• DETAIL
Name Signing of contract on health insurance-covered medical examination and treatment
Type Health Insurance
Fields Implementation of health insurance policies
Implementing Agency Provincial- and district-level health insurance agencies
Public date
Step by step

1. Step 1: Medical examination and treatment establishment: - Prepares a dossier with the components and number as required below and submits it to the social insurance agency 2. Step 2: Social insurance agency: - Receives the dossier, appraises and determines conditions for organization of the health insurance-covered medical examination and treatment by the medical examination and treatment establishment. - If the medical examination and treatment establishment fully satisfies the conditions for contract signing, organizes the signing of a contract on health insurance-covered medical examination and treatment (according to the form of contract on health insurance-covered medical examination and treatment provided in Appendix No. 03 to Joint Circular No. 41/2014/TTLT/BYT-BTC of November 24, 2014, of the Ministry of Health and the Ministry of Finance); or issues a written reply clearly stating the reason, if the medical examination and treatment establishment fails to fully satisfy the conditions for contract signing.

Process

- Submitting the dossier directly at the social insurance agency or by post; - Signing the contract at the office of the social insurance agency.

Profile component

1. For a medical examination and treatment establishment which signs for the first time the contract on health insurance-covered medical examination and treatment or which has halted the contract on health insurance-covered medical examination and treatment for 6 months or longer: - The medical examination and treatment establishment’s written request for signing a contract on health insurance-covered medical examination and treatment; - Copy of the medical examination and treatment establishment’s operation license; - Copy of a competent authority’s decision on hospital classification (if any); - A competent authority’s decision on expertise and technical level, for a non-public medical examination and treatment establishment. 2. For a medical examination and treatment establishment which annually signs a contract on health insurance-covered medical examination and treatment: To supplement its functions, tasks, scope of expertise and hospital grade approved by a competent authority (if any).

Number of records 01
Term of settlement

Within 30 days after receiving a complete and valid dossier

Unit Medical examination and treatment establishment
Fee None
Form

Form of contract on health insurance-covered medical examination and treatment (Appendix No. 3 to Joint Circular No. 41/2014/TTLT/BYT-BTC of November 24, 2014, of the Ministry of Health and the Ministry of Finance)


Requirements

The medical examination and treatment establishment satisfies the conditions prescribed in Article 42 of the Law on Medical Examination and Treatment, specifically as follows: - To have an establishment decision issued by a competent state agency, for a medical examination and treatment establishment set up by the State, or a business registration certificate or investment license as prescribed by law, for another medical examination and treatment establishment. - To possess an operation license granted by the Minister of Health, the Minister of National Defense or the director of a provincial-level Health Department.

Legal

- Document consolidating Health Insurance Law No. 01/VBHN-VPQH of July 10, 2014, effective on January 1, 2015. - The Government’s Decree No. 105/2014/ND-CP of November 15, 2014, detailing and guiding the implementation of a number of articles of the Law On Health Insurance. - Joint Circular No. 41/2014/TTLT/BYT-BTC of November 24, 2014, of the Ministry of Health and the Ministry of Finance, guiding the implementation of health insurance. - Decision No. 1399/QD-BHXH of December 22, 2014, of the General Director of Vietnam Social Security, on organization of implementation of health insurance in medical examination and treatment. - Vietnam Social Security’s Decision No. 1018/QD-BHXH of October 10, 2014, amending a number of contents of decisions promulgating regulations on management of social insurance and health insurance revenues and expenditures.

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