Household-based health insurance: Low-cost with great advantages

25/07/2022 09:26 AM


Health insurance is a non-profit insurance regime of the Party and State that aims at taking care of the people's health, organized by the State. The participants of health insurance are covered by the health insurance fund with an unlimited amount of medical examination and treatment costs according to the scope and benefit level, which can reach up to billions of dong/year. Thereby, health insurance has helped a great number of people with health insurance cards overcome economic difficulties when they are unfortunately sick.

Participating in household-based health insurance: Low-cost with great advantages (Illustrative image)

All family members are covered by health insurance

From January 1, 2015, the Law amending and supplementing a number of articles of the Law on Health Insurance stipulates that people can participate in health insurance in household groups, including:

- Persons named in the household registration book/temporary residence book or jointly registered for permanent residence/temporary residence at a lawful place of residence as prescribed by law, except those who already have health insurance cards belonging to another group of subjects.

- People living in social protection establishments, except for those participating in health insurance in other groups who are not supported by the state budget to pay health insurance premiums.

The more family members, the lower the health insurance premiums

Participating in household-based health insurance from the second person onwards will be deducted from the premium rate, specifically as follows:

First person

pay 4.5% of the base salary:

6. 7,050 VND/month

(804,600 VND/year)

The second person pays 70% of the first person's contribution:

4. 6,935 VND/month (563,220 VND/year)

The second person pays 70% of the first person's contribution:

40. 6,935 VND/month (563,220 VND/year)

 

The fourth person pays 50% of the first person's contribution:

3. 3,525 VND/month (402,300 VND/year)

 

The 5th person onward pays 40% of the first person's payment: 26,820 VND/month (321,840 VND/year)

 

Flexible and suitable payment method

Participants of health insurance can choose to pay every 3 months, 6 months or 12 months through service organizations collecting social, health insurance premiums or social security agencies.

Great benefits, unlimited payments within the scope and benefits

- For proper-level medical examination and treatment using health insurance

Coverage

Case

 

 

100% of total medical care costs

Receiving medical care at the commune level.

If the medical treatment costs are less than 15% of the base salary (1,490,000 VND/month) at the time of treatment.

 

When participating in health insurance for 5 consecutive years or more and the amount of co-payment of medical expenses in the year is greater than 6 months' base salary, except for the case of improper-level medical treatment.

 

80% of total medical care costs

Other cases.

- For improper-level medical examination and treatment using health insurance

Type of treatment

Line of technical expertise

Coverage (health care costs)

Outpatient

District-level hospital

100%

 

Inpatient

District-level hospital

100%

Provincial-level hospital

100%

 

Central-level hospital

40%

 

Convenient and simple places to register for participation

- Provincial and district-level social security agencies.

- Service organizations collecting social and health insurance premiums.

Illustrative image

The value of using a health insurance card

For those who participate in health insurance for the first time or not continuously for 3 months or more in a fiscal year, the health insurance card is valid for use after 30 days from the date of payment of health insurance premiums. Before the expiry date of the health insurance card, the participant needs to renew the card so that the health insurance card is valid for continuous use without interruption and does not affect the benefits to be enjoyed when participating in health insurance for 5 consecutive years.

Participating in health insurance is a form of contribution when healthy and saving when sick. Therefore, everyone should actively participate in health insurance today to protect the health of themselves and their families, and also a way to share their responsibilities with the community and society.

The health insurance policy in our country is increasingly being developed and perfected in the direction of expanding and ensuring the best insurance benefits of participants. By the end of June 2022, the whole country had about 64,231 million inpatient and outpatient medical care visits with health insurance coverage spending amounting to 46,294 billion VND. Over the past time, the health insurance fund has been a significant source of financial contribution to medical care, people's health care and social security./.

 

VSS