{"status":true,"post":{"id":35226,"user_id":7,"status":1,"type":1,"orde":null,"notification_type":3,"static_post":0,"published_at":"2022-10-24 22:00:49","created_at":"2022-10-06T21:00:00.000000Z","updated_at":"2022-10-24T19:00:49.000000Z","edited_at":"2024-12-17 22:35:21","source_id":null,"post_id":35226,"is_featured":0,"title":"SGK hastal\u0131k sigortas\u0131nda en \u00e7ok merak edilenler","slider_title":null,"slider_title_2":null,"slider_spot_title":null,"slider_spot_title_2":null,"home_title":null,"sub_title":null,"category_id":73,"description":null,"content":" \t\t\t\t\t \t\t\t\t\t

\u0130SA KARAKA\u015e<\/strong><\/span><\/p>

Sigortal\u0131lar\u0131n i\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 haricinde kalan ve i\u015f g\u00f6remezli\u011fine neden olan rahats\u0131zl\u0131klar, hastal\u0131k hali olarak kabul ediliyor. Peki, hangi durumlarda sigorta yard\u0131m\u0131 m\u00fcmk\u00fcn oluyor? Hastal\u0131k sigortas\u0131nda hangi yard\u0131mlar yap\u0131l\u0131yor? Ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi ne kadar? Ve i\u015ften ayr\u0131lanlar da \u00f6denek alabilir mi gibi en \u00e7ok merak edilenleri cevaplayal\u0131m.<\/strong><\/span>
<\/span>
SGK uygulamas\u0131nda SSK (4\/1-a) ve Ba\u011f-Kur (4\/1-b) kapsam\u0131nda sigortal\u0131 olanlar\u0131n i\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 haricinde kalan ve i\u015f g\u00f6remezli\u011fine neden olan rahats\u0131zl\u0131klar, hastal\u0131k hali olarak kabul ediliyor. Belirtilen rahats\u0131zl\u0131klar nedeniyle hastal\u0131k sigortas\u0131ndan yard\u0131mlar yap\u0131l\u0131yor.<\/span>
<\/span>
K\u0130MLER FAYDALANIYOR?<\/strong><\/span>
<\/span>
Memur ve memur gibi sigortal\u0131 say\u0131lan (4\/1-c) sigortal\u0131lar, hastal\u0131k sigortas\u0131 d\u0131\u015f\u0131nda bulunuyor ve bu yard\u0131mlardan faydalanm\u0131yor.<\/span>
<\/span>
Hastal\u0131k sigortas\u0131ndan ba\u015fta SSK (4\/1-a) kapsam\u0131ndaki sigortal\u0131lar olmak \u00fczere \u015fu kapsamdakiler yararlanabiliyor:<\/span>
<\/span>
* Aday \u00e7\u0131rak, \u00e7\u0131rak ve stajyerler,<\/span>
<\/span>
* Ev hizmetlerinde \u00e7al\u0131\u015fanlardan ay i\u00e7inde \u00e7al\u0131\u015fma saati s\u00fcresine g\u00f6re hesaplanan \u00e7al\u0131\u015fma g\u00fcn say\u0131s\u0131 10 g\u00fcn ve daha fazla olanlar,<\/span>
<\/span>
* Sosyal g\u00fcvenlik s\u00f6zle\u015fmesi olmayan \u00fclkelerde i\u015f \u00fcstlenen i\u015fverenlerce yurt d\u0131\u015f\u0131ndaki i\u015fyerlerinde \u00e7al\u0131\u015ft\u0131r\u0131lmak \u00fczere g\u00f6t\u00fcr\u00fclen <\/span>
<\/span>
T\u00fcrk i\u015f\u00e7ileri,<\/span>
<\/span>
* \u0130ntern \u00f6\u011frenciler. <\/span>
<\/span>
Ba\u011f-Kur (4\/1-b) kapsam\u0131nda sigortal\u0131 olanlar, hastal\u0131k sigortas\u0131ndan ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011finden faydalanam\u0131yor.<\/span>
<\/span>
HANG\u0130 YARDIMLAR YAPILIYOR?<\/strong><\/span>
<\/span>
Hastal\u0131k sigortas\u0131ndan sigortal\u0131lara yap\u0131lan ba\u015fl\u0131ca yard\u0131m, halk aras\u0131nda rapor paras\u0131 olarak bilinen hastal\u0131k hali nedeniyle ge\u00e7ici olarak \u00e7al\u0131\u015f\u0131lamamas\u0131 sebebiyle yap\u0131lan ge\u00e7ici i\u015f g\u00f6remezlik \u00f6denekleridir.<\/span>
<\/span>
