Many health insurance patients are paid with billions of dong in medical examination and treatment costs

22/05/2024 05:09 PM


The Health Insurance Law stipulates that all people shall have the right to participate in health insurance with the same scope of health insurance benefits; Health insurance participants are paid by the health insurance fund, with unlimited amount of medical examination and treatment under the scope and level of benefits, which can be up to billions of VND/year. In addition, the health insurance participants’ medical expenses shall be paid by the health insurance fund under regulations, without limits on age, number of days of treatment and total medical examination expenses covered by health insurance.

Health insurance policy has practical significance, making an important contribution to medical examination and treatment and people's health care. Participating in health insurance is not only the right of every person, but also shows the responsibility to comply with the law and the spirit of solidarity to share with those who unfortunately encounter health risks.

Currently, the health insurance fund pays treatment costs for all serious diseases such as cardiovascular, cancer, rare diseases... These are groups of diseases that will require long-term or lifelong treatment, with large treatment costs. In fact, there have been many cases of people participating in health insurance going to medical examination and treatment to use high-tech, high-cost services, paid by the health insurance fund up to billions of dong. Thanks to that, patients can overcome economic difficulties and feel secure in continuing treatment.

Many health insurance patients are paid with billions of dong in medical examination and treatment costs

According to statistics, some cases have been paid by the health insurance fund with large expenses from the year 2023 to the end of April 2024, specifically as follows:

1. The patient with the highest payment from the health insurance fund is more than 4,465 billion VND: card code TE1303622XXXXX, born in 2019, address: An Luu Ward, Kinh Mon town, Hai Duong province, main diagnosis is "Hypertension , Type diabetes, Kidney failure”.

2. The second highest paid patient by the health insurance fund is 4,372 billion VND: card code TE1171721XXXXX, born in 2018, address: Tan Thinh Ward, Hoa Binh city, Hoa Binh province, main diagnosis is "Missing factor VIII hereditary”.

3. The patient with the third highest payment from the health insurance fund is more than 3,687 billion VND: card code TE1242422XXXXX, born in 2018, address: Tien Phong commune, Yen Dung district, Bac Giang province, main diagnosis is "Cumulative glycogen disease”.

4. The patient with the 4th highest payment from the health insurance fund is more than 3,684 billion VND: card code TE1262621XXXXX, born in 2018, address: Tien Chau Ward, Phuc Yen city, Vinh Phuc province, main diagnosis is "Syndrome Myelodysplasia, Acute leukemia of undetermined cell type.

5. The 5th highest patient paid by the health insurance fund is more than 3,635 billion VND: card code TE1353521XXXXX, born in 2019, address: Ngoc Lu commune, Binh Luc district, Ha Nam province, main diagnosis is "Cumulative glycogen disease”.

6. The patient with the 6th highest payment from the health insurance fund is more than 3,198 billion VND: card code TE1010131XXXXX, born in 2021, address: Phu Phuong commune, Ba Vi district, Hanoi city, main diagnosis is "Cumulative glycogen disease”.

7. The patient with the 7th highest payment from the health insurance fund is more than 3,065 billion VND: card code TE1797939XXXXX, born in 2020, address: Tan Thoi Nhat Ward, District 12, Ho Chi Minh City, main diagnosis is "Cumulative glycogen disease”.

8. The 8th highest patient paid by the health insurance fund is more than 3,021 billion VND: card code TE1262621XXXXX, born in 2021, address: Dong Cuong commune, Yen Lac district, Vinh Phuc province, main diagnosis is "Cumulative glycogen disease”.

9. The patient with the 9th highest payment from the health insurance fund is more than 2,676 billion VND: card code TE1363622XXXXX, born in 2020, address: Yen Bang commune, Y Yen district, Nam Dinh province, main diagnosis is "Cumulative glycogen disease”.

10. The 10th highest patient paid by the health insurance fund is more than 2,534 billion VND: card code TE1262621XXXXX, born in 2022, address: Tien Chau Ward, Phuc Yen city, Vinh Phuc province, main diagnosis is "Cumulative glycogen disease”.

*** Health insurance is a form of compulsory insurance applied to target groups prescribed in this Law for healthcare and non-profit purposes, the implementation of which is organized by the State.

VSS