This important content is mentioned in Circular 18/2016/TT-BYT stipulating the List of Techniques, the List of Medical Supplies used in Rehabilitation, and the payment of daytime rehabilitation costs within the scope of coverage by the Health Insurance Fund.
To be specific, the cost reimbursement for daytime medical examination, treatment, and functional rehabilitation (PHCN) is stipulated in Circular 18/2016/TT-BYT as follows:
- The reimbursement for the cost of medications, medical supplies, and technical services for the daytime PHCN form is carried out in the same manner as for inpatient treatment.- The reimbursement for daily bed costs for the daytime PHCN form is implemented according to the regulations in Interministerial Circular 37/2015/TTLT-BYT-BTC, which uniformly stipulates the price for medical examination and treatment services under health insurance across nationwide hospitals and other relevant regulations.
According to Circular 18, for PHCN costs at other medical examination and treatment facilities, payment is made as per the regulations for PHCN cases at PHCN facilities.
View the full text of the regulation in Circular 18/2016/TT-BYT, effective from August 19, 2016.
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