Health Insurance Policy: Risk-sharing, reducing financial burden for patients
31/08/2023 10:56 AM
According to statistics, in recent years, the Health Insurance Fund has annually disbursed over 100 trillion VND for health insurance coverage. As a result, individuals have significantly reduced their medical expenses, especially for those with severe or chronic illnesses. The financial support provided by the Health Insurance Fund has motivated patients to overcome the challenges of illnesses.
Illustrative image (internet)
Specifically, the number of health insurance-covered medical examinations and treatments, as well as the corresponding expenses paid by the social security authority in 2022 and the first six months of 2023, are as follows:
Year
Number of turns of healthcare visits
(million)
Insurance coverage amount
(billion VND)
During period
Compared with the same period last year
Rate of increase
Increase expenses
2022
150,6
19%
24,1
106.682,2
21,5%
18.874,5
First 6 months of 2022
83,0
29,2%
18,8
57.032,9
23,3%
10.79
Furthermore, the benefits of participating in health insurance are increasingly expanding in terms of coverage and the level of insurance benefits. The quality of healthcare services covered by health insurance is also improving, providing individuals with access to modern and highly effective medical services. Many patients have had their medical expenses reimbursed by the health insurance fund, amounting to billions of VND, which has helped them overcome financial difficulties and continue their treatment with peace of mind. Statistics show that from 2022 to the first six months of 2023, there were 94 patients nationwide whose health insurance-covered medical expenses exceeded 1 billion VND.
Specifically, some notable cases with significant reimbursements from the health insurance fund are as follows:
(1) The highest reimbursement amounted to 4.69 billion VND (2.94 billion VND in 2022 and 1.75 billion VND in the first six months of 2023). The card number is TE1262621XXXXXX, the patient was born in 2018, residing in Tho Tang Town, Vinh Tuong District, Vinh Phuc Province. The primary diagnosis was "Other disorders of carbohydrate metabolism."
(2) The second-highest reimbursement amounted to 3.88 billion VND (over 2.12 billion VND in 2022 and nearly 1.76 billion VND in the first six months of 2023). The card number is TE1242422XXXXXX, the patient was born in 2018, residing in Binh An, Tien Phong Commune, Yen Dung District, Bac Giang Province. The primary diagnosis was "Glycogen storage disease, acute bronchitis..."
(3) The third-highest reimbursement amounted to 3.68 billion VND (2.05 billion VND in 2022 and 1.63 billion VND in the first six months of 2023). The card number is TE1303622XXXXXX, the patient was born in 2019, residing in An Luu Ward, Kinh Mon Town, Hai Duong Province. The primary diagnosis was "Other specified disorders of metabolism, pneumonia..."
(4) The fourth-highest reimbursement amounted to 3.54 billion VND (2.59 billion VND in 2022 and 0.95 billion VND in the first six months of 2023). The card number is TE1424217XXXXXX, the patient was born in 2017, residing in Xuan Yen Commune, Nghi Xuan District, Ha Tinh Province. The primary diagnosis was "Tyrosine metabolism disorder, arrhythmia..."
(5) The fifth-highest reimbursement amounted to 3.51 billion VND (1.88 billion VND in 2022 and 1.63 billion VND in the first six months of 2023). The card number is TE1171721XXXXXX, the patient was born in 2018, residing in Tan Thinh Ward, Hoa Binh City, Hoa Binh Province. The primary diagnosis was "Carbohydrate metabolism disorder."
It can be affirmed that health insurance is one of the key pillars of the social welfare system, with a deep sense of compassion and community sharing. The Party and the State highly value and prioritize its implementation. Participating in health insurance brings numerous practical benefits to individuals and the community, ensuring the protection and healthcare for all citizens and sharing the risks among participants./.
VSS
Sickness
Work Injury and Occupational Disease
Survivor’s
Old-age
Maternity
Unemployment
Medical (Health Insurance)
Certificate of coverage
VSS - ISSA Guidelines on Social Security