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There are no regulations on medical examination and treatment norms of health insurance

Mon, 01 Apr 2019 14:47:17 PM GMT + 7    Print   Email   Share:

(Chinhphu.vn) - Sending comments to the 4th Session of National Assembly XIV, Quang Nam voters requested the Ministry of Health to coordinate with Vietnam Social Insurance and related ministries and agencies to consider raising the norms of health insurance examination and treatment due to the norms currently are too low, people difficulty accessi the medical examination and treatment services with high technology.

Regarding this issue, The Ministry of Health responds to voters as follows:

Currently there are no regulations on medical examination and treatment norms for people with health insurance cards (in some cases, the health insurance fund has been paid up to 1 billion VND / 1 year). However, due to the allocation of health insurance fund for medical examination and treatment facilities not exceeding 90% of the amount calculated on the initial card registration number, the commune health station should only be used no more than 20% of outpatient health care fund and stipulate the total payment based on the average cost of the previous year, leading to many medical examination and treatment facilities limiting the level of medical examination and treatment in a medical examination batch to ensure that it is not over health care fund, not exceeding the payment ceiling.

In order to solve problems as stated by voters, in the past time, the Ministry of Health has collaborated with the Ministry of Finance, Vietnam Social Insurance and related ministries and agencies to study and submit to the Government. plan to amend the Decree 105/2014 / ND-CP of the Government guiding the implementation of health insurance.

Accordingly, the settlement of the above mentioned problems has been included in the draft decree in the direction of allocating estimates for medical examination and treatment based on actual costs without being restricted by the number of local health insurance revenues limit the medical examination and treatment fund for commune health stations and develop payment ceiling levels in accordance with the scope of benefits of health insurance card holders, ensuring the development of technical services and the premium ability of health insurance’s participants.

 

  • By : Online Newspaper of the Government / Translator: HaiYen-Bizic

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