Full reimbursement of medical examination and treatment costs below VND 223,500 for individuals with health insurance cards

20:41, 10/07/2024

This is the prominent health insurance policy based on the provisions of Decree 146/2018/ND-CP and Decree 38/2019/ND-CP.

To be specific, according to Point d Clause 1 Article 14 of Decree 146/2018/ND-CP, it stipulates 100% coverage of medical examination and treatment costs when the cost for a single medical examination or treatment is less than 15% of the statutory pay rate.

Currently, with the statutory pay rate being 1.39 million VND, a person with a health insurance card is entitled to 100% coverage of medical examination and treatment costs if the cost is less than 208,500 VND, corresponding to 15% of the statutory pay rate of 1,390,000 VND.

However, from July 1, 2019, a person with a health insurance card is entitled to 100% coverage of medical examination and treatment costs if the cost is less than 223,500 VND, corresponding to 15% of the new statutory pay rate of 1.49 million VND (this statutory pay rate is stipulated in Decree 38/2019/ND-CP).

Additionally, based on Point dd Clause 1 Article 14 of Decree 146/2018/ND-CP, a person who has participated in health insurance for 5 consecutive years is entitled to 100% coverage of medical examination and treatment costs if the co-payment amount is greater than 8,940,000 VND, corresponding to 6 months of the statutory pay rate (currently it's 8,340,000 VND corresponding to the statutory pay rate of 1,390,000 VND).

Duy Thinh

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