Nghe An changes health insurance card code, people need to pay attention to ensure their rights

Phuoc Anh DNUM_BDZBCZCABI 14:10

(Baonghean.vn) - Nghe An Provincial Social Insurance has just issued Official Letter No. 2360/BHXH-CST dated December 12, 2018 on converting health insurance cards for participants according to the provisions of Decree No. 146/2018/ND-CP dated October 17, 2018. Employees need to pay attention to ensure their medical examination and treatment rights.

Since December 1, 2018, Nghe An Provincial Social Insurance has coordinated with subject management units to review, complete and compile a list of health insurance card issuance and exchange for participants according to the provisions of Decree No. 146/2018/ND-CP, specifically as follows:

- Change the subject code and benefit level on the card from code CK2 to code CC1 for resistance fighters infected with toxic chemicals with a labor capacity reduction rate of 81% or more.

- Change the benefit level on the card from code 2 to code 4 for the subjects participating in the resistance war and defending the Fatherland as prescribed in Clause 5, Article 3 of Decree No. 146/2018/ND-CP (with subject code KC), but not the Veteran subjects as prescribed in Clause 4, Article 3 of Decree 146/2018/ND-CP.

Ảnh tư liệu, minh họa.
Illustration photo.

- Change the target code and benefit level on the card from code HN2 to HK3 for people belonging to multidimensional poor households who do not fall into the 02 cases granted the target code HN (people belonging to poor households who do not fall into the cases specified in Point a, Clause 9, Article 3 of Decree No. 146/2018/ND-CP).

- Change the subject code and benefit level on the card from code HN2 to code ND4 for subjects awarded the title of People's Artisan, Meritorious Artisan belonging to households with an average monthly income per capita lower than the basic salary.

- Change the benefit level on the card from code CT4 to code CT2 for people aged 80 and over who are receiving monthly death benefits.

However, in the process of printing and reissuing new health insurance cards for participants, in some cases, participants have not received new health insurance cards and still use old, valid health insurance cards to go to the doctor for examination and treatment, leading to the situation where the subject code and benefit level on the data of the Health Insurance Assessment Information System's reception portal do not match the information on the health insurance card.

Cán bộ Phòng Giám định BHYT, BHXH tỉnh đang tiến hành giám định trên hệ thống. Ảnh: Phước Anh
Staff of the Health Insurance and Social Insurance Department of the province are conducting appraisal on the system. Photo: Phuoc Anh

Therefore, Nghe An Provincial Social Insurance respectfully requests that the Social Insurance of provinces and centrally-run cities, the Social Insurance of the Ministry of National Defense, and the Social Insurance of the People's Public Security (hereinafter referred to as the Provincial Social Insurance) notify medical examination and treatment facilities in the province when receiving the above cases, to look up information about health insurance card data on the Data Receiving Portal of the Health Insurance Assessment Information System showing that the health insurance card is still valid, then the medical examination and treatment facility will accept to examine and treat the patient and resolve health insurance benefits according to the new subject code and benefit code.

In case, due to objective reasons, some health insurance cards have not been issued or new health insurance cards have not been exchanged for participants since December 1, 2018, the provincial Social Insurance shall notify medical examination and treatment facilities in the area based on the health insurance card data on the Data Receiving Portal of the Health Insurance Appraisal Information System to make payment to patients./.

During the implementation process, if there are any problems, please contact Nghe An Provincial Social Insurance (Health Insurance Assessment Department, phone number 02383846981; Card Issuance Department, phone number: 02383834881) for coordination and resolution./.

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Nghe An changes health insurance card code, people need to pay attention to ensure their rights
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