Vietnam to adjust state budget's health insurance premium support

Vietnam to adjust state budget's health insurance premium support
Le Truong Quoc Dat

On October 19, 2023, the Government of Vietnam promulgated Decree No. 75/2023/ND-CP on amendments to Decree No. 146/2018/ND-CP on elaboration on and guidelines for measures to implement several Articles of the Law on Health Insurance.

Vietnam to adjust state budget's health insurance premium support

Decree No. 75/2023/ND-CP has amended Article 8 of Decree No. 146/2018/ND-CP on the state budget’s health insurance premium support as follows:

(1) From December 1, 2018, the state budget’s support rates shall be applied to the following policyholders:

- The state budget’s support shall be paid for 100% of the health insurance premiums for members of near-poor households residing in poor districts according to decisions of the Prime Minister of Vietnam and other documents of competent authorities;

- The state budget’s support shall be paid for at least 70% of the health insurance premiums for policyholders prescribed in Clauses 1, 2, and 5 Article 4 of Decree No. 146/2018/ND-CP;

- The state budget’s support shall be paid for at least 30% of the health insurance premiums for policyholders prescribed in Clauses 3 and 4 Article 4 of Decree No. 146/2018/ND-CP.

(2) In case a policyholder falls into multiple cases eligible for the state budget’s health insurance premium support as prescribed in (1), the highest state budget’s health insurance support rate shall be applied.

(3) People’s Committees of provinces and centrally affiliated cities shall, based on the local budget capacity and other legal funding sources, appeal to the People's Councils of provinces and centrally affiliated cities for decisions on:

- State budget’s health insurance premium support rates for policyholders higher than the minimum rate prescribed in Points b and c Clause 1 Article 8 of Decree No. 146/2018/ND-CP;

- State budget’s health insurance premium support rates for policyholders ineligible for the rates prescribed in Clause 1 Article 8 of Decree No. 146/2018/ND-CP;

- Policyholders eligible for the support and the support rate for payment of medical service costs covered by health insurance.

See more details in Decree No. 75/2023/ND-CP, which comes into force as of December 3, 2023, except for Clause 1, Points a and b Clause 2, and Clauses 3, 4, 5, and 6 Article 1 of Decree No. 75/2023/ND-CP, which come into force as of October 19, 2023.

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