Resolving Patient Benefits in Issuance and Renewal of Health Insurance Cards

Nguyen Trinh

06:09, 11/07/2024

This is a noteworthy content in Official Dispatch 5219/BHXH-CSYT issued by Vietnam Social Security to the Social Insurance agencies of the provinces regarding the supplementary guidance to Official Dispatch 4996/BHXH-CSYT and related documents on health insurance medical examination and treatment.

In the case where the patient was admitted to the hospital for treatment before December 1, 2018, and discharged from the hospital from December 1, 2018, onwards, or in the case of medical examination and treatment from December 1, 2018, the patient is entitled to health insurance benefits as stipulated by the Law on Health Insurance and Article 14 of Decree 146/2018/ND-CP, specifically:

- If the patient has been issued a new or renewed health insurance card, or if the patient’s information has been updated on the Health Insurance Inspection Information System to reflect the new subject code or benefit code according to Decree 146, the patient will receive the new health insurance benefits from the date the new health insurance card becomes effective;- If the patient has not been issued a new or renewed health insurance card, or if the benefit code has not been updated on the Reception Portal, the patient will receive the old health insurance benefits for the entire treatment period.

For detailed guidance, refer to Official Dispatch 5219/BHXH-CSYT issued on December 12, 2018.

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