This is one of the notable contents of Circular No. 39/2018/TT-BYT unifying prices of medical examination and treatment services covered by medical insurance among hospitals across the country and guidelines for applying prices and payment for medical services in certain cases, issued by the Ministry of Health of Vietnam on November 30, 2018.
Article table of contents
Circular No. 39/2018/TT-BYT of the Ministry of Health of Vietnam guides the determination of number of times, prices and payment for medical services in certain cases as follows:
1. If a patient undergoes medical examination in examination department then is transferred to inpatient department for treatment as required by professionals, payment for medical examination shall be made in accordance with the guidance in Section 3.
If a patient is not subject to medical examination in examination department but in clinical department as required by professionals, the payment for such examination is not required.
2. For medical facilities providing specialist examination service in clinical departments, examination conducted in examination department and specialist examinations in clinical department will be counted as examination in medical examination department. A number of times for medical examination will be counted and the price for such examination service will be determined in accordance with the guidance in Section 3.
3. For one-time examination in a single medical facility (such examination can be finished in one day or last for 2 days due to subjective reasons or professional requirements), if the patient is required to undergo more than one specialist examination, the price for the second examination onwards shall be equal to 30% of the price for one-time examination and the maximum price for such -medical examination shall not exceed 2 times the price for one-time examination.
4. Patients that show abnormal signs after undergoing examination and taking medicines by medical facility require re-examination in the same day in such medical facility; such examination shall be counted as the second examination in a day. Payment for medical examination shall be made in accordance with the guidance in Section 3.
5. For patients undergoing examination in regional polyclinics then being transferred to hospitals or medical centers of district level for another medical examination, such examination shall be counted as a new examination.
6. Medical facilities are required to arrange medical examination tables and allocate staff as required to ensure the examination quality. For examination tables of more than 65 examinations per day, the social insurance agency shall only pay 50% of the examination price from the 66th examination. If there are still 65 examinations conducted in one medical examination table in a quarter, the insurance agency shall not pay the price for the 66th examination and onward.
Therefore, from Circular No. 39/2018/TT-BYT, the Ministry of Health unifies prices of medical examination and treatment services covered by medical insurance among hospitals across the country, as well as guiding the application of prices and payment for medical services in certain cases mentioned above.
Note: On July 05, 2019, the Minister of Health issued Circular No. 13/2019/TT-BYT amending Circular No. 39/2018/TT-BYT regarding the prices of medical examination and treatment services covered by medical insurance among hospitals of the same class across the country. Customers and Members should pay attention when looking up the amended and supplemented content.
Thuy Tram
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- Circular No. 39/2018/TT-BYT
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