What is the list of Central Hospitals in Hanoi? What are the benefit levels of health insurance in the case of receiving medical examination and treatment services at a central hospital?
- What is the list of Central Hospitals in Hanoi?
- What are the benefit levels of health insurance in the case of receiving medical examination and treatment services at a central hospital different from the registered hospital in Vietnam?
- What are the current regulations on central medical facilities in Vietnam?
What is the list of Central Hospitals in Hanoi?
Under Article 6 of Circular 40/2015/TT-BYT, central initiating facilities and equivalent in Vietnam include:
- Polyclinic hospitals affiliated to the Ministry of Health, other than hospitals prescribed in Clause 3 of this Article;
- Specialized hospitals, and specialized institutes affiliated to the Ministry of Health with polyclinic departments;
- Huu Nghi Hospital, Da Nang C Hospital and Thong Nhat Hospital affiliated to the Ministry of Health;
- Special grade or grade I hospitals affiliated to the Ministry of National Defense, Military Institute of Traditional Medicine and other health facilities as prescribed by the Minister of National Defense.
Accordingly, Central Hospitals in Hanoi listed on the official website of the Ministry of Health include:
(1) Bach Mai Hospital
(2) Central Hospital for Tropical Diseases
(3) Central Hospital Of Acupuncture
(4) Central Hospital Of Dermatology
(5) Viet Duc Friendship Hospital
(6) K Hospital
(7) Central Geriatric Hospital
(8) National Children's Hospital
(9) Central Lung Hospital
(10) Central Obstetrics Hospital
(11) Hanoi Central Dental Hospital
(12) Central Ear, Nose and Throat Hospital
(13) Central Mental Hospital 1
(14) Central Hospital of Tuberculosis and Respiratory Diseases
(15) Central Endocrinology Hospital
(16) Central Traditional Medicine Hospital
...
See details on the official website of the Ministry of Health.
What are the benefit levels of health insurance in the case of receiving medical examination and treatment services at a central hospital different from the registered hospital in Vietnam?
According to the provisions of Article 22 of the 2008 Law on Health Insurance, amended by Clause 15, Article 1 of the 2014 Law on Amendments to Law on Health Insurance as follows:
Article 22. Benefit levels of health insurance
1. The benefit levels of the insured receiving medical examination and treatment by the regulations in Articles 26, 27 and 28 of this Law whose medical examination and treatment expenditures are covered by the health insurance fund shall be:
a) Total medical examination and treatment expenditures with regard to the insured prescribed in points a, d, e, g, h and i Clause 3 Article 12 of this Law. The costs of the non-covered medical services of the insured prescribed in point a Clause 3 Article 12 of this Law shall be paid by the health insurance budget used for medical examination and treatment of these insured persons; if this budget is insufficient, the State budget shall be in charge.
b) Total medical examination and treatment expenditures with regard to any medical examination and treatment at commune hospitals whose cost is lower than the cost prescribed by the Government.
c) Total medical examination and treatment expenditures with regard to the at least 5-year-insured whose medical examination and treatment expenditures exceed the total amount of the base salaries in 6 months, except for the insured who go to hospitals different from the registered hospitals;
d) 95% of the medial examination and treatment expenditures with regard to the insured prescribed in point a Clause 2, point k Clause 3 and point a Clause 4 Article 12 of this Law;
dd) 80 % of the medial examination and treatment expenditures with regard to other insured persons;
2. In case an insured person belongs to different groups of the insured, (s)he shall be provided with the highest health insurance benefits.
3. In case any cardholder goes to a hospital different from the registered hospital except for the insured prescribed in Clause 1 this Article, his or her costs shall be covered by the health insurance fund according to the benefit levels prescribed in Clause 1 this Article as follows:
a) 40% of the inpatient treatment expenditures at the central hospitals.
b) 60% of the inpatient treatment expenditures at the provincial hospitals from the effective date of this Law to December 31, 2020; total inpatient treatment costs from January 01, 2021 at all hospitals in Vietnam.
c) 70% of the medical examination and treatment expenditures at the district hospitals from the effective date of this Law to December 31, 2015; total medical examination and treatment expenditures from January 01, 2016.
Accordingly, the benefit levels of health insurance when receiving medical examination and treatment services at a central hospital different from the registered hospital are as follows:
Health insurance will cover:
+ 40% of 80% of inpatient treatment costs for subjects at Point dd, Clause 1, Article 22 of the 2008 Law on Health Insurance.
+ 40% of 100% of inpatient treatment costs for subjects at Points a, b, c, Clause 1, Article 22 of the 2008 Law on Health Insurance.
+ 40% of 95% of inpatient treatment costs for subjects at Point d, Clause 1, Article 22 of the 2008 Law on Health Insurance.
What are the current regulations on central medical facilities in Vietnam?
Article 6 of Circular 40/2015/TT-BYT regulates the central initiating facilities and equivalent as follows:
- Polyclinic hospitals affiliated to the Ministry of Health, other than hospitals prescribed in Clause 3 of this Article;
- Specialized hospitals, and specialized institutes affiliated to the Ministry of Health with polyclinic departments;
- Huu Nghi Hospital, Da Nang C Hospital and Thong Nhat Hospital affiliated to the Ministry of Health;
- Special grade or grade I hospitals affiliated to the Ministry of National Defense, Military Institute of Traditional Medicine and other health facilities as prescribed by the Minister of National Defense.
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