What diseases are considered to be long-term-treatment diseases that are eligible for social insurance benefits in Vietnam?
What diseases are considered to be long-term illnesses that are eligible for social insurance benefits in Vietnam? - Ms. Yen (HCMC)
What diseases are considered to be long-term-treatment diseases that are eligible for social insurance benefits in Vietnam?
Pursuant to The list of diseases requiring long-term treatment issued together with the Circular 46/2016/TT-BYT stipulating diseases considered to be long-term-treatment diseases that are eligible for social insurance benefits as follows:
No. |
Disease |
Code under ICD-10 |
I |
Infectious and parasitic diseases |
|
1. |
Amebiasis (in intestines and liver) |
A06 |
2. |
Prolonged diarrhoea |
A09 |
3. |
Tuberculosis and sequelae |
A15 - A19 |
4. |
Diseases caused by atypical tubercle bacilli (found everywhere, including skin, glands, lung) |
A15.3 |
5. |
Withmore disease |
A24.4 |
6. |
Brucellosis |
A23 |
7. |
Severe tetanus and sequelae |
A35 |
8. |
Leprosy and sequelae |
A30, B92 |
9. |
Sequelae of tuberculosis of bones and joints |
B90.2 |
10. |
Chronic viral hepatitis B |
B18.1 |
11. |
Chronic viral hepatitis C |
B18.2 |
12. |
Chronic viral hepatitis D |
B18.8 |
13. |
Chronic hepatitis E |
B18.8 |
14. |
HIV/AIDS |
B20 - B24, Z21 |
15. |
Sequelae of bacterial, viral and parasitic meningitis and encephalitis |
B94.1, B94.8, B94.9 |
16. |
Candidal meningitis, cerebral cryptococcosis |
B37.5, B45.1 |
17. |
Coccidioidomycosis |
B38 - B46 |
18. |
Cryptococcosis |
B45 |
19. |
Penicillosis |
B48.4 |
20. |
Plasmodium falciparum malaria with cerebral complications |
B50.0 |
21. |
Severe or complicated Plasmodium falciparum malaria |
B50.8 |
22. |
Diphyllobothriasis and sparganosis |
B70 |
23. |
Trichinellosis |
B75 |
24. |
Clonorchiasis |
B66.1 |
25. |
Fascioliasis |
B66.3 |
26. |
Parasitic infections (Toxocara, Cysticerose, Stronglyloides, …) |
B89 |
27. |
Multi-drug resistant bacterial infection |
|
28. |
Streptococcal meningitis |
G00.2 |
29. |
Endocarditis |
I33 |
30. |
Chronic sinusitis |
J32 |
31. |
Alcoholic hepatitis |
K70.5 |
32. |
Tuberculous arthritis |
M01.1 |
33. |
Spinal tuberculosis |
M49.0 |
34. |
Recurrent urinary tract infections |
N00 |
II |
Neoplasm |
|
35. |
Neoplasm |
C00 - C97; D00 - D09 |
36. |
Benign neoplasm of bone and articular cartilage |
D16 |
37. |
Benign neoplasm of adrenal gland |
D35.0 |
38. |
Neoplasms of uncertain behavior |
D37 - D48 |
III |
Diseases of the blood, blood-forming organs and other disorder involving the immune mechanism |
|
39. |
Thalassemia |
D56 |
40. |
Sickle-cell disorders |
D57 |
41. |
Other hereditary hemolytic anemias |
D58 |
42. |
Acquired hemolytic anemias |
D59 |
43. |
Paroxysmal nocturnal hemoglobinuria (Marchiafava syndrome) |
D59.5 |
44. |
- Acquired pure red cell aplasia - Other aplastic anemias |
D60 D61 |
45. |
Hereditary factor VIII deficiency (Hemophilia A) |
D66 |
46. |
Hereditary factor IX deficiency (Hemophilia B) |
D67 |
47. |
Von Willebrand's disease |
D68.0 |
48. |
Hereditary factor XI deficiency |
D68.1 |
49. |
Hereditary deficiency of other clotting factors |
D68.2 |
50. |
Other specified coagulation defects |
D68.8 |
51. |
Qualitative platelet defects |
D69.1 |
52. |
Idiopathic thrombocytopenic purpura |
D69.3 |
53. |
Primary thrombocythemia |
D75.2 |
54. |
Hemophagocytic syndrome, infection-associated |
D76.2 |
55. |
Sarcoidosis |
D86 |
56. |
Hypergammaglobulinemia, unspecified |
D89.2 |
IV |
Endocrine, nutritional and metabolic diseases |
|
57. |
Hypothyroidism |
E03 |
58. |
Thyrotoxicosis |
E05 |
59. |
Chronic thyroiditis |
E06.2,3,4 |
60. |
Hypoparathyroidism |
E20.8 |
61. |
Diabetes mellitus |
E10 - E14 |
62. |
Hyperinsulinemic hypoglycemia |
E16.1 |
63. |
Hyperparathyroidism and other disorders of parathyroid gland |
E21 |
64. |
Hyperfunction of pituitary gland |
E22 |
65. |
Diabetes insipidus |
E23.2 |
66. |
Cushing's syndrome |
E24 |
67. |
Hyperaldosteronism |
E26 |
68. |
Bartter syndrome |
E26.8 |
69. |
Disorders of adrenal gland |
E27 |
70. |
Polyglandular dysfunction |
E31 |
71. |
Wilson's disease |
E83.0 |
72. |
Hypokalemia + Potassium deficiency |
E87.6 |
73. |
Postprocedural hypothyroidism |
E89.0 |
74. |
Diabetes mellitus in pregnancy, childbirth, and the puerperium |
O24 |
Refer for further information in the Circular 46/2016/TT-BYT.
