changes in 5-continuos- years health insurance from 2023

26/02/2023 03:35 PM


Point c, Clause 1, Article 22 of the Law on Health Insurance (HI) clearly stipulates the conditions for patients participating in health insurance to enjoy the health insurance scheme for 5 consecutive years.

 

CONDITION 1

Participating in health insurance for full 5 consecutive years or more

The first condition is to have participated in health insurance for 5 consecutive years. The time of participation for 5 consecutive years is recorded directly on the people's health insurance cards. Healthcare visits from that time will be considered for calculations of health insurance benefits for 5 consecutive years.

CONDITION 2

Co-payment costs

The co-payment of proper-level healthcare visits earlier in the year is greater than 6 months' basic salary; in which, the amount of co-payment is understood as the amount that the patient must jointly pay with the social security agency according to the percentage enjoyed on the health insurance card.

July 1, 2023

1.49 million VND/month

1.8 million VND/month

Base salary

Limits on co-payment levels for healthcare visits

> 8.94 million VND/year

> 10.8 million VND/year

CONDITION 3

Must pay proper-level healthcare visits

The third condition in order to enjoy the 5-consecutive-year health insurance scheme is that the subsequent healthcare visits must be at proper levels.

Once fully meeting the conditions for enjoying the 5-consecutive-year health insurance scheme mentioned above, the patient will be covered with 100% of health treatment expenses by the HI fund within the payment scope of this fund. This will help patients reduce the economic burden when they have to treat serious illnesses for a long time.

VSS