Who are health insurance policyholders whose contributions paid by the state budget under the current regulations in Vietnam?

Who are health insurance policyholders whose contributions paid by the state budget under the current regulations in Vietnam? (Internet image)

Regarding this issue, LawNet would like to answer as follows:

On October 19, 2023, the Government issued Decree 75/2023/ND-CP amending a number of articles of Decree 146/2018/ND-CP detailing and guiding measures to implement a number of articles the Law on Health Insurance.

Who are health insurance policyholders whose contributions paid by the state budget under the current regulations in Vietnam?

According to Article 3 of Decree 146/2018/ND-CP (amended in Decree 131/2021/ND-CP and Decree 75/2023/ND-CP), the group of health insurance policyholders whose contributions are paid by the state budget in Vietnam includes:

(1) Public officers of communes, wards or townlets who leave work and are currently entitled to monthly social insurance benefits financed by the state budget.

(2) Persons already terminating entitlement to incapacity benefits who are currently entitled to monthly benefits financed by the state budget.

(3) Persons rendering meritorious revolutionary services under the provisions of the Ordinance on preference treatment for persons rendering meritorious revolutionary services.

(4) War veterans, including:

- Veterans who participated in resistance wars from April 30, 1975 backwards according to the provisions of clauses 1, 2, 3 and 4, Article 2 of Decree 150/2006/ND-CP, which was amended and supplemented in clause 1, Article 1 of Decree 157/2016/ND-CP.

- Veterans who participated in resistance wars after April 30, 1975 according to the provisions of clause 5, Article 2 of Decree 150/2006/ND-CP and clause 1, Article 1 of Decree 157/2016/ND-CP, including:

+ Servicemen and national defense workers already entitled to benefits under Decision 62/2011/QD-TTg

+ Officers, professional servicemen, non-commissioned officers, soldiers and national defense workers directly participating in the national defense war, dispatched on international missions in Cambodia and giving friendship supports to Laos after April 30, 1975, who are now, depending on their respective specialty, working at agencies, organizations and enterprises (not entitled to benefits under the Decision 62/2011/QD-TTg);

+ Officers and professional servicemen already fulfilled their active military service obligations in the period of building and defending the Fatherland, who have been demobilized, retired or transferred to agencies, organizations and enterprises;

+ Militia and self-defense force members engaged in combats or directly rendering combat services after April 30, 1975, who have been entitled to benefits under the Decision 62/2011/QD-TTg.

(5) Persons engaged in the resistance war and protecting the Fatherland, including:

+ Persons fighting the war against the US for protection of the Motherland who have been granted benefits under one of the following documents:

- Decision 290/2005/QD-TTg on compensation regimes and policies for certain persons directly fighting the anti-US resistance war who have yet to be awarded compensation treatment from the Communist Party and Government of Vietnam;

- Decision 188/2007/QD-TTg on amendments to Decision 290/2005/QD-TTg on compensation regimes and policies for certain persons directly fighting the anti-US resistance war who have yet to be awarded compensation treatment from the Communist Party and Government of Vietnam;

- Decision 142/2008/QD-TTg on implementation of compensation regimes for servicemen involved in the anti-US resistance war for national salvation who have had less than 20 years working in the army and are now demobilized and discharged from the military to return to localities;

+ Persons who have already been entitled to benefits under the Decision 62/2011/QD-TTg but are not veterans as stipulated in (4);

+ Officers and soldiers of the People's Police participating in the anti-US resistance war for national salvation who have less than 20 years working in the People's Police, who have resigned or returned from the People's Police to their localities and have been entitled to benefits under the Decision No. 53/2010/QD-TTg dated August 20, 2010 on compensation regimes for officers and soldiers of the People's Police participating in the anti-US resistance war for national salvation who have less than 20 years working in the People's Police, and currently resign and return to their localities;

+ Young volunteers who have been provided with benefits according to Decision 170/2008/QD-TTg dated December 18, 2008 on health insurance, funeral and burial benefits for young volunteers involved in the resistance war against France, the Decision 40/2011/QD-TTg dated July 27, 2011 regulating compensation regimes for young volunteers who have completed their duties in the resistance war and Decree 112/2017/ND-CP dated October 6, 2017 providing for compensation regimes and policies applicable to young volunteers in the military base in the South who were involved in the resistance war during the 1965 – 1975 period;

+ Frontline non-combat soldiers participating in the resistance war against France, against the US or the Fatherland protection war and sent on international missions who have been entitled to benefits under Decision 49/2015/QD-TTg dated October 14, 2015 on a number of compensation regimes and policies for frontline non-combat soldiers involved in the resistance war against France, against the United States, the war for protection of the Fatherland, or sent on international missions.

