If my brother is provided with emergency medical aid other than the place where he registered for medical examination and treatment, will he still use his health insurance in Vietnam?

If my brother is provided with emergency medical aid other than the place where he registered for medical examination and treatment, will he still use his health insurance in Vietnam?

Pursuant to Article 6 of Circular 30/2020/TT-BYT regulating medical examination and treatment under health insurance in appropriate level

Cases of receiving medical examination and treatment under health insurance include:

1. Health insurance participants apply for medical examination and treatment in initial medical examination and treatment establishments specified on their health insurance cards.

2. Health insurance participants who apply for initial medical examination and treatment in medical examination and treatment establishments of communes or general clinics or district hospitals may receive medical examination and treatment covered by health insurance in other medical stations of communes or general clinics or district hospitals in the same provinces.  Children who have not obtained health insurance cards since birth declaration procedures have not been adopted may use birth certificates to receive medical examination and treatment in medical examination and treatment establishments specified under this Clause.

3. Health insurance participants who are in state of emergency are provided with emergency medical aid in any medical examination and treatment establishment in the country.

Doctors or physicians shall assess and identify state of emergency of the patients, specify in patients’ medical records and be responsible for their decisions.

4. Health insurance beneficiaries who benefit from transfer of administrative levels for receiving medical examination and treatment under health insurance as per the law, including:

a) May transfer according to Article 10 and Article 11 of Circular No. 40/2015/TT-BYT dated November 16, 2015 of Minister of Health on registration for initial medical examination and treatment under health insurance and transfer of administrative level for receiving medical examination and treatment under health insurance. Applications for transfer consist of transfer documents using Form No. 6 attached to Decree No. 146/2018/ND-CP and other documents (if any);

b) May transfer according to Clause 3 Article 14 of Decree No. 146/2018/ND-CP, including: emergency medical aid; cases where beneficiaries are diagnosed with other diseases exceeding the specialty of medical examination and treatment establishments during inpatient treatment process; disease development exceeds capacity of medical examination and treatment establishments during inpatient or outpatient treatment process;

c) May transfer according to Clause 2 Article 6 of Circular No. 04/2016/TT-BYT dated February 26, 2016 of Minister of Health on elaborating to medical examination, treatment and payment for medical examination, treatment covered by health insurance relating to examination and treatment of tuberculosis.

5. Health insurance participants who obtain documents proving their stay in other administrative divisions when they go on working trips, participate in concentrated education in training programs, semi-boarding programs and apply for initial medical examination, treatment in medical examination and treatment establishments of the same or equivalent administrative level as their initial medical examination and treatment establishments specified on health insurance cards according to Clause 7 Article 15 of Decree No. 146/2018/ND-CP. Medical examination and treatment establishments are responsible for storing photocopy of documents specified under this Point in medical records of beneficiaries.

6. Holders of notice of re-examination appointment in case they have been transferred according to Clause 5 Article 15 of Decree No. 146/2018/ND-CP.

7. Individuals who have donated their organs and require immediate treatment after donating organs.

8. Newborn babies who must receive treatment upon birth.

Thus, according to current regulations in Vietnam, in an emergency, no matter which medical facility you are in, your brother is considered to be in the right medical facility.

If my brother is provided with emergency medical aid other than the place where he registered for medical examination and treatment, will he still use his health insurance in Vietnam? (Image from the Internet)

What are regulations on principle of health insurance in Vietnam?

Pursuant to Article 3 of Law on Health Insurance regulating health insurance principles as follows:

1. Ensuring the sharing of risks among the insured.

2. Health insurance rates shall be determined according to the percentage of the wages as the basis for paying for the compulsory health insurance in accordance with the Law on Health insurance (hereinafter referred to as monthly salaries), retirement pensions, allowances or base salaries.

3. Benefit levels depend on the seriousness of sickness, groups of the insured within the scope of the benefits and the period of time that the insured pay health insurance.

4. Costs of health insurance-covered medical care shall be jointly paid by the health insurance fund and the insured.

5. The health insurance fund shall be managed in a centralized, unified, public and transparent manner, ensuring the balance between revenue and expenditure, and be protected by the State.

Best regards!