Kapsamdaki sigortal\u0131lar\u0131n hastalanmalar\u0131 durumunda SGK taraf\u0131ndan yetkilendirilen hekim veya sa\u011fl\u0131k kurulu raporlar\u0131nda belirtilen istirahat s\u00fcresince ge\u00e7ici olarak \u00e7al\u0131\u015famama hallerinde i\u015f g\u00f6remezlik \u00f6dene\u011fi veriliyor. Halk aras\u0131nda istirahat paras\u0131 veya rapor paras\u0131 olarak da bilinen bu uygulamada; i\u015f g\u00f6remezli\u011fin ba\u015flad\u0131\u011f\u0131 tarihten \u00f6nceki bir y\u0131l i\u00e7inde en az 90 g\u00fcn k\u0131sa vadeli sigorta primi bildirilmi\u015f olmas\u0131 \u015fart\u0131yla ge\u00e7ici i\u015f g\u00f6remezli\u011fin \u00fc\u00e7\u00fcnc\u00fc g\u00fcn\u00fcnden ba\u015flamak \u00fczere her g\u00fcn i\u00e7in istirahat paras\u0131 \u00f6deniyor.<\/span>
<\/span>
Hastal\u0131k halinde i\u015f kazas\u0131 ve meslek hastal\u0131klar\u0131ndan farkl\u0131 olarak hastal\u0131\u011f\u0131n ilk 2 g\u00fcn\u00fc i\u00e7in SGK rapor paras\u0131 vermiyor.<\/span>
<\/span>
GE\u00c7\u0130C\u0130 \u0130\u015e G\u00d6REMEZL\u0130K \u00d6DENE\u011e\u0130 NE KADAR?<\/strong><\/span>
<\/span>
Hastal\u0131k halinde SGK taraf\u0131ndan yap\u0131lan ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi, sigortal\u0131n\u0131n yatarak ya da ayakta tedavi g\u00f6r\u00fcp g\u00f6rmemesine g\u00f6re de\u011fi\u015fiyor. Buna g\u00f6re;<\/span>
<\/span>
* Yatarak tedavilerde g\u00fcnl\u00fck kazanc\u0131n\u0131n yar\u0131s\u0131,<\/span>
<\/span>
* Ayaktan tedavilerde ise g\u00fcnl\u00fck kazanc\u0131n \u00fc\u00e7te ikisidir.<\/span>
<\/span>
Asgari \u00fccret \u00fczerinden \u00e7al\u0131\u015fanlar i\u00e7in yap\u0131lan \u00f6denek miktarlar\u0131, halen temmuz ay\u0131ndan itibaren ge\u00e7erli olan asgari \u00fccrete g\u00f6re hesaplan\u0131yor. <\/span>
<\/span>
1 Temmuz 2022-31 Aral\u0131k 2022 tarihleri aras\u0131nda 215,70 TL olarak belirlenen asgari g\u00fcnl\u00fck kazan\u00e7 \u00fczerinden hesap ediliyor.<\/span>
<\/span>
SSK\u2019l\u0131 (4\/1-a) sigortal\u0131lar\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fine ili\u015fkin i\u015flemleri e-\u00f6denek program\u0131 ile elektronik ortamda yap\u0131l\u0131yor. <\/span>
<\/span>
Belirtilen sigortal\u0131lar\u0131n istirahatli oldu\u011fu d\u00f6nemde i\u015fyerinde \u00e7al\u0131\u015f\u0131p \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131ni\u015fverenlercekuruma elektronik ortamda bildirilmesi gerekiyor. Hemen belirtelim ki, 4\/1-a sigortal\u0131lar\u0131n\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6deneklerini alabilmeleri i\u00e7in i\u015fyerinde \u00e7al\u0131\u015fmad\u0131klar\u0131na dair i\u015fverenlerince bildirimde bulunulmas\u0131 ko\u015fulu aranm\u0131yor.<\/span>
<\/span>
Bildirim s\u00fcresi ge\u00e7tikten sonra bildirimin yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131na bak\u0131lmaks\u0131z\u0131nsigortal\u0131n\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi \u00f6deniyor. <\/span>
<\/span>
\u0130stirahatin bitim tarihi itibariyle gerekli i\u015flemler yap\u0131larak sigortal\u0131n\u0131n hak etti\u011fi ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi anla\u015fmal\u0131 bankan\u0131n herhangi bir \u015fubesinden \u00e7ekilebilecek \u015fekilde hesaba aktar\u0131l\u0131yor. Ge\u00e7ici i\u015f g\u00f6remezlik \u00f6denekleri ise anla\u015fmal\u0131 banka \u015fubeleri arac\u0131l\u0131\u011f\u0131 ile yap\u0131l\u0131yor.<\/span>
