Vietnam: What is the meaning of the health insurance card code?

Vietnam: What is the meaning of the health insurance card code? (Internet image)

Regarding this issue, LawNet would like to answer as follows:

The current health insurance card code structure is specified in Decision 1351/QD-BHXH dated November 16, 2015, specifically as follows:

The health insurance card code consists of 15 characters, divided into four boxes.

1. First two characters (first cell)

Is denoted by letters (according to the Latin alphabet) and is the code of the participants in health insurance. In cases where a person belongs to many different beneficiaries of health insurance, the object code written on the health insurance card is the code of the person paying the health insurance premium, determined first according to the provisions of Clause 7, Article 1 of the Law amending and supplementing the Law on Health Insurance.

1.1. Groups played by employees and employers

- Enterprise: Employees working in enterprises established and operating under the Law on Enterprises and the Law on Investment.

- HX: Employees working in cooperatives and unions of cooperatives established and operating under the Law on Cooperatives.

- CH: Employees working in state agencies, non-business units, the armed forces, political organizations, socio-political organizations, socio-political-professional organizations, and other social organizations.

- NN: Employees working in foreign agencies, organizations, or international organizations in Vietnam, unless otherwise provided for by an international treaty to which the Socialist Republic of Vietnam is a signatory.

-TK: Employees working in other employers' organizations established and operating in accordance with law.

- HC: Cadres, civil servants, and public employees in accordance with the law on cadres, civil servants, and public employees.

- Export: Persons working part-time in communes, wards, and townships in accordance with the law on cadres and civil servants;

1.2. Group paid by a social insurance organization

- HT: Persons receiving monthly pensions and benefits for loss of working capacity;

- TB: People who are enjoying a monthly social insurance allowance due to occupational accidents or occupational diseases;

- NO: The employee who is absent from work is enjoying the sickness regime in accordance with the law on social insurance due to illness on the list of diseases requiring long-term treatment as prescribed by the Minister of Health;

- CT: Persons aged full 80 years or older who are receiving monthly survivorship allowance;

- XB: Commune, ward, and township officials who have quit their jobs are enjoying monthly social insurance allowances;

- TN: The person who is receiving unemployment benefits according to the provisions of the law on unemployment insurance;

- CS: Retired rubber workers are enjoying monthly allowances according to Decision 206/CP dated May 30, 1979, of the Government Council (now the Government) on policies for newly liberated workers who do heavy and unhealthy jobs who are now old and weak and have to quit their jobs;

1.3. The group is paid by the State budget of Vietnam

- QN: Officer, professional soldier, non-commissioned officer, soldier of the Vietnam People's Army in active service; people doing cipher work are paid the same salary as military personnel working at the Government Cipher Department; cipher students enjoy living expenses from the State budget according to the same regimes and policies as military students;

- CA: Officers, professional non-commissioned officers and officers, professional and technical non-commissioned officers, non-commissioned officers, active duty soldiers in the people's police force, people's police officers enjoy living expenses from the state budget;

- CY: People doing cipher work receive salaries like military personnel working in cipher organizations under ministries, branches, and localities;

- XN: Commune, ward, and township officials who have quit their jobs are receiving monthly allowances from the State budget;

- MS: The person who has stopped enjoying the allowance for loss of working capacity is receiving a monthly allowance from the State budget;

- CC: People with meritorious services to the revolution, including: People who were active in the revolution before January 1, 1945; revolutionary activists from January 1, 1945, to the August 1945 uprising; Vietnamese heroic mothers; war invalids and beneficiaries of policies such as war invalids, class B invalids, and sick soldiers with a working capacity decrease of 81% or more;

- CK: People with meritorious services to the revolution according to the law on people with meritorious services to the revolution, except for those who are granted CC codes;

- CB: Veterans according to the law on veterans;

- KC: The person who directly participated in the resistance war against the US to save the country; people who participated in the war to defend the Fatherland, performed international missions in Cambodia, and helped Laos friends after April 30, 1975; youth volunteers during the resistance war against the French and young volunteers who completed their tasks in the resistance war; civilians participating in the resistance wars against France, the United States, and the war to protect the Fatherland, and performing international tasks as prescribed in the Prime Minister's Decisions, except for those who are granted CC, CK, and CB codes;

- HD: Incumbent National Assembly and People's Council deputies at all levels;

- TE: Children under 6 years of age, including those who are full 72 months old, but in that year have not yet entered the school year;

- BT: Persons eligible for monthly social protection allowance as prescribed by law;

- HN: People from poor households;

- DT: Ethnic minorities are living in areas with difficult or extremely difficult socio-economic conditions;

- DK: People living in areas with extremely difficult socio-economic conditions;

- Construction: People living in island communes and island districts;

- TS: Relatives of people with meritorious services to the revolution are biological fathers, natural mothers, spouses, and children of martyrs; people with meritorious services to raise martyrs;

- TC: Relatives of people with meritorious services to the revolution, including: biological parents, spouses, and children from over 6 years old to under 18 years old or from full 18 years old if they continue to go to school or suffer from severe disability, especially severe disability of the following subjects:

