Which types of cancer are not required a referral letter in Vietnam in 2025?
Which types of cancer are not required a referral letter in Vietnam in 2025?
Based on Appendix 1 issued with Circular 01/2025/TT-BYT, there is a list of 62 diseases including rare diseases and serious diseases that can be directly treated at specialized medical facilities without the need for a referral, while still being covered by health insurance with 100% reimbursement as stipulated.
According to the list, there are 10 types/groups of cancer eligible for treatment without requiring a referral letter:
| No. | Disease, Group of Diseases | ICD-10 Code | Condition |
|---|---|---|---|
| 1 | Malignant pancreatic tumor | C25 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 2 | Malignant thymus tumor | C37 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 3 | Malignant tumors of heart, mediastinum, and pleura | C38 (excluding code C38.4) | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 4 | Malignant tumors of bones and articular cartilage at other and ill-defined sites | C41 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 5 | Malignant tumor of meninges | C70 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 6 | Malignant tumor of brain | C71 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 7 | Malignant tumor of spinal cord, cranial nerves, and other parts of central nervous system | C72 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 8 | Secondary malignant tumor of brain and meninges | C79.3 | Patients are entitled to benefits immediately during the consultation session that yields a definitive diagnosis. |
| 9 | Malignant neoplasm group | From C00 to C97 |
Must meet the following two conditions: - Individuals under 18 years old. - Not applicable to cases with confirmed diagnosis but without specific treatment indications. |
| 10 | Malignant tumors of lymphoid, hematopoietic, and related tissues |
From C81 to C86 and from C90 to C96 (excluding code C83.5) |
Not applicable to cases with confirmed diagnosis but without specific treatment indications. |
What are prohibited acts in health insurance in Vietnam from July 1, 2025?
Based on Article 11 of the Law on Health Insurance 2008 (amended by clause 9 of Article 1 Amendment Law on Health Insurance 2024), the following acts are prohibited in health insurance from July 1, 2025:
- Delayed payment, evasion of health insurance contributions.
- Fraud, forgery of documents, health insurance cards.
- Misuse of health insurance funds, health insurance contributions for inappropriate purposes.
- Obstructing or causing difficulties, or damaging the legitimate rights and benefits of participants in health insurance and involved parties.
- Intentionally providing false reports, incorrect information, or data related to health insurance.
- Abusing position, authority, expertise, or duties to act contrary to regulations regarding health insurance.
Which types of cancer are not required a referral letter in Vietnam in 2025? (Image from the Internet)
In which cases can health insurance cards in Vietnam be reissued?
Based on Article 19 of the Law on Health Insurance 2008 (amended by point a, clause 35, Article 1 Amendment Law on Health Insurance 2024), health insurance cards can be reissued in the following cases:
Article 19. Reissuing Health Insurance Cards
- Health insurance cards can be reissued in the following cases:
a) Torn, damaged, or malfunctioning;
b) Change in initial health examination and treatment registration location;
c) Incorrect information recorded on the card.
- The application for reissuing health insurance cards includes:
a) Request form for card replacement by the health insurance participant;
b) Health insurance card.
- Within 7 working days from the date of receipt of the complete application as specified in clause 2 of this Article, the social insurance agency must issue a new card for the health insurance participant. During the waiting period for the new card, cardholders are still entitled to their health insurance benefits.
- Persons applying for card replacement due to card damage, tear, or malfunction must pay a fee. The fee for reissuing health insurance cards is stipulated by the Minister of Finance.
Thus, health insurance cards can be reissued in the following cases:
- Torn, damaged, or malfunctioning
- Change in initial health examination and treatment registration location
- Incorrect information recorded on the card
