What are the documents serving as the basis for identifying beneficiaries of health insurance in Vietnam?

What are the documents serving as the basis for identifying beneficiaries of health insurance in Vietnam? (Internet image)

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

1. Who are the beneficiaries of health insurance?

According to Article 2 of Circular 30/2019/TT-BLDTBXH, the beneficiaries of health insurance in Vietnam include:

(1) People with meritorious services to the revolution specified in Order for preferential treatment for people with meritorious services to the revolution;

(2) Relatives of people with meritorious services to the revolution, including:

- Biology fathers, mothers, spouses and children of war invalids; persons having rendered meritorious services in nurturing war invalids;

- Biology parents, spouses, children from exceeding 6 years of age to under 18 years of age or from 18 years of age and continuing to study or suffering from severe disabilities, very severe disabilities of: revolutionary activists before January 1, 1945; revolutionary activists from January 1, 1945 to before the August revolution in 1945; People's Armed Forces Heroes and Heroes of Labor in war time; war invalids, diseased soldiers, partisans infected with chemical toxic substances with bodily injury rate of at least 61%;

- Biology children from 6 years of age or higher of partisans suffering from deformation, disabilities due to chemical toxic substances and receiving monthly benefits.

(3) Servers of people with meritorious services to the revolution, including:

- Attendants of Vietnamese heroic Mothers living with families;

- Attendants of war invalids, diseased soldiers and partisans infected with chemical toxic substances and suffering from bodily injury of 81% or higher living with families;

(4)  War veterans, including:

- Veterans participating in the resistance war up to April 30, 1975 according to Clauses 1, 2, 3 and 4 Article 2 Decree 150/2006/ND-CP and amendments thereto under Clause 1 Article 1 of Decree 157/2016/ND-CP

- Veterans participating in the resistance war from April 30, 1975 according to Clause 5 Article 2 Decree 150/2006/ND-CP and under Clause 1 Article 1 of Decree 157/2016/ND-CP, including:

+ Serviceman and national defense officials receiving benefits according to Decision 62/2011/QD-TTg;

+ Officers, professional servicemen, non-commissioned officers, soldiers and national defense officials directly participating in war for defending the country, participating in international missions in Cambodia, assisting Laos after April 30, 1975 who are later assigned to work in agencies, organizations and enterprises (not receiving benefits according to “Decision 62/2011/QD-TTg”);

+ Officers and professional servicemen finishing their active duties during nation development and restoration period who have been demobilized, retired or assigned to work in agencies, organizations or enterprises;

+ Militia and self-defense forces fighting and serving after April 30, 1975 who have received benefits according to Decision 62/2011/QD-TTg.

(5) Individuals participating in resistance wars and protecting the nation, including:

- Individuals participating in the resistance war against America who have received benefits according to any of following documents: Decision 290/2005/QD-TTg; Decision 188/2007/QD-TTg; Decision 142/2008/QD-TTg;

- Individuals receiving benefits according to Decision 62/2011/QD-TTg;

- Officials and officers of People’s Public Security receiving benefits according to Decision 53/2010/QD-TTg

- Members of the Thanh Nien Xung Phong (TNXP) Organizations receiving benefits according to Decision 170/2008/QD-TTg, Decision 40/2011/QD-TTg;

- Logistics workers participating in resistance wars against the France, American, defending the nation and implementing international missions according to Decision 49/2015/QD-TTg;

(6) Individuals of 80 years of age or older benefiting from monthly death benefits according to social insurance laws.

(7) Beneficiaries of monthly social protection according to regulations and law on old people, people with disabilities and social protection beneficiaries.

(8) Children under 6 years of age.

(9) Individuals living in poor households; ethnics living in areas with difficult socio-economic conditions; individuals living in areas with particularly difficult socio-economic conditions; individuals living in islands or archipelagoes, to be specific:

- Individuals living in poor households according to income criteria, individuals living in households of multidimensional poverty suffering from shortage of health insurance according to Decision 59/2015/QD-TTg;

- Ethnics living in areas with difficult socio-economic conditions according to regulations and law of the Government and Prime Minister;

- Individual living in areas with particularly difficult socio-economic conditions according to regulations and law of the Government and Prime Minister;

- Individuals living in islands and archipelagoes according to regulations and law of the Government and Prime Minister.

(10) Individuals living in near-poor households according to near-poor standards according to regulations and law of the Government and Prime Minister.

(11) Individuals living in households of multidimensional poverty not specified in Point a Clause 9 of Article 2 of Circular 30/2019/TT-BLDTBXH.

(12) Students and learners studying in vocational education facilities under management of Ministry of Labor – War Invalids and Social Affairs.

(13) Individuals living in agriculture, forestry, fishery and salt industry with medium living standards according to regulations and law of the Government and Prime Minister.

2. What are the documents serving as the basis for identifying beneficiaries of health insurance in Vietnam?

The following documents serve as the basis for identifying beneficiaries of health insurance in Vietnam:

(1) People with meritorious services to the revolution.

Based on Decision on acknowledgement of competent agencies or Decisions on processing policies of Directors of Departments of Labor, Invalids and Social Affairs of provinces and central-affiliated cities.

(2) Relatives of people with meritorious services to the revolution, people nursing war invalids, attendants of people with meritorious services to the revolution.

Based on Decisions on processing policies of Directors of Departments of Labor, Invalids and Social Affairs of provinces and central-affiliated cities; in case of no decisions available, rely on list of benefit payment for people with meritorious services to the revolution and relatives thereof.

(3) Individuals participating in resistance wars and protecting the nation, war veterans.

Based on Decisions on receiving benefits of competent agencies.

(4) Beneficiaries of monthly social insurance according to regulations and law on old people and people with disabilities.

- Beneficiaries of monthly social protection: based on Decisions on social benefits of Chairpersons of People’s Committees of districts and communes (hereinafter referred to as “District-level People’s Committees”);

- People with severe disabilities and particularly severe disabilities not receiving monthly social protection: rely on copies of documents confirming disabilities.

(5) Individuals of 80 years of age or older benefiting from monthly death benefits according to social insurance laws.

Based on Decisions on receiving monthly death benefits of competent agencies.

(6) Children under 6 years of age: Based on guidelines under Joint Circular 05/2015/TTLT-BTP-BCA-BYT.

(7) Individuals living in poor households and near-poor households; ethnics living in areas with socio-economic conditions; individuals living in areas with particularly difficult socio-economic conditions; individuals living in islands or archipelagoes; individuals living in households practicing agriculture, forestry, fishery and salt industry with medium living standards.

Based on lists confirmed by Chairpersons of Commune-level People’s Committees on a yearly basis.

(8) People with meritorious services to the revolution receiving social protection and care in nursing facilities.

Based on list of care beneficiaries of nursing facilities.

(9) For students and learners studying in vocational education facilities under management of Ministry of Labor – War Invalids and Social Affairs.

Based on list of students and learners of vocational education facilities.

(Article 5 of Circular 30/2019/TT-BLDTBXH)

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