭取消農保資格者或經司法機關或軍事審判機關確定判決有故意犯罪行為應不予殘廢給付外,不受該條該款規定之限制。

更新7:

8.內政部95年8月11日台內設字第0950129696號函示:「農保被保險人因癌症接受放射性治療及化學治療,經精蟲檢查判定喪失生殖能力者,得依農民健康保險殘廢給付標準表第51項規定請領殘廢給付。」

更新8:

9.有關司法院釋字第609號解釋公布後,農保被保險人因加保前罹患之傷病所致殘廢,依內政部95年5月19日台內社字第0950081006號函示精神,農保被保險人加保時尚具農作能力,其因同一傷病請領殘廢給付時,如經查明加保前已成殘,而其殘廢等級如於農保加保有效期間內加重者,則應依農保條例第37條第8、9款規定辦理。」、「勞保被保險人於勞保加保有效期間罹患傷病,嗣後再參加農保,並於勞保退保後一年內,因同一傷病領取勞保殘廢給付,如再以同一事故申請農保殘廢給付時,倘其已不具農作能力,應依行政程序法第118條精神,自保險事故發生之當日零時起取消其被保險人資格。

回答 (2)

2008-11-02 2:14 am
✔ 最佳答案


Requests issue of something the qualifications:
1. insured guarantee the period in the senate cannon, because sends the disabled person wounded and sick.
because 2. insured suffer from wounded and sick, terminated after the treatment or after treats above 1 year not yet to convalesce, the body remains the fault, suits project of the farmer health insurance disability benefit standard table stipulation, and diagnoses after all the people health insurance Medical establishment for the permanent disabled person or can never the replacer, according to its same month sum insured, and pays the standard disabled person of rank according to the same table stipulation, one time requests issue of something disability benefit.
Pays the standard:
The insured suffers from wounded and sick and diagnoses the disabled person after all the people health insurance healing institute, its disabled degree conforms to stipulator of the farmer health insurance disability benefit standard table, according to its disabled rank, gives disability benefit. It pays the standard to guarantee the disability benefit standard table according to the present agriculture to altogether have 160 items, for the 1st rank, pays on 1,200th high, most lowers for the 15th rank, pays on 30th, guarantees each month of insurance salary fixedly according to the present agriculture is 10,200 Yuan (converts on 1st is 340 Yuan), highest may pay 408,000 Yuan, lowest is 10,200 Yuan.
The related agriculture guarantees the disability benefit standard table, please under pull to related file column downloading.
Requests issue of something the procedure:
Requests issue of something disability benefit to prepare following book, delivers the respective insurance peasant association to transfer our bureau nucleus place:



2008-11-01 18:14:45 補充:
1. disability benefit requisitions concurrently pay the receipt (should detailed to fill in and to cap insurance unit, person in charge, manager and request issue of something person seal).

2008-11-01 18:15:07 補充:
2. farmer health insurance disabled medical certificate (hands over all the people of health insurance Medical establishment by the seeing a doctor draws up, like is the spirit, the nerve

2008-11-01 18:15:26 補充:
spirit, the nerve fault, must by the neurology department, the department of neurology and so on doctor diagnose specially; In overseas crippling, by overseas sees one's patients Medical establishment writing up originally).

2008-11-01 18:15:36 補充:
3. passes through X light inspector, should attach X optical glass.
4. entire household household register transcripts and the additional insurance farmland cadastre of transcript or rents the contract and so on correlation data service telephone:

2008-11-01 18:15:49 補充:
Switchboard: (02)2396-1266 transfers the extension telephone: 2330

2008-11-01 18:16:28 補充:
Matters needing attention:
1. requests issue of something disability benefit, should, from the medical courtyard, diagnoses the same day of for permanent disabled or can never the restoration have in 2 years to hand in the application, exceeds the time limit does not give pays.

2008-11-01 18:16:44 補充:
2. farmer health insurance insured suffers from the chronic renal failure to the long-term regular hemodialysis treatment and after the examination disabled person, "remains the remarkable fault according to the chest abdomen internal organs

2008-11-01 18:16:52 補充:
function, lifelong respectfully u 0662 can be engaged in the facile worker" to issue disability benefit according to the 7th rank. If again time concurrent other organ fault, should depend on the synthesis examination principle evaluation disabled rank, only

2008-11-01 18:16:59 補充:
should deduct the reason urine to wash the kidney to receive the disability benefit date number poisonously. Washes the kidney patient to receive pays, the child kidney excision, should no longer pay again. Another agriculture guarantees the insured to

2008-11-01 18:17:06 補充:
accept the hemodialysis treatment (to wash kidney) to apply for disability benefit, according to the labor insurance insured, first accepts date of the hemodialysis take it as its examination disabled date, and according to calculates 2 year request power.",

2008-11-01 18:17:12 補充:
"one side kidney is normal, another one side kidney loses the function completely, but not excision, because one side kidney has lost the function completely, issues according to one side kidney excision pays. Future like this side kidney excision, then no longer pays.

