Is it permissible get health insurance for cosmetic surgery in Vietnam?

Is it permissible get health insurance for cosmetic surgery in Vietnam?

Pursuant to Article 23 of the Law on Health Insurance in 2008 (amended by Clause 16 Article 1 of the Law on amendments to the Law on Health Insurance in 2014) stipulating cases not eligible for health insurance benefits as follows:

Cases not eligible for health insurance benefits

1. Cases specified in Clause 1 of Article 21 in which costs have been paid by the state budget.

2. Convalescence at sanatoria or convalescence establishments.

3. Medical check-up.

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

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

6. Use of aesthetic services.

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

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

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

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

13. Medical assessment, forensic examination, forensic mental examination.

14. Participation in clinical trials or scientific research.

As regulations above, aesthetic services are noit eligible for health insurance benefits.

Is it permissible get health insurance for cosmetic surgery in Vietnam? - Source: Internet

What is the scope of health insurance coverage in Vietnam?

Pursuant to Article 8 of The regulation on provision of covered services issued together with the Decision 1399/QĐ-BHXH in 2014 stipulating health insurance coverage as follows:

Insured patients shall have their following medical expenses covered:

1. Medical examination fees at the price approved by the competent authority.

2. Costs for hospital stays at the price approved by the competent authority if :

a) The insured inpatient is referred from the district medical facility.

b) Insured Inpatients do not stay for more than 03 days at medical stations of communes at the cost approved by the competent authority. For medical stations of disadvantaged communes or islands, insured patients shall not stay for longer than 5 days.

3. Medical expenses at the price approved by the competent authority.

For medical services which are administered by medical staff of superior medical facilities in rotation or under medical professional assistance programs stipulated in regulations of the Ministry of Health but have not priced yet, the expenses shall be covered at the price applied by the superior medical facility that conducts the technology transfer.

4. Costs of medicines, medical equipment and chemicals directly applied to patients by the list at the reimbursement rate and under terms of payment prescribed by the Minister of Health but not included in medical service costs.

5. Costs of blood and blood products prescribed in the Circular No.33/2014/TT-BYT on the ceiling price of standard blood bags and whole blood dated October 27, 2014 by the Ministry of Health.

6. Costs of transport of patients from district medical facilities to the higher level in case of emergency or referral of inpatients prescribed in points d, e, g, h and i, clause 3, Article 12 of the Law on amendments to the Law on Health Insurance.

Above are regulations on health insurance coverage in Vietnam.

Best regards!