Are children under the age of 6 required to participate in health insurance in Vietnam? If so, does the State provide any support?
What are the prohibited acts in health insurance in Vietnam?
According to the provisions of Article 11 of the Law on Health Insurance 2008, when participating in health insurance, the following actions are not allowed:
- Failing to pay or fully pay health insurance premiums under this Law.
- Committing fraud related to or forging health insurance files or cards.
- Using collected health insurance premiums or the health insurance fund for improper purposes.
- Obstructing, troubling or causing harms to the insured and parties involved in health insurance in the exercise of their lawful rights and enjoyment of their benefits.
- Deliberately making false reports or providing false information and data on health insurance.
- Abusing one’s position, power or professional operations to act in contravention of the health insurance law.
Are children under the age of 6 required to participate in health insurance in Vietnam? If so, does the State provide any support? (Image from the Internet)
Are children under the age of 6 required to participate in health insurance in Vietnam?
Pursuant to Article 12 of the Law on Health Insurance 2008 as amended by Clause 6, Article 1 of the Law on amendments to the Law on Health insurance 2014, regulations on health insurance participants are as follows:
Persons eligible for health insurance
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3. The group of the insured whose insurance is paid by the State budget, including:
a) Commissioned officers, professional soldiers, non-commissioned soldiers on active duty; commissioned police officers and non-commissioned police officers; police students, non-commissioned police officers or soldiers on fixed term contracts; ciphers whose salaries are the same as the salaries as the servicemen; cipher students whose benefits are the same as the benefits of students in military or police academies.
c) Officers in communes, wards and towns who have left employment and been receiving monthly pensions funded by the State budget.
c) Persons no longer receiving compensation for loss of capacity for work and being receiving monthly pensions funded by the State budget;
d) Persons performing meritorious services in the wars, war veterans;
dd) Incumbent deputies of the National Assembly or the People’s Councils at all levels;
e) Children under the age of 6;
g) Persons receiving monthly social protection pensions;
h) Poor household members, ethnics living in regions facing socio-economic difficulties, persons living in regions facing extreme socio-economic difficulties; persons living in island communes or districts.
i) Relatives of persons performing meritorious services in the wars such as biology parents, husbands, wives or children of revolutionary martyrs; persons rearing revolutionary martyrs;
k) Relatives of persons performing meritorious services in the wars, except for the insured prescribed at point i this Clause;
k) Relatives of the insured prescribed in point a clause 3 this Article;
m) Persons who have donated body parts under the regulations of the law;
n) Foreigners studying in Vietnam that are granted scholarships funded by the Vietnam State budget.
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Thus, according to the above regulations, children under the age of 6 are also one of the subjects required to participate in health insurance.
However, in this case, insurance for children under the age of 6 shall be paid by the State budget.
What are the regulations on 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 the Law on Health insurance 2014, there are regulations on health insurance cards as follows:
Health insurance cards
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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.
Thus, the effective dates of the health insurance cards are prescribed as follows:
- The health insurance cards shall be valid effective from the payment for health insurance for the following subjects:
+ 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
- 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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