Things to know about student health insurance

21/08/2021 02:35 PM


Taking care of and protecting students' health is a great concern of the whole society; is one of the important contents in the goal of comprehensive education and training of people of our Party and State. The implementation of the policy on health insurance for students has been regulated and codified in a uniform and mandatory manner. Well-implementing the policy of health insurance for students not only ensures good primary health care for them, but also creates conditions for them to develop comprehensively both mentally and physically.

PARTICIPANTS

Students who are studying at educational and training institutions, unless they have already participated in health insurance in other groups of participants.

MONTHLY PAYMENT

Current base salary (1.490.000VND/month) x 4,5% = 67.050 dong/month

PAYMENT METHOD

46.935 dong (70% of the monthly payment)

x 03 months = 140.805 dong

x 06 months = 281.610 dong

x 12 months = 563.220 dong

Illustrative image (internet)

CARD'S TERM OF USE

Children from 0 to 6 years old

Get a free card

12th graders

The card is valid until the end of September 30 of that year

1st grade students

• Students who are 6 years old and born before September 30 of the school year: the card is valid from October 1 of that year.

• Born after September 30 of the year of enrollment: the card is valid from the first day of the month following the month of birth

Students of higher education and vocational institutions

• Students of the first year of the course: The card is valid from the date of admission, unless the card from year 12 is valid.

• Students in the last year of the course: The card is valid until the last day of the month ending the course.

Issuance of a health insurance card using the social insurance number

Receive primary health care as prescribed

Get advice, support and answers from the social insurance agency about health insurance

To complain and denounce violations of the law on health insurance

To choose and change the place of initial health care registration in the first month of each quarter

Medical expenses to be covered within the scope of benefits and the rateSTUDENTS' BENEFITS

PROCEDURES OF GOING FOR MEDICAL CARE USING HEALTH INSURANCE

Students going for medical treatment must present the following documents:

A valid health insurance card, or the image of the health insurance card / QR Code image of the card on the VssID application

Identity card with photo

Appointment letter if the health insurance card is waiting for re-issuance or change

Medical treatment referral letter

RESPONSIBILITIES OF STUDENTS

Pay health insurance premiums in full and on time

Use the health insurance card for the right purpose

Follow all medical care procedures

Paying medical expenses in addition to the costs covered by the health insurance fund

Comply with regulations and instructions of health insurance organizations and medical facilities

STUDENTS' ENJOYMENT RATE

Go to a medical facility that has a contract for medical treatment with health insurance

In case of medical treatment with health insurance at the place of initial registration and complete procedures for students with health insurance cards with benefit code 4, they will be entitled to 80% of medical expenses.

Benefit rate (medical expenses)

Benefit code

In case they fail to present all procedures at the place of initial medical registration, the social insurance agency will pay the medical expenses for the following cases:

Maximum benefit for outpatient medical care

0.15 times base salary

(1,490,000 VND x 0.15 = 223,500 VND)

Maximum benefit for inpatient medical care

0.5 times base salary

(1,490,000 VND x 0.5 = 745,000 VND)

In case of improper-level health care

Without a referral letter, but presenting all procedures for medical treatment with health insurance, the health insurance fund will pay within the scope, benefit level and rate as prescribed below:

Benefit rate (medical expenses)

Outpatient care at district-level hospital

Inpatient care at district-level and provincial-level hospitals

Inpatient care at central-level hospitals

Go to a health facility without health insurance medical treatment contracts

The social insurance agency will directly pay medical costs under health insurance

Outpatient medical care at district-level hospitals is entitled to a maximum of:

0.15 times base salary

(1,490,000 VND x 0.15 = 223,500 VND)

Inpatient medical care at district-level hospitals is entitled to a maximum of:

0.5 times base salary

(1,490,000 VND x 0.5 = 745,000 VND)

Inpatient medical care at provincial-level hospitals is entitled to a maximum of:

1 time base salary

(1,490,000 VND x 1 = 1,490,000 VND)

Inpatient medical care at central-level hospitals is entitled to a maximum of:

2.5 times base salary

(1,490,000 VND x 2.5 = 3,725,000 VND)

In case of emergency:

Get medical treatment at any medical facility and must present health insurance cards and photo identification before leaving the hospital to enjoy health insurance benefits as prescribed.

WHERE TO REGISTER AND PARTICIPATION PROCEDURES

Students shall register to participate in health insurance at the health room of the Education and training institution where the students are studying and follow the instructions of the school's medical staff.

Students can look up information and expiry date of the health insurance card by the following methods:

Web portal

baohiemxahoi.gov.vn

Hotline: 1900 9068

for advice and support

VssID Application

to update information on social, health and unemployment insurance policies and the payment-enjoyment process of participants

HEALTH INSURANCE FOR STUDENTS

VSS