(6) Incumbent National Assembly deputies and incumbent members of all-level People’s Councils.

(7) Children under 6 years of age.

(8) Persons eligible to receive monthly social subsidies under laws on the elderly, the disabled and subject of social subsidy programs.

(9) Members of poor households; ethnic minority people living in areas with difficult socio-economic conditions; people living in areas with extremely difficult socio-economic conditions; persons living in island communes or districts and some other subjects, specifically including:

-  Members in poor households, as defined according to the poor household criteria for the period 2022-2025 prescribed in Decree 07/2021/ND-CP and other subsequent amendments or replacements thereto;

- Ethnics living in areas with difficult socio-economic conditions under the regulations adopted by the Government and the Prime Minister;

- Inhabitants living in areas with extremely difficult socio-economic conditions under the regulations adopted by the Government and the Prime Minister;

- Residents living in island communes or districts in accordance with regulations of the Government and the Prime Minister.

(10) Persons who are awarded the title of People’s artisans or outstanding artisans living in families earning the monthly income per capita lower than the base pay regulated by the Government.

(11) Relatives of martyrs include: biological parents, spouses or children of revolutionary martyrs; persons providing accommodations for martyrs.

(12) Relatives of people with meritorious service, except those specified in Clause 11 of this article, include:

- Spouse, children from 6 years old to under 18 years old, or children from 18 years old or older if you continue to walk or have severe disabilities or especially severe disabilities of people who participated in revolutionary activities before January 1, 1945, or people who participated in revolutionary activities from January 1, 1945 to the August uprising in 1945;

- Biological father, biological mother, spouse, children from full 6 years old to under 18 years old or from full 18 years old or older if continue to go to school or have a severe disability or especially severe disability of a Hero of the People's Armed Forces or a Hero of Labor during the resistance period;

- Natural father, biological mother, spouse, children from 6 years old to under 18 years old, or from 18 years old or older If you continue to go to school or have a severe disability, especially the severe disability of a war invalid or a person receiving policies such as war invalids or sick soldiers, resistance activists infected with toxic chemicals have a body injury rate of 61% or more.

- Biological children aged 6 years or older with deformities or deformities related to exposure to toxic chemicals are receiving monthly benefits for biological children of resistance activists infected with toxic chemicals.

(13) Relatives of officers, professional servicemen, non-commissioned officers and military soldiers in active service, administrative officers, non-commissioned officers and technical or engineering officers, non-commissioned officers in the people’s public security forces, trainees of the people’s police, non-commissioned officers and cryptographic officers who are paid salaries as servicemen, cryptographic trainees entitled to the same compensation regimes and policies as trainees of military and police education institutions, including:

- Natural parents; natural parents-in-law; legal caregivers of selves and spouses;

- Spouses;

- Natural children or legally adopted children aged from 6 years to under 18 years; natural children and legally adopted children aged 18 years or older if they are still taking formal education.

(14) Persons already donating human body organs under laws on organ donation and transplantation.

(15) Foreigners studying in Vietnam who receive scholarships financed by the state budget of Vietnam.

(16 Persons aged 80 years or older who are entitled to monthly benefits for elderly people under laws on social insurance.

(17) Martyrs' spouses marry other husbands or wives who are receiving monthly benefits according to the provisions of Point a, Clause 10, Article 16 of the Ordinance on preferential treatment for people with meritorious services to the Revolution 2020.

(18) People serving people with meritorious services living at home, including:

- Servant of Vietnamese Heroic Mothers;

- Persons serving wounded soldiers, including type B wounded soldiers recognized before December 31, 1993, policy beneficiaries such as invalids, sick soldiers, and resistance activists, are infected with toxic chemicals and have a body injury rate of 81% or more.

(19) People in safe zone communes and revolutionary safe zones during the resistance war against the French and Americans and currently residing in safe zone communes during the resistance wars against the French and the Americans, who have been updated with information in the National Population Database, Residence Database that are not policyholders specified in Clauses 1, 2 and 3, Article 12 of the Law on Health Insurance.

>> CLICK HERE TO READ THIS ARTICLE IN VIETNAMESE