What diseases are included in the List of diseases to be examined and treated at specialized medical facilities in 2025 in Vietnam?

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What diseases are included in the List of diseases to be examined and treated at specialized medical facilities in 2025 in Vietnam? Which subjects are eligible for state budget support for health insurance premium payments in Vietnam?

What diseases are included in the List of diseases to be examined and treated at specialized medical facilities in 2025 in Vietnam?

Based on Appendix 1 issued with Circular 01/2025/TT-BYT stipulating the list of certain diseases treated at specialized medical facilities in 2025:

No.	Name of disease, group of diseases, and cases	ICD-10 Code	Conditions, Requirements
1.	Meningitis due to tuberculosis (G01*)	A17.0
2.	Tuberculous tumor of the meninges (G07*)	A17.1
3.	Other tuberculosis of the nervous system	A17.8
4.	Undetermined tuberculosis of the nervous system (G99.8*)	A17.9
5.	Mycobacterial infection of the lung	A31.0
6.	Acute histoplasma capsulatum infection of the lung	B39.0
7.	Acute blastomyces infection of the lung	B40.0
8.	Paracoccidioides infection of the lung	B41.0
9.	Sporotrichum infection of the lung (J99.8*)	B42.0
10.	Invasive aspergillus infection of the lung	B44.0
11.	Cryptococcus infection of the lung	B45.0
12.	Mucor infection of the lung	B46.0
13.	Disseminated mucor infection	B46.4
14.	Malignant pancreatic tumor	C25	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
15.	Malignant thymic tumor	C37	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
16.	Malignant tumor of heart, mediastinum, and pleura	C38 (except code C38.4)	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
17.	Malignant tumor of bone and articular cartilage of other and unspecified sites	C41	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
18.	Malignant tumor of meninges	C70	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
19.	Malignant tumor of the brain	C71	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
20.	Malignant tumor of the spinal cord, cranial nerves, and other parts of the central nervous system	C72	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
21.	Secondary malignant tumor of brain and meninges	C79.3	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
22.	Group of malignant tumors	From C00 to C97	Fulfill the following 2 conditions: - Under 18 years of age. - Not applicable to cases with a confirmed diagnosis but without a specific treatment indication.
23.	Malignant tumor of the lymphatic, hematopoietic, and related tissue system	From C81 to C86 and from C90 to C96 (except code C83.5)	Not applicable to cases with a confirmed diagnosis but without a specific treatment indication.
24.	Myelodysplastic syndrome	D46	Not applicable to cases with a confirmed diagnosis but without a specific treatment indication.
25.	Other forms of bone marrow failure	D61 (except code D61.9)	Not applicable to cases with a confirmed diagnosis but without a specific treatment indication.
26.	Other hypercoagulable blood disorders (Antiphospholipid syndrome)	D68.6
27.	Hemophagocytic syndrome related to infection	D76.2
28.	Insulin-dependent diabetes (with multiple complications)	E10.7	Foot ulcer complications at grade 2 or chronic kidney disease stage 3 or higher, or at least 2 complications among: cardiovascular, ocular, nervous, vascular.
29.	Non-insulin-dependent diabetes (with multiple complications)	E11.7	Foot ulcer complications at grade 2 or chronic kidney disease stage 3 or higher.
30.	Disorder of aromatic amino acid metabolism	E70	Under 18 years of age.
31.	Disorder of branched-chain amino acid and fatty acid metabolism	E71	Under 18 years of age.
32.	Other disorders of amino acid metabolism	E72	Under 18 years of age.
33.	Group of lysosomal storage disorders (Pompe disease, MPS, Gaucher disease, Fabry disease)	E74, E75, E76, (According to ICD-10 codes updated by WHO in 2021)	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
34.	Copper metabolism disorder (including Wilson's disease)	E83.0	Wilson's disease with complications (one of the complications of cirrhosis, acute, fulminant liver failure, acute renal failure, motor disorder, speech disorder, psychiatric disorder, dementia, epilepsy, cardiomyopathy, arrhythmia).
35.	Amyloidosis	E85	Not applicable to cases with a confirmed diagnosis but without a specific treatment indication.
36.	Recurrent depressive disorder	F33	- Drug-resistant. - Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
37.	Obsessive-compulsive disorder	F42
38.	Encephalitis, myelitis, and encephalomyelitis	G04 (except code G04.2)
39.	Multiple sclerosis	G35
40.	Neuromyelitis optica [Devic]	G36.0
41.	Myasthenia gravis	G70.0	- Cases requiring dialysis, respiratory failure. - Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
42.	Retinopathy of prematurity	H35.1	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
43.	Heart failure	I50	Diagnosed in stage 3, stage 4.
44.	Toxic epidermal necrolysis (Lyell/Steven Johnson)	I51.2
45.	Post-cardiac surgery syndrome	I97.0
46.	Other functional disturbances following cardiac surgery	I97.1
47.	Other interstitial pulmonary diseases	J84
48.	Pulmonary and mediastinal abscess	J85	Severe progression as guided by diagnosis and treatment.
49.	Empyema (severe lung infection)	J86	Severe progression as guided by diagnosis and treatment.
50.	Crohn's disease (regional enteritis)	K50	Severe level according to CDAI scale from 450 points and above, or complications such as fistula, perforation, intra-abdominal abscess, severe malnutrition.
51.	Pemphigus	L10	One of the following conditions: - Skin lesions >10% body surface area. - Severe disease progression as guided by diagnosis and treatment. - A tumor.
52.	Livedoid vasculitis	L95.0
53.	Neutrophilic dermatosis with fever [Sweet syndrome]	L98.2
54.	Systemic lupus erythematosus with organ involvement	M32.1†	- Severe, progressive, life-threatening involvement of the heart or lungs or kidneys. - Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
55.	Neonatal diabetes	P70.2	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
56.	Other congenital malformations of the brain	Q04	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
57.	Other congenital abnormalities of the spinal cord	Q06	Patients are entitled to benefits immediately upon receiving a diagnosis confirming the disease.
58.	Group of congenital malformations of the circulatory system	From Q20 to Q28	Under 18 years of age, belonging to one of the following 2 cases: - Special type surgery/intervention. - 03 surgeries/interventions simultaneously.
59.	Congenital deformity of the hip joint	Q65	Indicated for joint replacement.
60.	Resistance to antituberculosis drugs	U84.3
61.	Sequelae of war operations (Sequelae of war wounds)	Y89.1	Applicable to war invalids, sick soldiers, and people who contributed to the revolution.
62.	Condition of organ and tissue transplant recipients	Z94	Applicable to patients with organ transplants and post-transplant treatment.