People who were active in the revolution before January 1, 1945; revolutionary activists from January 1, 1945, to the day of the August uprising, 1945; heroes of the People's Armed Forces and heroes of Labor in the period of resistance; war invalids and sick soldiers with a working capacity decrease of 61% or more;

Resistance activists infected with toxic chemicals have their working capacity reduced by 61% or more; children over 6 years old of resistance activists infected with toxic chemicals are deformed or deformed as a result of toxic chemicals and are unable to be self-reliant in daily life or have reduced self-reliance in daily life, except for those who are granted TS code;

- TQ: Relatives of subjects granted QN codes;

- TA: Relatives of subjects granted CA codes;

- TY: Relatives of subjects granted CY codes;

- HG: The person who has donated human body parts according to the provisions of the law;

- LS: Foreigners studying in Vietnam are granted scholarships from the State budget of Vietnam;

- Reporter: People who serve people with meritorious services to the revolution, including: those who serve the heroic Vietnamese mother who lives at home; servicemen of war invalids and sick soldiers with a working capacity decrease of 81% or more in their families; and workers who serve resistance activists infected with toxic chemicals with a reduced working capacity of 81% or more, live at home.

1.4. Groups supported by the State budget of Vietnam

- CN: People from near-poor households;

- HS: Students who are studying at educational and training institutions of the national education system;

- SV: Students who are studying at educational and training institutions, vocational training institutions of the national education system;

- GB: People in households working in agriculture, forestry, fishery, and salt production have an average standard of living as prescribed by law;

1.5. Group participating in health insurance by household

- Education: People participating in household health insurance include people in the household, except for the subjects specified in the above items.

2. Next character (2nd cell)

Signed by a number (in the order of 1 to 5) is the level of health insurance benefits. In cases where a person belongs to many subjects participating in health insurance, the level of health insurance benefit stated on the health insurance card is the benefit level of the person with the highest benefits.

- Symbol with the number 1: 100% of medical examination and treatment expenses covered by the health insurance fund are covered by the health insurance fund without applying the limit on payment rates for a number of drugs, chemicals, medical supplies, and technical services as prescribed by the Minister of Health on the list and rates and conditions for payment of technical services;

Expenses for transporting patients from district level to a higher level in case of emergency or during inpatient treatment requiring professional and technical transfer, including beneficiaries with symbols: CC, TE.

- Symbol with the number 2: 100% of medical expenses covered by the health insurance fund are paid by the health insurance fund (there is a limit on payment rates for some drugs, chemicals, medical supplies, and technical services as prescribed by the Minister of Health);

Expenses for transporting patients from district level to a higher level in case of emergency or during inpatient treatment requiring professional and technical transfer, including beneficiaries marked as:
CK, CB, KC, HN, DT, DK, XD, BT, TS.

- Symbol with the number 3: The health insurance fund pays 95% of medical expenses within the scope of health insurance coverage (there is a limit on payment rates for some drugs, chemicals, medical supplies, and technical services as prescribed by the Minister of Health); 100% of medical care costs at the commune level, and the cost for one time medical treatment is lower than 15% of the basic monthly salary, including beneficiaries with symbols: HT, TC, and CN.

- Symbol with the number 4: The health insurance fund pays 80% of medical expenses within the scope of health insurance coverage (with a limit on payment rates for some drugs, chemicals, medical supplies, and technical services under regulations of the Minister of Health); 100% of medical treatment costs at the commune level; and the cost for one time medical treatment is lower than 15% of the basic monthly salary, including beneficiaries with symbols: DN, HX, CH, NN, TK, HC, XK, TB, NO, CT, XB, TN, CS, XN, MS, HD, TQ, TA, TY, HG, LS, PV, HS, SV, GB, GD.

- Symbol with number 5: 100% of medical expenses paid by the health insurance fund, including medical expenses outside the scope of health insurance coverage; shipping costs, including beneficiaries with symbols QN, CA, CY.

3. Next two characters (3rd cell)

Signed by a number (from 01 to 99) is the code of the province or city directly under the Central Government, where the health insurance card is issued (according to the code of the province and city issued together with Decision 124/2004/QD-TTg dated 08/7/2004 of the Prime Minister on the promulgation of the list and codes of administrative units of Vietnam and Official Dispatch628/TCTK-PPCD dated August 6, 2009 of the General Statistics Office on the announcement of the new administrative list code).

Particularly, the code of the Social Security of the Ministry of Defense is denoted by number 97, of the Social Security of the People's Public Security is denoted by number 98.

4. Last ten characters (4th cell)

Is the personal identification number of the participants in social insurance and health insurance as prescribed in Decision 1351/QD-BHXH dated November 21, 2014 issued by the General Director of Vietnam Social Insurance and regulations on management and use of the system. common list system, reporting targets for the Social Insurance sector

More details can be found in Decision 1351/QD-BHXH dated November 16, 2015.

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