<\/span>
\u0130\u015ften ayr\u0131lanlar \u00f6denek alabilir mi?<\/span>
<\/span>
Belirli durumlarda i\u015ften ayr\u0131lma hallerinde de hastal\u0131k sigortas\u0131nda ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi al\u0131nmas\u0131 m\u00fcmk\u00fcn. Keza hastal\u0131k halinde sigortal\u0131l\u0131k niteli\u011fi;<\/span>
<\/span>
* Sigortal\u0131n\u0131n kanuni \u00fccretsiz izinli olmas\u0131, greve i\u015ftirak etmesi veya i\u015fverenin lokavt yapmas\u0131 hallerinde, bu hallerin sona ermesini,<\/span>
<\/span>
* Di\u011fer hallerde ise hizmet akdinin sona erdi\u011fi tarihi veya terk tarihini, takip eden 10. g\u00fcnden ba\u015flanarak yitirilmi\u015f say\u0131l\u0131yor.<\/span>
Sigortal\u0131l\u0131k niteli\u011finin sona erdi\u011fi tarihten sonra hastal\u0131k hali nedeniyle al\u0131nan istirahat raporlar\u0131na, ilk istirahat raporu ya da devam raporu olup olmad\u0131\u011f\u0131na bak\u0131lmaks\u0131z\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi \u00f6denmiyor.<\/span><\/p> \t\t\t\t","slug":"sgk-hastalik-sigortasinda-en-cok-merak-edilenler","tags":"K\u00f6\u015fe Yaz\u0131s\u0131","meta_title":"SGK hastal\u0131k sigortas\u0131nda en \u00e7ok merak edilenler","meta_description":"\u0130SA KARAKA\u015e","meta_keywords":"K\u00f6\u015fe Yaz\u0131s\u0131","news_cover_min":null,"news_cover":null,"news_video_min":null,"news_video":null,"view_count":1151,"cropped_1200x675":null,"user":{"id":7,"name":"\u0130SA","surname":"KARAKA\u015e","email":"igurmen@yandex.com.tr","slug":"isa-karakas","avatar":"\/front\/uploads\/avatar\/1733691600UsNll1YpnmquGG1.webp","status":1,"role":1,"email_verified_at":null,"orde":null,"created_at":"2022-09-15T09:39:41.000000Z","updated_at":"2024-12-18T10:20:38.000000Z","seo_title":null,"seo_description":null},"translations":[{"id":35325,"is_featured":0,"is_amp":0,"is_ads":0,"ads_link":null,"post_id":35226,"locale":"tr","category_id":73,"title":"SGK hastal\u0131k sigortas\u0131nda en \u00e7ok merak edilenler","home_title":null,"sub_title":null,"slider_title":null,"slider_title_2":null,"slider_spot_title":null,"slider_spot_title_2":null,"subtitleuse":0,"description":null,"content":" \t\t\t\t\t \t\t\t\t\t

\u0130SA KARAKA\u015e<\/strong><\/span><\/p>

Sigortal\u0131lar\u0131n i\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 haricinde kalan ve i\u015f g\u00f6remezli\u011fine neden olan rahats\u0131zl\u0131klar, hastal\u0131k hali olarak kabul ediliyor. Peki, hangi durumlarda sigorta yard\u0131m\u0131 m\u00fcmk\u00fcn oluyor? Hastal\u0131k sigortas\u0131nda hangi yard\u0131mlar yap\u0131l\u0131yor? Ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi ne kadar? Ve i\u015ften ayr\u0131lanlar da \u00f6denek alabilir mi gibi en \u00e7ok merak edilenleri cevaplayal\u0131m.<\/strong><\/span>
<\/span>
SGK uygulamas\u0131nda SSK (4\/1-a) ve Ba\u011f-Kur (4\/1-b) kapsam\u0131nda sigortal\u0131 olanlar\u0131n i\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 haricinde kalan ve i\u015f g\u00f6remezli\u011fine neden olan rahats\u0131zl\u0131klar, hastal\u0131k hali olarak kabul ediliyor. Belirtilen rahats\u0131zl\u0131klar nedeniyle hastal\u0131k sigortas\u0131ndan yard\u0131mlar yap\u0131l\u0131yor.<\/span>
<\/span>
K\u0130MLER FAYDALANIYOR?<\/strong><\/span>
<\/span>
