Estimate of Medical Examination and Treatment Costs Covered by Health Insurance in 2018

19:22, 10/07/2024

Vietnam Social Security has recently issued Official Dispatch 804/BHXH-CSYT providing guidance on the implementation of the estimated expenses for health examination and treatment under health insurance (HI) in 2018 with the following notices:

- Cost of medical examination and treatment (KCB) for patients whose cards were issued by the provincial Social Insurance (BHXH) for KCB in the province and KCB in other localities;- Costs of initial health care according to the provisions of Clause 1, Article 6, Decree 105/2014/ND-CP;- Estimated budget for health insurance (BHYT) medical examination and treatment expenses allocated to provincial Social Insurance (BHXH) includes the full costs for applying the medical service price with wages for the remaining months to make up to 12 months in 2018 (including 27 provinces that applied the medical service price with wages at the end of March and April 2017);- The 2018 estimated budget for BHYT medical examination and treatment ensures equivalence in the average KCB expenses per participant in BHYT within the year, with localities that have a high average BHYT revenue per BHYT card compensating for those with low average revenue.

For more details, see Official Dispatch 804/BHXH-CSYT, issued on March 13, 2018.

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