Specifically, the numbers from 1 to 5 on the health insurance card correspond to the level of health insurance benefits as follows:

VIETNAM SOCIAL SECURITY

HEALTH INSURANCE CARD

Code: 0801503677

Full name: HOANG VAN A

Date of birth: July 23, 1980. Gender: Male

Initial healthcare facility: Hoan Kiem District Medical Center

Valid for use: from Feb 1, 2021

Time to complete 05 consecutive years: from Jul 1, 2015

Place of issue and exchange of HI cards: Hoan Kiem, Hanoi

Photo 2 x 3 cm

January 15, 2021

GENERAL DIRECTOR

Department of SI Book and HI Card

Nguyen Van B

SIGNAL NUMBER 1

100% of medical expenses are covered by health insurance funds are within the scope of health insurance coverage and do not apply limit on payment rates for some drugs, chemicals, medical supplies and technical services according to regulations by the Minister of Health on the list and rates and conditions for payment of technical services; the cost of transporting patients from the district level to the upper level in case of emergency or during inpatient treatment must be transferred to a professional and technical level.

SIGNAL NUMBER 3

95% of medical expenses are covered by the health insurance fund within the scope of health insurance coverage (with limited payment rates for some drugs, chemicals, medical equipment and technical services as prescribed by the Minister of Health); 100% of health care costs at the commune level and only one time fee for medical treatment is lower than 15% of the basic monthly salary.

SIGNAL NUMBER 2

100% of medical expenses are covered by the health insurance fund (with limited payment rates for some drugs, chemicals, medical supplies and services as prescribed by the Minister of Health); expenses for transporting patients from district level to higher level in case of emergency or during inpatient treatment, requiring professional and technical referral.

SIGNAL NUMBER 4

80% of medical expenses are covered by the health insurance fund within the scope of health insurance coverage (with limited payment rates for some drugs, chemicals, medical equipment and technical services as prescribed by the Minister of Health); 100% of health care costs at the commune level and only one time fee for medical treatment is lower than 15% of the basic monthly salary.

SIGNAL NUMBER 5

100% covered by health insurance fund, including medical expenses

scope of entitlement to health insurance; shipping costs.

In addition, Article 4, Decision No. 1351 stipulates that the code of the subject's place of living consists of two characters and symbols that are both in letters and numbers::

SIGNAL K1

is the code where ethnic minorities and people from poor households participate in health insurance and are living in areas with difficult socio-economic conditions as prescribed by law.

SIGNAL K2

is the code where ethnic minorities and people from poor households participate in health insurance, and are living in areas with extremely difficult socio-economic conditions as prescribed by law.

SIGNAL K3

is the code where the insured person is living in the island commune, island district as prescribed by law.

Health insurance cards with codes of the subjects' places of living (symbols: K1, K2, K3), when they go for improper-level medical care on their own, the health insurance fund will cover the medical expenses for the district-level hospital, inpatient treatment for provincial and central hospitals (no need for medical referrals). For persons belonging to many groups of subjects participating in health insurance, the level of health insurance benefit stated on the health insurance card is the benefit level of the subjects with the highest benefits.