2008-11-01 18:17:24 補充:
3. Ministry of Interior on November 18, 2000 Taiwan (89) in society character 8962228th letter: "the related agriculture guarantees each insurance to pay the application document to mail the way to our bureau starter, it requests issue of something for sends a letter computation of

2008-11-01 18:17:32 補充:
something for sends a letter computation of effectiveness the delivery take to take out insurance the unit to deliver to the post office sends the same day of the bureau as the date of application."

2008-11-01 18:17:45 補充:
4. Ministry of Interior on March 16, 2001 Taiwan (90) in society character 9060489th letter: "this on November 2, 1990 the Taiwan (79) in society character 870385th letter, the concerned farmer health insurance insured suffered from the sickness in labor

2008-11-01 18:17:52 補充:
insurance validity duration, Yu Tuibao the latter 3 months

2008-11-01 18:18:09 補充:
5. Ministry of Interior on October 22, 2001 Taiwan (90) in society the character 9062035th verbal command: Concerned farmer health insurance rule 37th 2nd section, 3rd section, 4th section, 5th section and the 9th section of institute calls at the same

2008-11-01 18:18:19 補充:
time, is when refers to the insured in application disability benefit, the body remains suits above disability benefit standard table any two projects the fault.
6. Ministry of Interior on January 22, 2002 in Taiwan society the character

2008-11-01 18:18:26 補充:
0910065166th letter released: "because according to this rule 36th stipulation, the insured suffers the injury or suffers from disease, if the body remains the fault, suits project of the disability benefit standard table stipulation, one time requests issue of

2008-11-01 18:18:33 補充:
something important document of the disabled subsidy: Refers to for this 1st item of institute 'after the treatment termination, and from supposes or the special Medical establishment diagnosis after the insurer is the permanent disabled person', namely in

2008-11-01 18:18:40 補充:
this attached list various faults series refers to the organ to lose, the damage or the incomplete nature fault (loses completely including function); Or refers to for the 2nd item of institute 'after treats above one year not yet to convalesce, and from sets up or

2008-11-01 18:18:46 補充:
the special Medical establishment after the insurer diagnoses for can never the replacer' be the attached list various faults series institute refers to abnormal, the ugly shape, the movement or the function fault the sickness, after treatment, the symptom

2008-11-01 18:19:05 補充:
is fixed, treated again still could not anticipate that condition of its treatment result said', also only 'the treatment terminated to this rule 36th 1st item of it' makes the explanation, do not expand is suitable for this rule 36th 2nd item.” because 7. related

2008-11-01 18:19:12 補充:
agriculture guarantee the insured matter of the farmer health insurance rule 20th 3rd article of stipulation to cause the disabled person or the death, besides must force the abstention because of the narcotic hobby sickness to serve a prison sentence sends is

2008-11-01 18:19:23 補充:
unable to be engaged in the agricultural work to suffer actually cancels the agriculture to guarantee the qualifications either after the Judicial organ or the military justice institution determined that the decision has the intentional offense behavior should not

2008-11-01 18:19:32 補充:
to give disability benefit, not limit of this this article of stipulation.
8. Ministry of Interior 95 years on August 11 in Taiwan supposes character 0950129696th to inform by letter: "because the agriculture guarantees the insured

2008-11-01 18:19:39 補充:
cancer to accept the radioactive treatment and the chemotherapy, loses the reproduction ability after the zoosperm inspection determination, requests issue of something disability benefit according to the farmer health insurance disability benefit standard table 51st stipulation."

2008-11-01 18:19:45 補充:
after 9. related judicial yuan release the character 609th explanation announcement, because before the agriculture guarantees the insured the additional insurance, to suffer from the wounded and sick result disabled person, on May 19 in Taiwan

2008-11-01 18:20:04 補充:
society character 0950081006th informs by letter the spirit according to the Ministry of Interior 95 years, the agriculture guarantees the insured additional insurance fashion to have the farm crops ability, when wounded and sick its reason identical

2008-11-01 18:20:13 補充:
requests issue of something disability benefit, like before verifying the additional insurance to become remnantly, but its disabled rank like Yu Nongbao in additional insurance validity duration the aggravation, should depend on the agriculture to

2008-11-01 18:20:36 補充:
guarantee the rule 37th 8th, 9 article of stipulations to handle.", "labor insurance insured in labor insurance additional insurance validity duration suffers from wounded and sick, after the child, the senate cannon guarantees again, and draws back

2008-11-01 18:20:42 補充:
in the labor insurance guarantees in the latter year, because identical receives labor insurance disability benefit wounded and sick, when applies again by the identical accident the agriculture guarantees disability benefit, if its has not had the farm crops

2008-11-01 18:20:47 補充:
ability, should depend on the administrative procedural law 118th spirit, has the same day zero hour from the insurance risk to get up deprives its insured qualifications.

2008-11-01 18:22:38 補充:
你篇野好長, 我只能夠咁樣寫,

希望幫到你!!~~@@@@
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原文連結 [永久失效]:
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