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From January 1 to, the national health insurance will cover 100% of the cost of hospital treatment.
As of January 1, 2021, the provincial hospital care policy for medical examination and treatment covered by health insurance (medical insurance) will officially come into force according to article 22 of the Law that modifies and complements several articles. of the Health Insurance Law.
Consequently, people who hold a health insurance card when they undergo a medical examination and treatment at any provincial health center throughout the country are covered by health insurance for hospital treatment according to the scope of benefits and profit levels.
Previously, when the patient had not passed through the provincial level, patients who had received a medical check from the hospital only received 60% of the hospital treatment from the health insurance. However, from January 1 to, the coverage rate is 100% for the parts covered by health insurance.
From January 1 to, people with a health insurance card can perform examinations and medical treatments at the provincial level at the national level
Cases of hospitalization at the central level, without referral, only 40% are paid, except in emergency cases, where the patients are ethnic minorities and from poor households or people. I live in the commune of the island, district of the island.
The new policy will create favorable conditions for people, but many hospitals in big cities like Hanoi and Ho Chi Minh City are at risk of being overloaded.
Not only that, when health insurance coverage at the provincial level has increased, health costs have also increased creating great pressure on the health insurance fund. The health insurance reserve fund is only expected to cover the payment until 2021.
Currently, Vietnam Social Security is working with the Ministry of Health to develop guidelines for medical facilities to ensure quality of treatment and avoid overload. The designation of hospital admissions at the provincial level must be appropriate to the patient’s condition. The number of hospital beds in each medical establishment must be appropriate to the human resources, equipment and facilities, to prevent the beds from spilling over.
The Ministry of Health also requires that provincial hospitals have plans to inspect and reorganize the organization of medical examination, develop and strictly follow the process of medical examination and treatment, and closely monitor the indication for hospital treatment. In particular, you need to have a plan to actively coordinate and coordinate with other medical examination and treatment facilities, including district facilities, to transfer patients when they are overloaded.
Thuy Hanh
In the near future, the health insurance premium will increase dramatically
– According to the amended Health Insurance Bill, the health insurance premium will increase to 6% of the base salary and the second person in the household is 10% higher than the current one.
