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!

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