Are people in Vietnam eligible for health insurance for prenatal care?

Are people in Vietnam eligible for health insurance for prenatal care?

I am 22 weeks pregnant. In the past, I went for regular prenatal checkups as advised by the doctor and they were all covered by health insurance. Last week, I went to the hospital for a checkup because I felt a little uncomfortable, but I was not covered by health insurance. Can you tell me if the hospital is doing this right?

Answer:

Pursuant to Clause 1.a Article 21 of the Law on Health Insurance in 2008 stipulating as follows:

1. The insured has the following costs covered by the health insurance fund:

a/ Costs of medical examination and treatment, function rehabilitation, regular pregnancy check-ups and birth giving;

Therefore, based on the regulations cited above, people participating in health insurance who go for regular prenatal care are eligible for reimbursement of costs by the health insurance fund in accordance with the law.

In other words, if a person participating in health insurance goes for prenatal care that is not regular, the health insurance fund will not reimburse the costs for that prenatal care.

In addition, pursuant to Clause 4 Article 23 of the Law on Health Insurance in 2008 stipulating as follows:

4. Prenatal tests and diagnosis for non-treatment purposes.

Based on the regulations cited above, if a person participating in health insurance performs prenatal testing or diagnosis that is not for the purpose of treatment, they are not eligible for health insurance (in other words, the health insurance fund will not reimburse the costs associated with it).

According to the information you provided, you are 22 weeks pregnant. In the past, you went for regular prenatal checkups as advised by your doctor and they were all covered by health insurance. However, last week, you went to the hospital for a checkup because you felt a little uncomfortable.

Therefore, if the purpose of your visit to the hospital was not for treatment, you are not eligible for health insurance.

Are people in Vietnam eligible for health insurance for prenatal care? - Source: Internet

Are people eligible for health insurance for infertility treatment in Vietnam?

I have a friend. He and his wife are infertile. I know that the cost of treatment is very expensive. I am wondering if health insurance covers the cost of examination and treatment for infertility?

Answer:

Pursuant to Article 1 of the Law on amendments to some articles of the Law on Health Insurance in 2014 stipulating as follows:

Health insurance is a form of compulsory insurance which is implemented by the State to look after the health of the insured according to this Law for non-profit purposes.

In fact, participating in health insurance is a measure to share the risks of participants to the entire community of people who are at risk of health risks. By individuals participating in health insurance contribute a certain amount of money and the common health insurance fund to compensate for those who participate in health insurance but unfortunately suffer from health risks.

Pursuant to Clause 5 Article 23 of the Law on Health Insurance in 2008, cases not eligible for health insurance benefits include:

Use of obstetric supportive techniques, family planning services or abortion services, except for cases of discontinuation of pregnancy due to fetal or maternal diseases.

According to the regulations above, health insurance will not cover the use of assisted reproductive technology (ART), which is often used by couples to treat infertility.

What are 12 cases that are not covered by health insurance in Vietnam?

What are cases that are not covered by health insurance in Vietnam? Thank you!

Answer:

Health insurance is a form of compulsory insurance which is implemented by the State to look after the health of the insured according to this Law for non-profit purposes.

Pursuant to Article 23 of the Law on Health Insurance in 2008 (amended by Clause 16 Article 1 of the Law on amendments to some articles of the Law on Health Insurance in 2014) stipulating as follows:

- Cases in which costs have been paid by the state budget.

- Convalescence at sanatoria or convalescence establishments.

- Medical check-up.

- Prenatal tests and diagnosis for non-treatment purposes.

- Use of obstetric supportive techniques, family planning services or abortion services, except for cases of discontinuation of pregnancy due to fetal or maternal diseases.

- Use of aesthetic services.

- Treatment of squint, myopia and eye refraction defect except for the children under age 6.

- Use of prostheses including artificial limbs, eyes, teeth, glasses, hearing aids or movement aids in medical examination, treatment and function rehabilitation.

- Medical examination, treatment and functional rehabilitation in case of disasters.

- Medical examination and treatment for addiction to drugs, alcohol or other habit-forming substances.

- Medical assessment, forensic examination, forensic mental examination.

- Participation in clinical trials or scientific research.

Above are cases that are not covered by health insurance in Vietnam.

Best regards!