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Patients signing up for a medical exam with health insurance at Thong Nhat Hospital (Tan Binh District, Ho Chi Minh City) – Photo: DUYEN PHAN
Speaking with Tuoi Tre Online on the morning of December 19, Ms. Nguyen Thi Thu Hang, Deputy Director of Social Security for Ho Chi Minh City, said the regulations apply to hospitals at the provincial / municipal level and to hospitals central. , patients are only entitled to 40% of the medical insurance.
Specifically, bProvincial patients who are hospitalized at Cho Ray Hospital, 175 Hospital, Central Dental Hospital, and Thong Nhat Hospital without a referral only receive 40% of the medical insurance (HI).
Patients with emergency medical insurance or a referral letter still receive payment of 100% of the benefit rate.
Previously, according to the announcement of the Social Security of Vietnam, as of January 1, 2021, the health insurance agency carried out the hospitalization service at the national level. Patients in the province with health insurance do not need a referral for hospital treatment in Ho Chi Minh City are still covered 100% by health insurance.
Recently, the HCM City Social Security Agency has also issued documents that guide the medical examination and treatment facilities covered by health insurance in late 2020 and early 2021.
Consequently, the health insurance fund pays 100% of the cost. Hospital treatment The level of entitlement of individuals who participate in health insurance when undergoing medical examination and treatment by themselves is not at the correct level in provincial medical establishments across the country.
The City of HCM Social Security Agency suggests that medical examination and treatment facilities covered by health insurance implement and strictly administer the reception and indication of hospital treatment in accordance with the insured’s medical condition, in accordance with the scope professional. and the number of boarding beds approved by the authority.
Other cases (outpatient examination and treatment) used in accordance with the reference document or follow-up appointment. The follow-up appointment is only valid once within 10 business days from the reexamination date (not limited to a calendar year).
In cases where the medical insurance cards are valid until December 31, 2020, when the medical examination and treatment are carried out in the last days of the year, the drugs prescribed by the doctor and the course will continue to be prescribed and supplied. treatment.
