What is current price of health insurance hospital bed services in Vietnam?

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Question date: 02/12/2023

Please ask: What is current price of health insurance hospital bed services in Vietnam? Question from Mr. Cuong (Binh Dinh)

    • What is current price of health insurance hospital bed services in Vietnam?

      Pursuant to Appendix 2 Bed-day service prices issued together with Circular 22/2023/TT-BYT stipulating health insurance bed-day service prices as follows:

      No

      Types of services

      Special class hospital

      Grade I hospital

      Grade II hospital

      Grade III hospital

      Grade IV hospital

      1

      Intensive care unit (ICU) treatment date/organ transplant or bone marrow transplant or stem cell transplant

      867,500

      786,300

      673,900

      2

      Bed day Emergency resuscitation

      509,400

      474,700

      359,200

      312,200

      279,400

      3

      Internal Medicine bed days:

      3.1

      Type 1: Departments: Infectious Diseases, Respiratory Medicine, Hematology, Oncology, Cardiology, Psychiatry, Neurology, Aging, Pediatrics, Gastroenterology, Nephrology, Endocrinology; Allergy (for patients with severe drug allergies: Stevens Johnson or Lyell)

      273,100

      255,300

      212,600

      198,000

      176,900

      The above departments belong to specialized hospitals under the Ministry of Health in Hanoi and Ho Chi Minh City

      273,100

      3.2

      Type 2: Departments: Musculoskeletal, Dermatology, Allergy, Ear, Nose and Throat, Eyes, Maxillofacial, Surgery, Gynecology - Obstetrics without surgery; Traditional medicine or rehabilitation for patients with spinal cord injuries, strokes, and traumatic brain injuries

      247,200

      229,200

      182,700

      171,600

      152,800

      The above departments belong to specialized hospitals under the Ministry of Health in Hanoi and Ho Chi Minh City

      247,200

      3.3

      Type 3: Departments: Traditional Medicine, Rehabilitation

      209,200

      193,800

      147,600

      138,600

      128,200

      4

      Surgical and burn hospital bed days;

      4.1

      Type 1: After special surgeries; 3-4 degree burns over 70% of body area

      374,500

      339,000

      287,500

      The above departments belong to specialized hospitals under the Ministry of Health in Hanoi and Ho Chi Minh City

      374,500

      4.2

      Type 2: After type 1 surgeries; 3rd-4th degree burns from 25 - 70% of body area

      334,800

      308,500

      252,100

      225,200

      204,000

      The above departments belong to specialized hospitals under the Ministry of Health in Hanoi and Ho Chi Minh City

      334,800

      4.3

      Type 3: After type 2 surgeries; 2nd degree burns over 30% of body area, 3rd-4th degree burns under 25% of body area

      291,900

      270,500

      224,700

      199,600

      177,200

      The above departments belong to specialized hospitals under the Ministry of Health in Hanoi and Ho Chi Minh City

      291,900

      4.4

      Type 4: After type 3 surgeries; First and second degree burns less than 30% of body area

      262,300

      242,100

      192,100

      168,100

      153,100

      5

      Bed days at commune health stations

      64,100

      6

      Day hospital bed day

      Calculated as 0.3 times the bed-day price of the respective departments and room types.

      Note: Inpatient bed day price does not include the cost of ventilators and medical gas in Vietnam.

      What is current price of health insurance hospital bed services in Vietnam? (Image from the Internet)

      What are direct costs included in the bed-day service price of health insurance in Vietnam?

      Pursuant to Clause 2, Article 3 of Circular 22/2023/TT-BYT regulating price structure of health insurance medical examination and treatment services as follows:

      Price structure of medical examination and treatment services covered by health insurance

      ...

