• QUESTION AND ANSWER
Sender:
From Nguyen Thanh Ha
Email:
Send Date:
22/10/2020
Fields:
FAQ
Status
Replied
Content:

I went for a medical examination at the central level, which was at the primary level. Now I’m discharged from the hospital and have a follow-up appointment. May I ask if I have a follow-up appointment, can I stay in the inpatient hospital? And what is the maximum time to stay in the inpatient hospital for treatment until the primary insurance period expires? I heard that the referral to the primary level can provide inpatient treatment in the central hospital for 1 month; and only 10 days for the inappropriate-level medical examination. After the above time, I may not be entitled to health insurance. Is it right or wrong?

Answer by:
VSS
Answer Date:
26/10/2020
File attachment:
Answer:

- Under the provisions of Clause 5, Article 15 of the Government's Decree No. 146/2018/ND-CP dated October 17, 2018 on elaborating and providing guidance on measures to implement certain articles of law on health insurance: In case of a follow-up examination, a health insurance policyholder must show the note of follow-up appointment of the healthcare establishment which is prepared by using the Form No. 5 of the Appendix to this Decree.

Thus, in case you go for medical examination according to the follow-up appointment, follow the medical examination procedures as prescribed (present your health insurance card with photo identification issued by the competent agency or organization) and the follow-up visit with indication of inpatient treatment will be covered by the health insurance fund, similar to the cases of medical examination at the right level.

- In terms of inpatient duration: Currently, there is no regulation on the limit to the number of days of inpatient treatment paid under the health insurance regime; the length of inpatient treatment is based on your medical condition.

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