What is the information inscribed on health insurance cards in Vietnam? When is the insured allowed to change the registered primary care provider?

What is the information inscribed on health insurance cards in Vietnam? When is the insured allowed to change the registered primary care provider? H.P - Da Nang.

What is the information inscribed on health insurance cards in Vietnam?

Pursuant to the provisions of Article 12 of Decree 146/2018/ND-CP, health insurance cards shall be issued by competent social insurance agencies and contain the following information:

- Personal information of a policyholder, including full name, gender, date of birth, permanent residence or workplace address.

- Health insurance coverage rate

- Start date of a health insurance card

- Name of the primary healthcare establishment.

- Time to participate in health insurance

- Photo of the policyholder (not applicable to children under 6 years of age) in case where he/she does not have any photo personal identification document issued by competent bodies or authorities, or any certificate issued by commune-level police authorities or other documents endorsed by educational institutions or vocational education establishments in charge of management of pupils or students, or other legitimate personal identity documents.

What is the information inscribed on health insurance cards in Vietnam? When is the insured allowed to change the registered primary care provider? (Image from the Internet)

When is the insured allowed to change the registered primary care provider in Vietnam?

According to the provisions of Clause 2, Article 26 of the Law on Health Insurance 2008 as follows:

Registration for health insurance-covered medical care services
1. The insured may register for health insurance-covered primary care services at medical establishments of commune and district or equivalent levels, except for cases in which they are entitled to register at provincial or central medical establishments under regulations of the Minister of Health.
If an insured works on a mobile basis or moves in a different locality, he/she may seek primary care services at a medical establishment of corresponding technical line in the locality where he/she works or resides under regulations of the Minister of Health.
2. The insured may change the registered primary care provider at the beginning of every quarter.
3. The name of the primary care provider shall be specified in a health insurance card.

Thus, based on the above regulations, the insured may change the registered primary care provider at the beginning of every quarter, which falls in early January, April, July and October.

When are the effective dates of the health insurance cards in Vietnam?

Pursuant to Clause 3, Article 16 of the Law on Health Insurance 2008 as amended by Clause 10, Article 1 of the Law on amendments to some articles of the Law on Health insurance 2014, there are regulations on health insurance cards as follows:

Health insurance cards
...
3. The effective dates of the health insurance cards are prescribed as follows:
a) The health insurance cards of the insured prescribed in Clauses 1, 2 and 3 Article 12 of this Law who purchase health insurance for the first time shall be effective from the payment for health insurance;
b) The second health insurance cards and the following ones of the insured who continuously purchase health insurance shall be effective from the expiry of the previous ones.
c) The insurance cards of the insured, prescribed in Clause 4 and Clause 5 Article 12 of this Law who purchase health insurance from the effective date of this Law or discontinuously purchase the health insurance for at least 3 months in the financial year, shall be effective after 30 days from the payment for the health insurance.
d) The insurance cards of the children under age 6 shall be effective until they are full 72 months old. The insurance cards of full-72-month-old child children before their school year begins shall be effective until September 30 in such year.

Accordingly, the time when the Health Insurance card is valid is as follows:

- The health insurance cards of the insured who purchase health insurance for the first time shall be effective from the payment for health insurance:

+ The group whose insurance are paid by the employers and employees

+ The group of the insured whose insurance is paid by the social insurance organizations

+ The group of the insured whose insurance is paid by the State budget

- The second health insurance cards and the following ones of the insured who continuously purchase health insurance shall be effective from the expiry of the previous ones.

- The insurance cards of the insured who purchase health insurance from the effective date of this Law or discontinuously purchase the health insurance for at least 3 months in the financial year, shall be effective after 30 days from the payment for the health insurance.

+ The group of the insured whose insurance are supported by the State budget.

+ Group of the household insured including household members except for the ones prescribed in Clause 5, Article 12 of the Law on Health Insurance 2008.

- The insurance cards of the children under age 6 shall be effective until they are full 72 months old.

The insurance cards of full-72-month-old child children before their school year begins shall be effective until September 30 in such year.

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