Circular No. 18/2022/TT-BYT dated December 31st, 2022 of the Ministry of Health on amendments to the Circular No. 56/2017/TT-BYT dated December 29, 2017 of the Minister of Health on elaboration of the Law on Social Insurance and the Law on Occupational Safety and Health in the health sect

This Circular amends, supplements many important regulations provided at Circular No. 56/2017/TT-BYT pertaining to:

- Cases eligible for lump-sum social insurance payout (addition of persons suffering from diseases or illnesses that results in at least 81% of work capacity reduction or impairment level and total loss of the worker’s functions, self-control or he/she is unable to keep personal hygiene and complete other everyday tasks without other people watching, helping and taking care of him/her that are fully eligible for lump-sum social insurance payout);

- Documents of first medical assessment;

- Documents of medical assessment as the basis for provision of pension for a worker;

- Documents of medical assessment as the basis for provision of death benefits;

- Documents of medical assessment for confirmation of inadequate postpartum health, inadequate health after receiving the child due to surrogacy or maternity leave;

- Documents of medical assessment for lump-sum social insurance payout;

- Documents of re-assessment due to relapse;

- Time limit for reassessment of an occupational accident or occupational disease;

- The checklist of assessment to qualify for retirement benefits, survivorship benefits and leave due to inability to take care of children after giving birth;

- Content of medical assessment in case a person has been assessed due to an occupational accident or occupational disease for 02 or more times, but the impairment rating has not been summed up;

- Rules for issuance of confirmation of eligibility to receive social insurance benefits;

- Issuance of hospital discharge notes and certificates of leave qualified for social insurance payout to COVID-19 infected patients;

- Forms of issuance of certificates of leave qualified for social insurance payout and guidance for the contents of certificates of leave qualified for social insurance payout;

- To replace the Letter of introduction of the employer (Annex 1); the Application for medical assessment (Annex 2); The discharge note template (Annex 3); The discharge note medical record summary template (Annex 4); The confirmation of eligibility to receive social insurance benefits (Annex 7); addition of Annex 9 – Guidelines on determination of period of isolation, treatment duration in decisions on instructions for COVID-19 diagnosis and treatment.

This Circular comes into force as of February 15, 2023.

To replace Annex 4 and Annex 5 issued together with Joint Circular No. 20/2016/TTLT-BYT-BLDTBXH dated June 30, 2016.