From January 1, 2016, there is no limit on primary health care facilities covered by health insurance.

DNUM_ABZABZCABG 16:59

From today (January 1, 2016), there is no limit on initial health examination and treatment under health insurance between commune and district levels in the same province.

Starting from today (January 1, 2016), Circular 40/2015/TT-BYT regulating initial health insurance (HI) medical examination and treatment facilities of 4 medical levels is officially implemented.

Along with reforming medical examination and treatment procedures, the regulation of "through-line" in the revised Law on Health Insurance is aimed at providing maximum favorable conditions for health insurance participants in accessing medical services.

Cán bộ y tế khám, điều trị cho người mắc bệnh lao. (Nguồn: TTXVN)
Illustration.
According to MSc. Tong Thi Song Huong, Director of the Health Insurance Department (Ministry of Health), Circular 40/2015/TT-BYT (Circular 40) takes effect from January 1, 2016 (replacing Circular 37/2014), clearly regulating the initial health insurance facilities of the 4 health care levels. Accordingly, the initial health care facilities at the commune level and equivalent include: health stations of communes, wards, and towns; infirmaries, health stations, and health rooms of agencies, units, and organizations; independent private family doctor clinics; military-civilian health stations, military-civilian health clinics, military health units at the battalion level, and other health care facilities (according to regulations of the Minister of National Defense).

People with health insurance cards who register for initial medical examination and treatment at commune-level medical examination and treatment facilities are referred to district hospitals, including district hospitals that have been ranked first and second class and provincial traditional medicine hospitals (in case the district hospital does not have a traditional medicine department).

According to Circular 40, health insurance treatment is carried out according to the principle that insured people have the right to initially register at one of the above-mentioned facilities, regardless of administrative boundaries, in accordance with the workplace, place of residence and the response capacity of the medical facility.

Health insurance participants who go on business trips, study, work on the move or temporarily reside for less than 12 months in another locality will be examined and treated at a facility in that locality equivalent to the level of the initial health examination and treatment facility listed on the card. In case that locality does not have an equivalent medical facility, they can choose another facility that organizes initial health examination and treatment under health insurance./.

According toVOV.VN

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From January 1, 2016, there is no limit on primary health care facilities covered by health insurance.
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