Guidelines for reimbursement of costs of medical services in Vietnam

Le Hai

14:24, 30/01/2021

Below is notable content specified in Official Dispatch 627/BYT-BH 2021 stipulating guidance on implementation of Article 22 of Law on Health Insurance promulgated by the Ministry of Health of Vietnam on January 27, 2021.

According to Vietnam's Official Dispatch 627/BYT-BH, the reimbursement of costs of medical services in case a health insurance policyholder receives medical services from a district-, provincial- or central-level hospital of inappropriate level and then is requested to use inpatient services as follows

The health insurance fund shall make payment according to the coverage rate specified in Clause 3 or Clause 6 Article 22 of Vietnam's Law on Health Insurance for costs of inpatient services, including examination and treatment services (costs of medical examination, subclinical tests, function examinations, diagnostic imaging, etc.) ordered by physicians or performed at outpatient department or emergency department;
The health insurance fund of Vietnam shall not reimburse costs of outpatient services in case the health insurance policyholder has completed his/her outpatient treatment but then is requested to receive inpatient treatment or day treatment for the same diagnosis.

More details can be found in Vietnam's Official Dispatch 627/BYT-BH, issued on January 27, 2021.

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