[ad_1]
Recently, the Ho Chi Minh City Social Insurance Agency (Social Security) has issued a document to guide medical examination and treatment facilities covered by health insurance (health insurance) to conduct medical examinations and treatments under health insurance by the end of 2020 and 2021.
According to the governing office, as of January 1, 2021, the health insurance fund will pay 100% of the costs of hospital treatment according to the rate prescribed for the insured when they attend the medical examination and treatment at the level incorrect. Provincial health facilities nationwide (current health insurance coverage for this category is 60%)
The HCM City Social Security Agency suggests that the medical examination and treatment facilities covered by health insurance implement and strictly administer the receipt and appointment of hospital treatment in accordance with the insured’s medical condition. In addition, reception and treatment must be compatible with the scope of experience and the number of inpatient beds approved by the competent authority.
Regarding referral papers, in case of chronic diseases as prescribed in Circular N ° 40/2015 of the Ministry of Health, when registering medical examination and treatment with the initial health insurance and referral for medical examination and treatment covered for health insurance, the following will be done:
+ The reference document issued after December 15, 2020 runs out in calendar year 2021.
+ For reference documents valid until December 31 but the treatment has not finished, that reference document can be used until the end of the treatment. In the case of outpatient treatment with medical history (K, hemodialysis), the patient must complete a reference document in 2021 before January 10, 2021.
In other cases, it is used in accordance with the referral letter or follow-up appointment. The follow-up appointment is only valid once within 10 business days from the re-examination date (not limited to 2020).
In case the health insurance cards are valid until December 31, when the medical examination and treatment are performed in the last days of the year, the drugs prescribed by the doctor and the course of treatment continue to be prescribed and supplied.
Subjects are free to purchase health insurance in 2020. (OLP) – Among the groups that are free to buy health insurance in 2020, there are 8 groups related to the Party-State bloc, people with meritorious services to the Revolution …
[ad_2]
