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

From today (January 1, 2016), there is no limit on initial health examination and treatment covered by 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 health care 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.

Illustration.

People with health insurance cards who register for initial medical examination and treatment at commune-level medical examination and treatment facilities are transferred to district hospitals, including first- and second-class district hospitals 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 shall 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 may choose another facility that organizes initial health examination and treatment under health insurance./.

According toVOV.VN