64 individuals nationwide had health insurance costs exceeding 1 billion VND covered by the health insurance fund in 2022

28/04/2023 03:15 PM


According to statistics from Vietnam Social Security, in 2022, there were 150.6 million individuals who received medical examinations and treatment under health insurance, with a proposed payment amount of over 106,682 billion VND.

In 2022, 64 individuals had health insurance costs exceeding 1 billion VND covered by the health insurance fund (illustrated photo)

Among them, 64 patients had health insurance costs for medical examinations and treatment exceeding 1 billion VND. In the first quarter of 2023, there were also 99 patients whose health insurance costs exceeded 500 million VND, and 8 patients whose health insurance costs exceeded 1 billion VND.

Some of the highest-paid cases from 2022 to the end of the first quarter of 2023 include:

1. The patient with the highest health insurance payment was 4.1 billion VND: card number TE1262621XXXXXX, born in 2018, residing in Tho Tang town, Vinh Tuong district, Vinh Phuc province, diagnosed with "Other disorders of carbohydrate metabolism".

2. The patient with the second-highest health insurance payment was over 3.5 billion VND: card number TE1424217XXXXXX, born in 2017, residing in Xuan Yen commune, Nghi Xuan district, Ha Tinh province, diagnosed with "Tyrosine metabolism disorder".

3. The patient with the third-highest health insurance payment was nearly 3.5 billion VND: card number TE1343422XXXXXX, born in 2017, residing in Ward De Tham, Thai Binh city, Thai Binh province, diagnosed with "Glycogen storage disease type 2 (Pompe disease)".

4. The patient with the fourth-highest health insurance payment was nearly 3.1 billion VND: card number TE1242422XXXXXX, born in 2018, residing in Binh An hamlet, Tien Phong commune, Yen Dung district, Bac Giang province, diagnosed with "Glycogen storage disease".

 

Những nỗ lực, điều hành của Bộ Y tế tháo gỡ thiếu thuốc, trang thiết bị y tế

Illustraive photo (internet)

Nearly 7.3 million people have selected an Affordable Care Act (ACA) Health Insurance Marketplace plan since the 2024 Marketplace Open Enrollment Period (OEP) opened on November 1. This represents activity through December 2 (Week 5) for the 32 states using HealthCare.gov and through November 25 (Week 4) for the 18 states and the District of Columbia with State-based Marketplaces (SBMs). Total plan selections include more than 1.6 million people (23% of total) who are new to the Marketplaces for 2024, and 5.7 million people (77% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew their coverage or select a new plan for 2024.

The 2024 Marketplace Open Enrollment Period runs from November 1, 2023, to January 15, 2024, for states using the HealthCare.gov platform. Consumers who enroll by midnight on December 15 can get full-year coverage that starts January 1, 2024. State-based Marketplace enrollment deadlines vary. State-specific deadlines and other information are available in the State-based Marketplace Open Enrollment Fact Sheet - PDF.

 

Những nỗ lực, điều hành của Bộ Y tế tháo gỡ thiếu thuốc, trang thiết bị y tế

Illustraive photo (internet)

“On top of last year’s record numbers, enrollment for Marketplace health insurance at HealthCare.gov is again exceeding expectations,” said HHS Secretary Xavier Becerra. “Health care coverage means peace of mind. It means protection. And now, thanks to the historic Inflation Reduction Act, more Americans than ever can sign up for coverage with lower costs and better benefits. There’s still time, so I urge you to shop at HealthCare.gov and sign up for a health plan that meets your needs and your pocketbook.”

“I’m thrilled that more than 7 million people have signed up for Marketplace coverage nationwide since Open Enrollment began. The continued increase in enrollment is confirmation that the need for affordable, quality health care coverage is strong,” CMS Administrator Chiquita Brooks-LaSure said. “I encourage those who are seeking health care coverage to visit HealthCare.gov before the December 15 deadline for their coverage to begin on January 1.”

The Biden-Harris Administration has continued its commitment to making health insurance available and affordable to everyone, and the Inflation Reduction Act and the American Rescue Plan continue to keep Marketplace coverage affordable. The administration continues to issue Navigator Awards, allowing organizations to hire staff who are trained to help consumers find affordable, comprehensive health coverage. Navigators, as they are known, have been key to helping consumers in every Marketplace state.

The Biden-Harris Administration encourages all families to visit HealthCare.gov and check out the health care coverage options and savings available to them. Because of continuing provisions in the Inflation Reduction Act, CMS expects 9 out of 10 customers to be eligible for savings. People with current coverage through HealthCare.gov are encouraged to return and shop to see if another plan better meets their needs at a lower cost.

Many people are eligible for Medicaid and the Children’s Health Insurance Program (CHIP), however those who are no longer eligible for Medicaid or CHIP should visit HealthCare.gov to see if they are eligible to enroll in a low-cost, quality health plan today.

Individuals will also benefit from a highly competitive Marketplace. More than 90% of HealthCare.gov enrollees will be able to choose among three or more plans. Standardized plan options are available and offer the same deductibles and cost-sharing for certain benefits. These plans have the same out-of-pocket limits as other standardized plans within the same health plan category, making it easier for consumers to compare and choose plans. Most of these standardized plan options offer many services pre-deductible, including primary care, generic drugs, preferred brand drugs, urgent care, specialist visits, mental health and substance use outpatient office visits, as well as speech, occupational, and physical therapies.

VSS