Recently, the Ministry of Health announced the Draft Circular guiding the implementation of health insurance, whereby health insurance organizations must directly pay the costs of medical examination and treatment according to the provisions of Clause 2, Article 31, amended and supplemented of the Health Insurance Law in the following cases:
Article table of contents
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Illustrative image (source: internet)
- When the patient has participated in health insurance (BHYT) for five consecutive years or more and the amount co-pay for medical examination and treatment in the year from the date of participating in BHYT for five consecutive years is greater than six months' statutory pay rate but has not been reimbursed for the amount exceeding six months' statutory pay rate (except for cases of self-referred medical examination and treatment not following the correct referral).
- In case the card data system does not provide or provides inaccurate information about the BHYT card, recording the wrong time of enjoying five consecutive years, the medical facility collects money and issues documents to the patient.
- In case of emergency without presenting the card, then transfer to another medical facility.
Draft Circular guiding the implementation of health insurance is expected to take effect from January 01, 2019.
