Form of health insurance-covered service contract in Vietnam according to the latest regulations? How long is the validity period of the contract?
- Form of health insurance-covered service contract in Vietnam according to the latest regulations?
- What are the contractual terms for signing a health insurance-covered service contract in Vietnam?
- What is included in the documents of health insurance-covered service contracts in Vietnam?
- How long is the validity period of health insurance-covered service contract in Vietnam?
Form of health insurance-covered service contract in Vietnam according to the latest regulations?
Currently, the form of contract for medical examination and treatment covered by health insurance is specified in Form No. 7 promulgated together with Decree 146/2018/ND-CP of Vietnam as follows:
Download the form of health insurance-covered service contract: Click here.
Form of health insurance-covered service contract in Vietnam according to the latest regulations? How long is the validity period of the contract?
What are the contractual terms for signing a health insurance-covered service contract in Vietnam?
Pursuant to Article 17 of Decree 146/2018/ND-CP of Vietnam stipulating the contractual terms for signing a health insurance-covered service contract as follows:
Contractual terms and conditions, requirements for eligibility of a healthcare establishment for signing a health insurance-covered service contract with
1. Contractual terms and conditions shall be established by using the Form N0.7 of the Appendix to this Decree. Depending on conditions of a healthcare establishment, a social insurance agency and that healthcare establishment shall agree on supplements to contractual terms and conditions without committing any violation against legislative regulations on health insurance.
2. Requirements for eligibility of a healthcare establishment for signing a health insurance-covered service contract shall be comprised of the followings:
a) Fully meet requirements for conformance to medical practicing regulations in accordance with laws on healthcare services and have obtained a competent regulatory authority’s medical service license;
b) Ensure provision of medicines, chemicals and medical supplies are in line with the scope of functions of that healthcare establishment.
Thus, contractual terms and conditions shall be established by using the Form N0.7 of the Appendix to Decree 146/2018/ND-CP of Vietnam.
In addition, depending on conditions of a healthcare establishment, a social insurance agency and that healthcare establishment shall agree on supplements to contractual terms and conditions without committing any violation against legislative regulations on health insurance.
What is included in the documents of health insurance-covered service contracts in Vietnam?
Pursuant to Article 16 of Decree 146/2018/ND-CP of Vietnam, in case of a health insurance-covered service contract, documents shall include:
- Request form for signing the contract, prepared by the requesting healthcare establishment;
- Duplicate of the healthcare license, issued by a competent regulatory authority to the requesting healthcare establishment;
- Internally stamped duplicate of the decision on ranking of hospitals made by a competent regulatory authority (if any) or the decision on medical level issued by a competent regulatory authority with respect to non-public healthcare establishments;
- List of medical technology services, medicines, chemicals or medical supplies, approved by a competent regulatory authority (whether in the written or electronic form).
Note: In case where a healthcare establishment obtains a competent regulatory authority’s approval of supplementation of functions, duties, scope of professional practices and hospital ranking, that healthcare establishment shall be responsible for informing a competent social insurance agency of adding the above mentioned information to the health insurance-covered service contract.
Within the duration of 10 working days of receipt of the written document stating approval from the healthcare establishment, the receiving social insurance agency shall be responsible for completely signing on appendices to the contract or entering into a new contract.
How long is the validity period of health insurance-covered service contract in Vietnam?
Pursuant to Clause 2, Article 18 of Decree 146/2018/ND-CP of Vietnam, the validity period of health insurance-covered service contract is prescribed as follows:
- The validity period of a contract shall range from January 1 to end of December 31 of each year, but shall be restricted to 36 months;
- In case of the health insurance-covered service contract signed for the first time, the validity period of this contract shall start from the signature date to end of December 31 in the year on which the contract expires, but shall not exceed 36 months;
- In case of signing a health insurance-covered service contract on an annual basis, a healthcare establishment and a social insurance agency shall completely conclude the contract of the following year before December 31 of that year.
10 days before the contract expires, if the healthcare establishment and the social insurance agency agree on the contract extension and negotiate about the implementation of the contract based on an appendix to that contract, that appendix shall have legal value, unless otherwise agreed upon.
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