Instructions on registering and issuing health insurance cards on the Public Service Portal in Vietnam

Instructions on registering and issuing health insurance cards on the Public Service Portal in Vietnam (Internet image)

On November 21, 2022, Vietnam Social Insurance issued Decision 3510/QD-BHXH on the process of registering for payment and issuing health insurance cards for people who only participate in health insurance on the Public Service Portal. According to Decision 422/QD-TTg approving the List of integrated online public services provided on the National Public Service Portal in 2022.

1. Subjects applying for registration and issuance of health insurance cards on the Public Service Portal in Vietnam

Pursuant to Article 2 of the Procedure issued with Decision 3510/QD-BHXH, subjects applying for registration and issuance of health insurance cards on the Public Service Portal according to the procedures in Sections 2 and 3 below include:

- Health insurance participants in the group supported by the state budget include:

+ People belonging to near-poverty households according to near-poverty criteria;

+ People from multidimensionally poor households;

+ People from households engaged in agriculture, forestry, fishing, and salt production have an average standard of living (NFE households).

- Health insurance participants belong to the group participating in health insurance by household (HH) according to the provisions of Article 4 and Article 5 of Decree 146/2018/ND-CP.

2. Instructions on registration of payment and issuance of health insurance cards for participants from near-poverty and poor households in Vietnam

Article 4 of the Procedure issued together with Decision 3510/QD-BHXH regulates the process of registration for payment and issuance of health insurance cards for participants belonging to near-poverty and poor households as follows:

Step 1: The participant declares fully and accurately the information fields according to Form 01-TK on the Public Service Portal for individuals or family members participating in health insurance in the same declaration and is responsible for the declared content.

Step 2: The software system automatically checks and compares the information declared by participants to determine place of residence (province and district level), and authenticates the information each member declares in the same household as the National Population Database, identify subjects whose contributions are supported by the state budget with data on people in multi-dimensional poor households/people in near-poverty households/people in NLDN households, the social insurance agency monitors and determines the exact amount to be paid for participants to pay online.

In case the place of residence is not determined correctly or the declared member is not in the same household or is not eligible for state budget support, then:

- The software system displays notifications informing participants that their residential address is not correct or does not belong to the same household as in the national database, or the information is not consistent with the list of subjects eligible for state budget support to contact the police agency, the agency that approves the list of people in multi-dimensional poor households/people in near-poverty households/people in households engaged in agriculture, forestry, fishery, and salt production, for guidance and adjustment.

- Then repeat Step 1 or you can register to participate in health insurance at social insurance collection service organizations, health insurance, or a social insurance agency.

Step 3: Participants make online payment on the Public Service Portal, receive an electronic payment receipt, and receive notice of the time limit for returning the health insurance card or the time limit for the health insurance card to continue to be used as soon as the transaction is successful.

Step 4: After receiving the participant's money, the software system automatically:

- Record the amount in the centralized accounting software and create a registration file for payment and issuance of health insurance cards on the software for receiving and managing documents in the separate management unit code at the provincial/district social insurance agency where the participant resides.

- Update records, determine participation time, record the health insurance payment process for participants, and summarize the amount of money to be paid by participants (Form C69-HD). Determine the amount of remuneration for social insurance and health insurance collection service organizations (Form D11-TS) according to regulations.

- Immediately distribute the amount collected from participants (Form C83-HD) and determine the amount of remuneration paid to the social insurance and health insurance collection service organization (Form D12-TS) according to regulations.

- Create data on health insurance card usage values for participants according to regulations.

Step 5: After the software system performs Step 4, the collection and card book officer checks the records and data, submits it to the Director of the Provincial/District Social Insurance to sign the electronic health insurance card number or prints the paper health insurance card according to regulations, transfers it to the receiving officer, and returns the results.

Step 6: Receiving and returning staff receive data or paper health insurance cards; issue and return results to participants; finish the resolution process on the application receipt and management software.

Step 7: Participants receive an electronic health insurance card or a paper health insurance card according to the registered method.

3. Instructions on registering to pay and issue health insurance cards for people in the household health insurance group in Vietnam

The process of registering for payment and issuance of health insurance cards for people in the group participating in health insurance by household is specified in Article 5 of the promulgation process attached to Decision 3510/QD-BHXH as follows:

Step 1: The participant declares fully and accurately the information fields according to Form 01-TK on the Public Service Portal for individuals or family members participating in health insurance in the same declaration and is responsible for the declared content.

Step 2: The software system automatically checks and compares the information declared by participants to determine the place of permanent or temporary residence registration (provincial level, district level), verify the information of the head of household and family members registering permanent or temporary residence with the National Population Database, determine the order in which each member participates in health insurance to have their contributions deducted from the Vietnam Social Insurance Database, and determine the exact amount to pay for participants to pay online.

If determining the place of residence or verifying the information of the head of household has not been done correctly or the members have not registered permanent/temporary residence with the national population database, then:

- The software system displays notifications informing participants that the residence address or head of household information is incorrect or that members are not registered as permanent/temporary residents with the national population database and should contact the Police for guidance and adjustments.

- Then repeat Step 1 or you can register to participate in health insurance at social insurance collection service organizations, health insurance, or a social insurance agency.

Step 3, Step 4, Step 5, Step 6, Step 7: Perform as in Clause 3, Clause 4, Clause 5, Clause 6, Clause 7 Article 4 of Procedure issued together with Decision 3510/QD-BHXH.

More details can be found in Decision 3510/QD-BHXH, taking effect on January 1, 2023.

Van Trong

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