The Rate of Health Insurance Payment According to Current Regulations

According to the provisions of Circular 35/2016/TT-BYT, the rates of health insurance payment are stipulated as follows:

- The health insurance payment rate is the percentage (%) of the price of medical technical services within the scope of benefits for health insurance participants.

- For medical technical services with a specific payment rate stipulated in Column 4 of List 1 issued together with this Circular, the payment rate is the percentage (%) of the price of that medical technical service.- For medical technical services priced according to the price of other technical services stipulated in Column 4 of List 1 issued together with this Circular, the payment rate is 100% of the price of the medical technical service named in Column 4 of List 1.- For medical technical services not falling under the provisions of Points a and b of Clause 1 of this Article, the payment rate is 100% of the price of that medical technical service.

- For medical technical services whose price already includes the cost of drugs and medical supplies, the payment rate for medical technical services is applied according to this Circular, without separate calculation for the payment rate of drugs and medical supplies.- For medical technical services whose price does not include the cost of drugs and medical supplies:

- The payment rate for medical technical services is applied according to the provisions of this Circular.- The payment rate for the cost of drugs and medical supplies is applied according to the provisions of the Circular issuing the list of drugs and medical supplies within the scope of benefits for health insurance participants.

See the conditions for health insurance payment at Circular 35/2016/TT-BYT, effective from December 1, 2016.

- Thanh Lam -

>> CLICK HERE TO READ THIS ARTICLE IN VIETNAMESE