What are the regulations on direct expenses included in prices for medical examination in Vietnam from November 17, 2023?
- What are the regulations on direct expenses included in prices for medical examination in Vietnam from November 17, 2023?
- Vietnam: What are the rules for application of medical service prices for regional polyclinics?
- Can Vietnamese citizens present their Citizen ID Cards instead of the health insurance cards when visiting healthcare establishments for medical examination or treatment services?
What are the regulations on direct expenses included in prices for medical examination in Vietnam from November 17, 2023?
In Clause 1, Article 3, Circular 22/2023/TT-BYT stipulates the price structure of health insurance medical examination and treatment services:
Composition of prices for medical services covered by health insurance
Prices for medical services specified in this Circular shall be calculated based upon direct expenses and salaries in order to ensure the provision of medical examination and treatment; to be specific:
1. Direct expenses included in prices for medical examination:
a) Expenses incurred on patient clothing, scrubs, medical cap, surgical mask, bedspread, pillow, mattress, mat, stationery, medical glove, cotton wool, bandage, alcohol, gauze, brine and other supplies serving the medical examination.
b) Expenses incurred on electricity, water, fuels, daily-life waste treatment, medical waste (solid and liquid waste); laundry, steaming, drying, washing or disinfecting cloth, examination equipments; expenses incurred on cleaning and ensuring environment hygiene; antiseptic supplies and chemicals during the examination;
c) Expenses incurred on maintenance and care of equipment, purchase of assets and tools for replacement such as air conditioners, computers, printers, dehumidifiers, fans, desks, chairs, cabinets, lights and other necessary tools during medical examination.
2. Direct expenses included in prices for hospital stay:
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Thus, according to the above regulations, from November 17, 2023, direct expenses included in prices for medical examination include:
- Expenses incurred on patient clothing, scrubs, medical cap, surgical mask, bedspread, pillow, mattress, mat, stationery, medical glove, cotton wool, bandage, alcohol, gauze, brine and other supplies serving the medical examination.
- Expenses incurred on electricity, water, fuels, daily-life waste treatment, medical waste (solid and liquid waste); laundry, steaming, drying, washing or disinfecting cloth, examination equipments; expenses incurred on cleaning and ensuring environment hygiene; antiseptic supplies and chemicals during the examination;
- Expenses incurred on maintenance and care of equipment, purchase of assets and tools for replacement such as air conditioners, computers, printers, dehumidifiers, fans, desks, chairs, cabinets, lights and other necessary tools during medical examination.
What are the regulations on direct expenses included in prices for medical examination in Vietnam from November 17, 2023?
Vietnam: What are the rules for application of medical service prices for regional polyclinics?
In Article 4, Circular 22/2023/TT-BYT stipulates rules for application of medical service prices in medical facilities contracted to provide medical services covered by health insurance as follows:
Rules for application of medical service prices in medical facilities contracted to provide medical services covered by health insurance
1. For institutes with patient beds, medical centers providing medical services that are licensed to serve functions of hospitals, classed medical centers in districts providing medical services, apply the prices by hospital of the same class.
2. For health protection and care clinics for public officials in provinces, cities not affiliated to general hospitals in provinces and central-affiliated cities, apply the service prices issued by class II hospitals.
3. For unclassed medical facilities, army medical clinics, civil-military medical clinics, military infirmaries, infirmaries, private polyclinics and specialty clinics, apply the prices issued by class IV hospitals.
4. For regional polyclinics:
a) If regional polyclinics are licensed to serve functions of hospitals or fall into the cases specified in clause 12, Article 11 of the Government’s Decree No. 155/2018/ND-CP dated November 12, 2018 on amendments to certain articles related to the business and investment conditions under state management of the Ministry of Health, apply the prices for medical services issued by class IV hospitals;
b) If only providing emergency medical response and medical services for outpatients, apply the prices for medical services issued by class IV hospitals. If permitted by the Department of Health to have patient beds, the price for an outpatient bed shall be equal to 50% of the price for hospital stay of type 3 inpatient bed of class IV hospitals. An outpatient can only be confined to a bed for maximum 3 days for each medical treatment. Payment for medical examination service is not required if the price for outpatient bed is paid.
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Accordingly, the principles for applying service prices to regional polyclinics include the following principles:
- If regional polyclinics are licensed to serve functions of hospitals or fall into the cases specified in clause 12, Article 11 of the Government’s Decree 155/2018/ND-CP.
- If only providing emergency medical response and medical services for outpatients, apply the prices for medical services issued by class IV hospitals
If permitted by the Department of Health to have patient beds, the price for an outpatient bed shall be equal to 50% of the price for hospital stay of type 3 inpatient bed of class IV hospitals
Can Vietnamese citizens present their Citizen ID Cards instead of the health insurance cards when visiting healthcare establishments for medical examination or treatment services?
According to Section 2 of Official Dispatch 3452/BHXH-CSYT in 2023, instructions for the procedures of health insurance medical examination and treatment are as follows:
Procedures for medical examination or treatment covered by health insurance according to Clause 6 Article 1 of Decree No. 75/2023/ND-CP:
When visiting healthcare establishments for medical examination or treatment services, health insurance policyholders must present photo health insurance cards or citizen identity cards; in case of absence of the photo, they shall be required to present one of their photo identity documents issued by competent bodies or authorities, or certificates endorsed by commune-level police authorities or others endorsed by educational institutions in charge of management of pupils or students; other legitimate personal identification documents or level-2 electronic identification (VneID) according to regulations of Decree No. 59/2022/ND-CP dated September 5, 2022 of the Government on electronic identification and authentication.
Therefore, When visiting healthcare establishments for medical examination or treatment services, citizens can present photo health insurance cards or citizen identity cards.
In case of absence of the photo, they shall be required to present one of their photo identity documents issued by competent bodies or authorities, or certificates endorsed by commune-level police authorities or others endorsed by educational institutions in charge of management of pupils or students.
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