Legal Counselling

Circular 09: Guidance on direct payment of insured healthcare service costs in Vietnam

11:23, 13/06/2019

This is an outstanding content of the Circular No. 09/2019/TT-BYT of the Ministry of Health of Vietnam providing instructions for assessment of requirements for signing contracts for insured primary healthcare services, referral of subclinical services and certain cases of direct payment of insured healthcare service costs.

According to Circular No. 09/2019/TT-BYT of the Ministry of Health of Vietnam, other than cases of direct payment of medical costs prescribed in point a and b of clause 2 of Article 31 in the Law on Health Insurance of Vietnam amended and supplemented under the provisions of the Law No. 46/2014/QH13, health insurance card holders shall be directly paid medical and healthcare costs in the following cases:

- A patient has participated in the health insurance plan for at least 5 consecutive years, has paid a co-payment amount greater than 6 months' statutory pay rate in the year and has not received the refund of the amount in excess to 6 months' statutory pay rate;

- Health insurance card data are not provided or are provided inaccurately;

- If the patient does not present his/her health insurance card prior to medical discharge, refer to another healthcare establishment within a day due to medical emergency, loss of consciousness, death or loss of the health insurance card without having it reissued yet.

View more details at the Circular No. 09/2019/TT-BYT of the Ministry of Health of Vietnam, effective from August 01, 2019.

- Thanh Lam -

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