What is the period of enjoying the sickness benefits regarding diseases requiring long-term treatment in Vietnam?
Pursuant to Article 26 of the Law on Social Insurance in 2014 stipulating period of enjoying the sickness benefits as follows:
Period of enjoying the sickness benefits
...
2. For employees who take leave due to diseases on the Ministry of Health-issued list of diseases requiring long-term treatment, the period of enjoying the sickness benefits is specified as follows:
a/ 180 days at most in a year, including public holidays, New Year holidays and weekends;
b/ If employees still need treatment after the expiration of the period specified at Point a of this Clause, they are entitled to continue enjoying the sickness benefits for a shorter period not exceeding the period of social insurance premium payment.
3. The period of enjoying the sickness benefits for employees defined at Point dd, Clause 1, Article 2 of this Law shall be based on the period of treatment at a competent health establishment.
As regulations above, for employees who take leave due to diseases on the list of diseases requiring long-term treatment, the period of enjoying the sickness benefits is specified as follows:
- 180 days at most in a year, including public holidays, New Year holidays and weekends;
- If employees still need treatment after the expiration of the above period, they are entitled to continue enjoying the sickness benefits for a shorter period not exceeding the period of social insurance premium payment.
Note:
- The leave time includes public holidays, Tet holidays, and weekly rest days.
- The duration of the sick leave regime of officers, professional soldiers of the People's Army; officers, non-commissioned officers, and technical officers of the Ministry of Public Security; and people working in the weak work system who are paid like soldiers will be based on the time of treatment at the competent medical establishment.
What diseases are considered to be long-term-treatment diseases that are eligible for social insurance benefits in Vietnam? - Source: Internet
What are regulations on the dossier for enjoyment of the sickness benefits regarding diseases requiring long-term treatment in Vietnam?
Pursuant to Article 100 of the Law on Social Insurance in 2014 stipulating dossier for enjoyment of the sickness benefits as follows:
Dossier for enjoyment of the sickness benefits
1. An original or a copy of the hospital discharge paper, for employees or their children undergoing inpatient treatment; in case of outpatient treatment, the certificate of their leave under the social insurance benefits is required.
2. In case employees or their children take medical examination or treatment abroad, the paper specified in Clause 1 of this Article shall be replaced with a Vietnamese translation of the medical record issued by a foreign health establishment.
3. The employer-made list of employees taking leave under the sickness benefits.
4. The Minister of Health shall stipulate the form, and order and competence for grant, of certificate of an employee’s leave under the social insurance benefits, hospital discharge paper and the papers specified at Points c, d and dd, Clause 1, Article 101 of this Law.
As regulations abvove, the dossier for enjoyment of the sickness benefits regarding diseases requiring long-term treatment in Vietnam includes:
- An original or a copy of the hospital discharge paper, for employees undergoing inpatient treatment
- In case of outpatient treatment, the certificate of their leave under the social insurance benefits is required
- In case employees or their children take medical examination or treatment abroad, the paper shall be replaced with a Vietnamese translation of the medical record issued by a foreign health establishment.
- The employer-made list of employees taking leave under the sickness benefits.
Best regards!