Procedures of preparing list of subjects participating in health insurance in Vietnam

Procedures of preparing list of subjects participating in health insurance in Vietnam (Internet image)

Regarding this issue, LawNet responded as follows:

1. Principles of preparing list of subjects participating in health insurance in Vietnam

According to Article 3 of Circular 30/2019/TT-BLDTBXH, the principles of preparing list of subjects participating in health insurance are as follows:

- In case a person is simultaneously qualified as multiple beneficiaries of health insurance, prepare the list including the beneficiary of the highest health insurance.

- Preparation of list of beneficiaries of health insurance under management of Ministry of Labor – War Invalids and Social Affairs must rely on documents and papers issued by competent agencies.

- List of beneficiaries of health insurance must comply with forms attached to Decree 146/2018/ND-CP on elaborating to Law on Health Insurance.

2. Entitlement for preparation of the list of subjects participating in health insurance in Vietnam

Entitlement for preparation of the list of subjects participating in health insurance according to Article 4 of Circular 30/2019/TT-BLDTBXH is as follows:

- People’s Committees of communes, wards and towns (hereinafter referred to as “Commune-level People's Committees”) shall prepare lists of individuals living in the community.

- Nursing facilities shall prepare lists of individuals receiving regular care in nursing and care facilities for war veterans and people with meritorious services to the revolution and social assistance facilities (hereinafter referred to as “nursing facilities”).

- Vocational education facilities shall prepare lists of students and learners studying in the vocational education facilities affiliated to Ministry of Labor - War Invalids and Social Affairs.

3. Procedures of preparing list of subjects participating in health insurance in Vietnam

Procedures of preparing list of subjects participating in health insurance in Vietnam according to Article 6 of Circular 30/2019/TT-BLDTBXH is as follows:

- With respect to beneficiaries living in community:

+ Persons operating in labor – war invalid and social affairs in communes or persons assigned according to Article 5 of Circular 30/2019/TT-BLDTBXH to examine, reckon and prepare list of beneficiaries of health insurance using forms attached to Decree 146/2018/ND-CP and request Chairpersons of Commune-level People’s Committees to approve.

+ Chairpersons of Commune-level People’s Committees shall send the approved list to District-level People’s Committees (agencies specialized in labor affiliated to District-level People’s Committees) and social insurance agencies of districts;

+ Within 5 working days from the date on which the lists are received, agencies specialized in labor affiliated to District-level People’s Committees shall take charge and cooperate with social insurance agencies of districts to review and examine the lists.

In case of discovering incorrect beneficiaries or inadequate information of beneficiaries, agencies specialized in labor in districts shall request Commune-level People’s Committees to prepare another list.

+ Within 10 working days from the date of receiving the lists, social insurance agencies of districts shall issue health insurance cards.

+ Social insurance agencies of districts shall send the lists together with health insurance cards to Commune-level People’s Committees which will transfer to the beneficiaries.

Social insurance agencies of districts must send lists of beneficiaries provided with health insurance cards to agencies specialized in labor affiliated to District-level People’s Committees for monitor and management.

- With respect to beneficiaries receiving continuous care in nursing facilities:

+ Nursing facilities shall prepare lists according to forms under Decree 146/2018/ND-CP and send to social insurance agencies of districts.

+ Within 10 working days from the date of receiving the lists, social insurance agencies of districts shall examine and issue health insurance cards.

+ Social insurance agencies of districts shall transfer lists together with health insurance cards to nursing facilities.

- With respect to students and learners studying in vocational education facilities under management of Ministry of Labor – War Invalids and Social Affairs.

+ Vocational education facilities shall prepare list using forms under Decree 146/2018/ND-CP and send to social insurance agencies of districts.

+ Within 10 working days from the date of receiving the lists, social insurance agencies of districts shall examine and issue health insurance cards.

+ Social insurance agencies of districts shall send the lists together with health insurance cards to vocational education facilities which will transfer to the beneficiaries.

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