Memur ve memur gibi sigortal\u0131 say\u0131lan (4\/1-c) sigortal\u0131lar, hastal\u0131k sigortas\u0131 d\u0131\u015f\u0131nda bulunuyor ve bu yard\u0131mlardan faydalanm\u0131yor.<\/span>
<\/span>
Hastal\u0131k sigortas\u0131ndan ba\u015fta SSK (4\/1-a) kapsam\u0131ndaki sigortal\u0131lar olmak \u00fczere \u015fu kapsamdakiler yararlanabiliyor:<\/span>
<\/span>
* Aday \u00e7\u0131rak, \u00e7\u0131rak ve stajyerler,<\/span>
<\/span>
* Ev hizmetlerinde \u00e7al\u0131\u015fanlardan ay i\u00e7inde \u00e7al\u0131\u015fma saati s\u00fcresine g\u00f6re hesaplanan \u00e7al\u0131\u015fma g\u00fcn say\u0131s\u0131 10 g\u00fcn ve daha fazla olanlar,<\/span>
<\/span>
* Sosyal g\u00fcvenlik s\u00f6zle\u015fmesi olmayan \u00fclkelerde i\u015f \u00fcstlenen i\u015fverenlerce yurt d\u0131\u015f\u0131ndaki i\u015fyerlerinde \u00e7al\u0131\u015ft\u0131r\u0131lmak \u00fczere g\u00f6t\u00fcr\u00fclen <\/span>
<\/span>
T\u00fcrk i\u015f\u00e7ileri,<\/span>
<\/span>
* \u0130ntern \u00f6\u011frenciler. <\/span>
<\/span>
Ba\u011f-Kur (4\/1-b) kapsam\u0131nda sigortal\u0131 olanlar, hastal\u0131k sigortas\u0131ndan ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011finden faydalanam\u0131yor.<\/span>
<\/span>
HANG\u0130 YARDIMLAR YAPILIYOR?<\/strong><\/span>
<\/span>
Hastal\u0131k sigortas\u0131ndan sigortal\u0131lara yap\u0131lan ba\u015fl\u0131ca yard\u0131m, halk aras\u0131nda rapor paras\u0131 olarak bilinen hastal\u0131k hali nedeniyle ge\u00e7ici olarak \u00e7al\u0131\u015f\u0131lamamas\u0131 sebebiyle yap\u0131lan ge\u00e7ici i\u015f g\u00f6remezlik \u00f6denekleridir.<\/span>
<\/span>
Kapsamdaki sigortal\u0131lar\u0131n hastalanmalar\u0131 durumunda SGK taraf\u0131ndan yetkilendirilen hekim veya sa\u011fl\u0131k kurulu raporlar\u0131nda belirtilen istirahat s\u00fcresince ge\u00e7ici olarak \u00e7al\u0131\u015famama hallerinde i\u015f g\u00f6remezlik \u00f6dene\u011fi veriliyor. Halk aras\u0131nda istirahat paras\u0131 veya rapor paras\u0131 olarak da bilinen bu uygulamada; i\u015f g\u00f6remezli\u011fin ba\u015flad\u0131\u011f\u0131 tarihten \u00f6nceki bir y\u0131l i\u00e7inde en az 90 g\u00fcn k\u0131sa vadeli sigorta primi bildirilmi\u015f olmas\u0131 \u015fart\u0131yla ge\u00e7ici i\u015f g\u00f6remezli\u011fin \u00fc\u00e7\u00fcnc\u00fc g\u00fcn\u00fcnden ba\u015flamak \u00fczere her g\u00fcn i\u00e7in istirahat paras\u0131 \u00f6deniyor.<\/span>
<\/span>
Hastal\u0131k halinde i\u015f kazas\u0131 ve meslek hastal\u0131klar\u0131ndan farkl\u0131 olarak hastal\u0131\u011f\u0131n ilk 2 g\u00fcn\u00fc i\u00e7in SGK rapor paras\u0131 vermiyor.<\/span>
<\/span>
GE\u00c7\u0130C\u0130 \u0130\u015e G\u00d6REMEZL\u0130K \u00d6DENE\u011e\u0130 NE KADAR?<\/strong><\/span>
<\/span>
Hastal\u0131k halinde SGK taraf\u0131ndan yap\u0131lan ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi, sigortal\u0131n\u0131n yatarak ya da ayakta tedavi g\u00f6r\u00fcp g\u00f6rmemesine g\u00f6re de\u011fi\u015fiyor. Buna g\u00f6re;<\/span>
<\/span>
* Yatarak tedavilerde g\u00fcnl\u00fck kazanc\u0131n\u0131n yar\u0131s\u0131,<\/span>
<\/span>
* Ayaktan tedavilerde ise g\u00fcnl\u00fck kazanc\u0131n \u00fc\u00e7te ikisidir.<\/span>
<\/span>
Asgari \u00fccret \u00fczerinden \u00e7al\u0131\u015fanlar i\u00e7in yap\u0131lan \u00f6denek miktarlar\u0131, halen temmuz ay\u0131ndan itibaren ge\u00e7erli olan asgari \u00fccrete g\u00f6re hesaplan\u0131yor. <\/span>
