During treatment, if the health insurance card expires, the health insurance fund will still pay until discharge from the hospital.
(Baonghean.vn) - The Ministry of Health has just issued Official Dispatch 7149/BYT-BH guiding the payment of medical examination and treatment costs for patients who are being treated but whose health insurance cards have expired.
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The official dispatch clearly states that Clause 2, Article 11, Decree No. 105/2014/ND-CP dated November 15, 2014 of the Government detailing and guiding the implementation of a number of articles of the Law on Health Insurance: "In case a person with a health insurance card is being treated at a medical examination and treatment facility but the health insurance card has expired, the health insurance fund will still pay for medical examination and treatment costs within the scope of benefits according to the prescribed regime until discharge from the hospital or the end of the outpatient treatment period".
Regarding the validity of health insurance cards for children, the 2014 amended Law on Health Insurance also stipulates that in the case of children who are 72 months old but have not yet entered school, the health insurance card is valid until September 30 of that year.
In case of "expired health insurance card and new health insurance card for other groups (students, relatives...); Children over 6 years old whose card has expired but has not been issued a new card or does not have a continuation card", follow the regulations in Clause 2, Article 11 of Decree No. 105/2014/ND-CP.
This official dispatch of the Ministry of Health is to request Vietnam Social Security to comply with the provisions of Decree 105/2014/ND-CP. At the same time, it affirms that, previously, the guidance of Vietnam Social Security that: "The Health Insurance Fund shall pay for medical examination and treatment costs within the scope of benefits and levels according to the prescribed regime until discharge from the hospital or the end of the outpatient treatment period only applies in cases where the card expires at the end of the fiscal year (December 31 of each year), due to objective reasons, a new health insurance card has not been issued in time" is not in accordance with the regulations.
Phuoc Anh
