On June, 06, 2019, Ministry of Health issued Circular No. 09/2019/TT-BYT guiding the evaluation of conditions for signing contracts for initial medical examination and treatment, specializing in the implementation of sub-clinical services and some cases of direct payment of expenses in examination Health insurance, health insurance issued by the Minister of Health 10/06/2019 takes effect from August 1, 2019.
Accordingly, from August 1, 2019, there will be three more cases where people with health insurance cards will be paid directly for medical examination and treatment expenses. So based on Official Dispatch 141 / BHXH-CSYT and Article 4 of Circular 09/2019 / TT-BYT, there are currently 06 cases of health insurance participants being paid directly for medical examination and treatment costs. Specifically:
– Medical examination and treatment at establishments not signing health insurance examination and treatment contracts:
+ Emergency;
+ Examining and treating outpatient and inpatient care at district and equivalent medical examination and treatment establishments;
+ Examining and treating inpatient diseases at provincial and equivalent medical examination and treatment establishments;
+ Examining and treating inpatient diseases at central and equivalent medical examination and treatment establishments;
– Medical examination and treatment at the place of initial medical examination and treatment registration on the health insurance card is not in accordance with regulations (not presenting the health insurance card with photos or health insurance cards without photos but not being able to produce identity documents). ;
– The cost of paying together during the year when medical examination and treatment is at the right level of the insured for 5 consecutive years or more is greater than 06 months’ basic salary (8.94 million VND) but not yet entitled to benefits right at the facility healthcare;
– Health insurance card data is not provided or provided inaccurately about information;
– Do not present the health insurance card before leaving the hospital, transferring to the hospital during the day due to emergency, loss of consciousness, death or card loss but have not been reissued.
Thus, from August 1, 2019, people who have lost health insurance cards will still be paid directly for medical examination and treatment as in other cases.