Are attendants of war invalids eligible for free health insurance cards in Vietnam? What is the payment rate and responsibility for paying medical insurance for war invalids?
Are attendants of war invalids eligible for free health insurance cards in Vietnam?
Pursuant to the provisions of Clause 16, Article 3 of Decree 146/2018/ND-CP of Vietnam as follows:
“Article 3. Group of health insurance policyholders whose contributions are paid by the state budget
…
16. Home attendants of persons rendering meritorious revolutionary services, including:
a) Attendants of Vietnamese heroic mothers;
b) Attendants of war invalids, sick soldiers who suffer from a reduction by at least 81% of labor capacity;
c) Attendants of partisans suffering diseases due to exposure to toxic chemicals whose labor capacity is reduced by at least 81%.”
Thus, the above provisions refer to your case. Your grandmother is a 1/4 rank war invalid with an injury rate of 85%.
You are currently authorized by your family to take care of your grandmother, so your health insurance contributions shall be paid by the state budget and your health insurance card shall be issued free of charge.
Health insurance
How much is the health insurance coverage for attendants of war invalids?
Pursuant to the provisions of Article 14 of Decree 146/2018/ND-CP of Vietnam, as amended by Point d Clause 1 Article 183 Decree 131/2021/ND-CP of Vietnam stipulating:
“Article 14. Rates of entitlement to health insurance coverage with respect to cases prescribed in clause 1 and clause 7 of Article 22 in Law on Health Insurance
1. When receiving medical examination and treatment services in accordance with Article 26, 27 and 28 in the Law on Health Insurance; clause 4 and 5 of Article 22 in the Law on Health Insurance, health insurance policyholders shall be entitled to the health insurance fund’s coverage of permissible medical costs at the following rates:
a) 100% of medical costs paid by the policyholders prescribed in clause 3, 4, 8, 9, 11 and 17 of Article 3 herein;
b) 100% of medical costs, and any restrictions on the rate of payment of medical costs such as medicines, chemicals, medical supplies and medical technology services as regulations of the Minister of Health shall not be applied to:
- Revolutionaries performing their activities before January 1, 1945;
- Revolutionaries performing their activities from January 1, 1945 to the date of the uprising event taking place in August, 1945;
- Vietnamese heroic mothers;
- War invalids, including class-B war invalids recognized before December 31, 1993, beneficiaries of the same compensation policies as war invalids with an injury rate of at least 81%;
- Sick soldiers with an injury rate of at least 81%;
- Partisans suffering diseases due to exposure to toxic chemicals with an injury rate of at least 81%;
- War invalids, including class-B war invalids recognized before December 31, 1993, beneficiaries of the same compensation policies as war invalids whose injuries are cured or whose diseases relapse;
- Children under 6 years of age.
c) 100% of healthcare service costs at the commune level;
d) 100% of medical service costs if the cost of each medical examination or treatment accounts for less than 15% of the base pay rate;
dd) 100% of medical costs if a patient participates in the health insurance for a consecutive period of at least 5 years and has made the co-payment of medical costs in a year which is greater than total base pay amount received during 6 months, except self-referrals to inappropriate-level healthcare establishments;
e) 95% of medical costs paid by the policyholders prescribed in clause 1 of Article 2, clause 12 of Article 3, and clause 1 and 2 of Article 4 herein;
g) 80% of medical costs paid by others;
h) With respect to patients who are diagnosed, given therapeutic indications and referred to commune-level healthcare establishments for their management, monitoring and dispensing of medicines by higher-level healthcare establishments under regulations of the Minister of Health, their medical costs shall be paid by the health insurance fund within their scope of insurance benefit entitlement and contribution rates as prescribed in point a, b, dd, e and g of clause 1 of this Article.”
Thus, war invalids who are paid health insurance contributions by the state budget as analyzed above will be entitled to 80% of medical costs.
What is the validity period of health insurance cards for attendants of war invalids in Vietnam?
Pursuant to Article 13 of Decree 146/2018/ND-CP of Vietnam, the validity period of health insurance cards for attendants of war invalids in Vietnam is specified as follows:
“Article 13. Validity period of health insurance cards in Vietnam
1. With respect to policyholders specified in clause 6 of Article 2, health insurance cards shall have validity from the first month of entitlement to unemployment benefits which is determined in the decision on entitlement to unemployment benefits, issued by a competent regulatory authority.
2. With regard to policyholders specified in clause 7 of Article 3 hereof:
a) If a child is born before September 30, his/her health insurance card shall be valid until the end of September 30 of the year in which he/she reaches 72 months of age;
b) If a child is born after September 30, his/her health insurance card shall be valid until the end of the last date of the month in which he/she reaches 72 months of age.
3. With respect to policyholders referred to in clause 8 of Article 3 hereof, their health insurance cards shall be valid from the date of social welfare entitlement determined in the decision issued by the district-level People’s Committee.
4. With respect to the policyholders specified in clause 9 of Article 3, or the policyholders prescribed in clause 1 of Article 4 hereof, if their health insurance contributions are wholly supported by the state budget, their health insurance cards shall be valid from the date specified in the decision on approval of the list of policyholders, issued by a competent authority.
5. With respect to the policyholders specified in clause 10 of Article 3 hereof, their health insurance cards shall be valid from the date specified on the decision on approval of the list of policyholders, issued by a competent authority.
6. With respect to the policyholders specified in clause 14 of Article 3 hereof, their health insurance cards shall be valid immediately after the date of donation of their organs.
7. With regard to policyholders specified in clause 3 of Article 4 hereof:
a) Health insurance cards shall be annually issued to students at general education institutions, including the following cases:
- As regards 1st - grade pupils, each health insurance card shall be valid from the 1st day of October of the first year of elementary education;
- As regards 12th - grade students, each health insurance card shall be valid till the end of September 30 of that school year.
b) Each health insurance card shall be annually issued to pupils and students at higher education establishments and vocational training facilities, including the following cases:
- As regards first-year students of academic programs, each health insurance card shall be valid from the first date of the academic year, except the case in which 12th - grade students hold their health insurance cards remaining valid;
- As regards last-year students of academic programs, each health insurance card shall be valid till the last date of the final month of each academic program.
8. With regard to others, each health insurance card shall be valid from the first date of payment of health insurance contribution. If the policyholders referred to in clause 4 of Article 4, Article 5 and 6 hereof participate in the health insurance for the first time or do not incessantly participate in the health insurance for at least 3 months in a financial year, each health insurance card shall have the validity period of 12 months from the date on which it is in effect as per point c of clause 3 of Article 16 in the Law on Health Insurance.
9. The validity of each health insurance card as prescribed in this Article shall be equivalent to the amount of health insurance contribution in accordance with regulations in force, except policyholders who are children under 6 years of age.”
Thus, health insurance cards for attendants of war invalids in Vietnam shall be valid from the first date of payment of health insurance contribution.
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