• QUESTION AND ANSWER
Sender:
From the reader
Email:
tuandollarphan@gmail.com
Send Date:
16/11/2020
Fields:
FAQ
Status
Replied
Content:

I used to played sports and my left knee got injured so I went to see a doctor at Quy Hoa National Leprosy Dermatology Hospital. However, I only took X-rays and the doctor said my bones were okay but I still felt pain when I walked. Then he/she told me that there could be ligament damage in the left knee joint. But they did not have MRI scanner, so the doctor advised me to go to another hospital. Then if I use the health insurance registered at Quy Hoa National Leprosy Dermatology Hospital at another hospital, can I get the same health insurance benefits?

Answer by:
VSS
Answer Date:
19/11/2020
File attachment:
Answer:

According to Article 27 of the Law on Health Insurance, for a case falling beyond the professional and technical capacity of a health insurance-covered medical care provider, such provider may transfer the patient to another provider according to regulations on transferal of patients among medical care service providers of different levels.

Thus, in case the Quy Hoa National Leprosy Dermatology Hospital is incapable of treating your illness, they will be responsible for transferring you to a medical facility that is qualified for diagnosis and treatment.

- In case you receive medical care at a hospital of improper level (not in a state of emergency and without a referral letter), according to Clause 3, Article 22 of the Law on Health Insurance, the health insurance benefits shall be paid by the health insurance fund at the following levels:

+ At central-level hospitals, 40% of the costs for inpatient treatment;

+ At provincial-level hospitals, 60% of the costs for inpatient treatment from the effective date of this Law to December 31, 2020; and 100% of the costs for inpatient treatment from January 1, 2021, nationwide;

+ At district-level hospitals, 70% of the costs for medical care from the effective date of this Law to December 31, 2015; and 100% of the costs for medical care from January 1, 2016.

  • Others