Vietnam: From January 01, 2021, health insurance will cover 100% of inpatient treatment costs when medical care is out of line at the provincial level

Specifically, according to Clause 15 Article 1 of the Law on amendments to the Law on health insurance 2014 of Vietnam (amending Article 22 of the Law on health insurance 2008 of Vietnam), in case any card holder goes to a hospital different from the registered hospital except for the insured, his or her costs shall be covered by the health insurance fund according to the benefit levels as follows (except for case specified in Clause 5 of this Article):

- 40% of the inpatient treatment expenditures at the central hospitals.

- 60% of the inpatient treatment expenditures at the provincial hospitals from the effective date of this Law to December 31, 2020; total inpatient treatment costs from January 01, 2021 at all hospitals in Vietnam.

- 70% of the medical examination and treatment expenditures at the district hospitals from the effective date of this Law to December 31, 2015; total medical examination and treatment expenditures from January 01, 2016.

Concurrently, according to Clause 5 Article 22 of the Law on health insurance 2008 of Vietnam, cases where even though they have medical examination and treatment at different levels, they will still enjoy the same level of health insurance as at the right level, including: The insured who are poor household members or ethnics living in regions facing socio-economic difficulties, regions facing extreme socio-economic difficulties; the insured living in island communes or islands districts who go to the hospitals different from the registered hospital shall be paid for their medical examination and treatment expenditures at the commune hospitals.

View more details at the Law on amendments to the Law on health insurance 2014 of Vietnam, effective from January 01, 2015.

Phuong Thanh

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