      2. Direct costs included in the bed day service price:

      a) Costs for clothes, hats, masks, blankets, sheets, pillows, mattresses, curtains, mats; stationery; gloves used for examination, injection, infusion, cotton, bandages, alcohol, gauze, saline and other consumables for daily care and treatment (including costs for changing wound dressings or surgical incisions for inpatients, except for cases paid in addition to the bed-day service price specified in Clauses 5 and 6, Article 7 of this Circular); electrodes, ECG cables, blood pressure measuring tape, SPO2 cables during the use of patient monitors for emergency and intensive care beds.

      b) The costs specified in Points b and c, Clause 1 of this Article serve the care and treatment of patients according to professional requirements.

      c) Particularly for costs of drugs, whole blood, standard blood products, infusion fluids, and medical equipment (in addition to the supplies mentioned above); syringes, needles, and medicine needles used for injection and infusion; feeding pump; Infusion lines, connecting tubes, electric injection pump connecting lines, infusion machines used for injection and infusion; Oxygen gas, oxygen breathing circuit, oxygen breathing mask (except in cases where the patient is prescribed to use a ventilator) are not included in the bed-day service price structure, and are paid according to actual use for the patient.

      ...

      Thus, direct costs included in the daily bed service price of health insurance in Vietnam include:

      - Costs for clothes, hats, masks, blankets, sheets, pillows, mattresses, curtains, mats;

      - Stationery;

      - Gloves used in examinations, injections, infusions, cotton, bandages, alcohol, gauze, saline and other consumables for daily care and treatment (including costs for changing wound dressings or surgical incisions for inpatients, except for cases paid in addition to the bed-day service price)

      - Electrodes, electrocardiogram cables, blood pressure measuring tape, SPO2 cables during the use of patient monitors for emergency and intensive care beds.

      - Electricity costs; water; fuel; Treatment of household waste, medical waste (solid, liquid);

      - Washing, ironing, steaming, drying, washing and sterilizing linen and examination instruments;

      - Cleaning costs and ensuring environmental hygiene;

      - Supplies and chemicals for disinfection and anti-infection during medical examination:

      - Expenses for repairing and maintaining houses, equipment, purchasing and replacing assets, tools and equipment such as:

      + Air conditioning;

      + Computers, printers;

      + Dehumidifier;

      + Fan;

      + Tables, chairs;

      + Beds, wardrobes;

      + Lighting;

      + Other necessary kits and tools during the medical examination process.

      - The following costs are not included in the bed-day service price structure and are paid according to actual use for the patient:

      + Expenses for drugs, whole blood, standard blood products, infusion fluids, and medical equipment (in addition to the supplies mentioned above);

      + Syringes, needles, and medicine needles used for injection and infusion;

      + Feeding pump;

      + Infusion lines, connecting tubes, connecting wires for electric syringe pumps, infusion machines used for injection and infusion;

      + Oxygen gas, oxygen breathing tube, oxygen breathing mask (except in cases where the patient is prescribed to use a ventilator)

      In what cases are Intensive Care (ICU) treatment bed-day service prices applied in Vietnam?

      Pursuant to Clause 5, Article 6 of Circular 22/2023/TT-BYT stipulating that bed-day service prices for Intensive Care (ICU) treatment are only applied in the following cases:

      - For special class, class 1 or class 2 hospitals that have established an Intensive Care Department, poison control department or center, Intensive Care - Poison Control Department and other departments and centers that have all the following conditions: conditions to operate according to Decision 01/2008/QD-BYT.

      - In the case of the Emergency Department, Anesthesiology and Resuscitation Department, Pediatrics Department, Neonatology Department, and Infectious Diseases Department, a separate area or emergency room is arranged (with an intensive care bed or post-operative hospital bed for surgeries) meets the following requirements for facilities, equipment, and human resources:

      + There is enough equipment, medicine, means of communication, and emergency transportation to serve emergency work.

      + There is a team of doctors and nurses trained in specialized emergency services outside the hospital.

      + Have professional books and medical records to record the patient's progress during the emergency and transportation process;

      + There are documents guiding diagnosis and emergency treatment;

      + There is an administrative map of the area, a traffic map of the area (GPS global positioning system if available).

      - Patients lying in these beds with diseases must be cared for, treated and monitored according to emergency regulations, intensive resuscitation and anti-poisoning.

      - In the remaining cases, only the daily service price for emergency resuscitation beds and other bed types as prescribed will be applied.

      Best regards!

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    "This English translation is for reference purposes only and not a definitive translation of the original Vietnamese texts"

    LEGAL BASIS OF THIS SITUATION
    • Circular 22/2023/TT-BYT Download
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