Notes:

The 3-character disease codes in this Appendix include all detailed disease codes with 4 characters. For example: Code C25 includes codes C25.0, C25.1, C25.2, C25.3, C25.4, C25.7, C25.8, C25.9.
In cases where the detailed disease code extends to 4 characters, the specific 4-character code must be recorded when determining the disease code.

List of Certain Diseases Treated at Specialized Medical Facilities in 2025?

What diseases are included in the List of diseases to be examined and treated at specialized medical facilities in 2025 in Vietnam? (Image from the Internet)

Which cases are eligible for registration for treatment at specialized facilities in Vietnam?

Based on Clause 3, Article 7 of Circular 01/2025/TT-BYT regulating initial registration for medical examination and treatment with health insurance:

Article 7. Registration for initial medical examination and treatment with health insurance

[...]

Participants in health insurance are eligible to register for initial medical examination and treatment at one of the health insurance medical facilities of a specialized medical level as regulated in Clause 3, Article 6 of this Circular, near their place of residence, work, study, and in accordance with the capacity of medical facilities following the priority order below:

a) Subjects under the management of the Politburo, Secretariat;

b) Subjects stipulated in point a, clause 2 of this Article;

c) War heroes, war veterans, individuals aged 75 and above;

d) Subjects stipulated in points d and e, clause 2 of this Article;

e) Children under 6 years old;

g) Individuals working in the army, police upon retirement;

h) Individuals suffering from diseases requiring long-term treatment according to the Ministry of Health’s list at one of the medical facilities stipulated in point b, clause 3, Article 6 of this Circular;

i) Other subjects in necessary cases based on the specific characteristics of the medical facility and actual local needs: The Department of Health shall consult with the provincial social insurance agency where the medical facility is expected to sign a contract for health insurance-based medical examination and treatment, compile a dossier to report to the Ministry of Health for consideration and decision.

[...]

Thus, the cases eligible for registration for treatment at specialized facilities include:

(1) Subjects under the management of the Politburo, Secretariat;

(2) Subjects managed, protected for health as guided by the Central Organization Commission Communist Party regarding the adjustment and addition of medical examination, treatment subjects in several central medical facilities; subjects managed, protected for health as provincial officials;

(3) War heroes, veterans, individuals aged 75 and above;

(4) Subjects stipulated in point d and point e, clause 2, Article 7 of Circular 01/2025/TT-BYT

(5) Children under 6 years old;

(6) Individuals working in the army, police upon retirement;

(7) Individuals suffering from diseases requiring long-term treatment according to the Ministry of Health’s list at one of the medical facilities stipulated in point b, clause 3, Article 6 of Circular 01/2025/TT-BYT

(8) Other subjects in necessary cases based on the specific characteristics of the medical facility and actual local needs: The Department of Health shall consult with the provincial social insurance agency where the medical facility is expected to sign a contract for health insurance-based medical examination and treatment, compile a dossier to report to the Ministry of Health for consideration and decision.

Which subjects are eligible for state budget support for health insurance premium payments in Vietnam?

Based on Clause 4, Article 12 of the Health Insurance Law 2008 (amended by Clause 10, Article 1 of the Law on Amendments to the Health Insurance 2024) stipulating the subjects eligible for state budget support for health insurance premium payments:

- Individuals from near-poor households

- Students, pupils

- Individuals participating in local security and order protection forces

- Individuals from households engaged in agriculture, forestry, fishery, and salt production with an average living standard as per legal regulations

- Village and commune health staff; village and commune midwives

- Non-specialized workers in villages, residential quarters as per legal regulations

- Ethnic minorities residing in areas identified as having unfavorable socio-economic conditions that are no longer classified as such by the Government of Vietnam shall have state budget support for health insurance contributions as stipulated by the Government of Vietnam

- Individuals awarded the titles of People's Artisan, Meritorious Artisan as per the Law on Cultural Heritage

- Victims as regulated by the Law on Prevention and Combat of Human Trafficking

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