<\/span>
1 Temmuz 2022-31 Aral\u0131k 2022 tarihleri aras\u0131nda 215,70 TL olarak belirlenen asgari g\u00fcnl\u00fck kazan\u00e7 \u00fczerinden hesap ediliyor.<\/span>
<\/span>
SSK\u2019l\u0131 (4\/1-a) sigortal\u0131lar\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fine ili\u015fkin i\u015flemleri e-\u00f6denek program\u0131 ile elektronik ortamda yap\u0131l\u0131yor. <\/span>
<\/span>
Belirtilen sigortal\u0131lar\u0131n istirahatli oldu\u011fu d\u00f6nemde i\u015fyerinde \u00e7al\u0131\u015f\u0131p \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131ni\u015fverenlercekuruma elektronik ortamda bildirilmesi gerekiyor. Hemen belirtelim ki, 4\/1-a sigortal\u0131lar\u0131n\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6deneklerini alabilmeleri i\u00e7in i\u015fyerinde \u00e7al\u0131\u015fmad\u0131klar\u0131na dair i\u015fverenlerince bildirimde bulunulmas\u0131 ko\u015fulu aranm\u0131yor.<\/span>
<\/span>
Bildirim s\u00fcresi ge\u00e7tikten sonra bildirimin yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131na bak\u0131lmaks\u0131z\u0131nsigortal\u0131n\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi \u00f6deniyor. <\/span>
<\/span>
\u0130stirahatin bitim tarihi itibariyle gerekli i\u015flemler yap\u0131larak sigortal\u0131n\u0131n hak etti\u011fi ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi anla\u015fmal\u0131 bankan\u0131n herhangi bir \u015fubesinden \u00e7ekilebilecek \u015fekilde hesaba aktar\u0131l\u0131yor. Ge\u00e7ici i\u015f g\u00f6remezlik \u00f6denekleri ise anla\u015fmal\u0131 banka \u015fubeleri arac\u0131l\u0131\u011f\u0131 ile yap\u0131l\u0131yor.<\/span>
<\/span>
\u0130\u015ften ayr\u0131lanlar \u00f6denek alabilir mi?<\/span>
<\/span>
Belirli durumlarda i\u015ften ayr\u0131lma hallerinde de hastal\u0131k sigortas\u0131nda ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi al\u0131nmas\u0131 m\u00fcmk\u00fcn. Keza hastal\u0131k halinde sigortal\u0131l\u0131k niteli\u011fi;<\/span>
<\/span>
* Sigortal\u0131n\u0131n kanuni \u00fccretsiz izinli olmas\u0131, greve i\u015ftirak etmesi veya i\u015fverenin lokavt yapmas\u0131 hallerinde, bu hallerin sona ermesini,<\/span>
<\/span>
* Di\u011fer hallerde ise hizmet akdinin sona erdi\u011fi tarihi veya terk tarihini, takip eden 10. g\u00fcnden ba\u015flanarak yitirilmi\u015f say\u0131l\u0131yor.<\/span>
Sigortal\u0131l\u0131k niteli\u011finin sona erdi\u011fi tarihten sonra hastal\u0131k hali nedeniyle al\u0131nan istirahat raporlar\u0131na, ilk istirahat raporu ya da devam raporu olup olmad\u0131\u011f\u0131na bak\u0131lmaks\u0131z\u0131n ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi \u00f6denmiyor.<\/span><\/p> \t\t\t\t","slug":"sgk-hastalik-sigortasinda-en-cok-merak-edilenler","orjinalimage":null,"news_cover_min":null,"news_cover":null,"news_video_min":null,"news_video":null,"cropped_638x552":null,"cropped_310x208":null,"cropped_416x247":null,"cropped_197x247":null,"cropped_416x600":null,"cropped_1200x675":null,"tags":"K\u00f6\u015fe Yaz\u0131s\u0131","meta_title":"SGK hastal\u0131k sigortas\u0131nda en \u00e7ok merak edilenler","meta_description":"\u0130SA KARAKA\u015e","meta_keywords":"K\u00f6\u015fe Yaz\u0131s\u0131","view_count":1151,"yt":0,"ytid":"","ytimage":null,"imgdate":"2000-01-01 00:00:00","cuff_cover":null,"cropped_358x214":null,"cropped_842x474":null}]}}