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blue-check Regulations on health insurance regime from December 1st, 2018

Decree No. 146/2018/ND-CP dated October 17th, 2018 of the Government on elaborating and providing guidance on measures to implement certain articles of the Law on Health Insurance
Posted: 23/10/2018 12:44:13 PM | Latest updated: 3/12/2021 10:06:02 AM (GMT+7) | LuatVietnam: 4577 | Vietlaw: 380
VietlawOnline

Similar to the earlier regulations, enterprises shall appropriate an amount of money to pay health insurance premiums for all employees who sign labor contracts for at least 3 months and managers of enterprises with pay.

However, Clause 5 Article 2 of this Decree specifies that during employees taking parental leaves with childbirth and adoption benefits, their contributions to health insurance shall be paid by social insurance agencies, enterprises shall be exempt from appropriating money to contribute to health insurance.

Regarding health insurance contribution rate, it is still 4.5% of the employee’s monthly pay. In addition, this Decree specifies that when an employee enters into multiple employment contracts, he/she shall be bound to pay the health insurance contribution rate determined on the basis of the employment contract under which the highest pay is agreed upon.

Regarding the payment of health insurance benefits, according to Clause 3 Article 14 of this Decree, in case where a health insurance card holder visits an inappropriate-level healthcare establishment at his/her discretion, and then is referred to another healthcare establishment by the receiving healthcare establishment, he/she shall be paid the health insurance fund’s coverage at the coverage rate specified in clause 3 of Article 22 in the Law on Health Insurance.

This Decree takes effect from December 1st, 2018.

This replaces Decree No. 105/2014/ND-CPstatus1 dated 15th, 2014; Joint Circular No. 41/2014/TTLT-BYT-BTCstatus1 dated November 24th, 2014; Joint Circular No. 16/2015/TTLT-BYT-BTCstatus1 dated July 2nd, 2015; Article 8 and Clause 2 Article 9 of Decree No. 151/2016/ND-CP dated November 11th, 2016; Clause 6 Article 11, point c Clause 1 and Clause 2 Article 12 Circular No. 40/2015/TT-BYTstatus2 dated November 16th, 2015.

Notes
Please be informed that the attached forms are neither translated nor included in the English file.
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Information

Effective Date 1-Dec-2018
ExpiredDate Unknown
Published Vietlaw's Newsletter No. 380

Files attachment

enflag pdficon ND146_17102018CP[ENGLISH].pdf

Timeline

Health Insurance

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blue-check Setting population coverage targets for public health insurance schemes in the 2022 - 2025 period
blue-check Interest rate used for calculation of interests on late payment of health insurance premiums in 2022: 0.5433%/month
blue-check List of subclinical services for diagnosis and treatment of some infectious diseases covered by health insurance fund
blue-check Some notes in relation to payment for medical examination and treatment costs covered by health insurance for tuberculosis examination and treatment
blue-check It is allowable applying for reissuance, replacement of health insurance cards at any social security authority
blue-check Corrections to guidelines on formulation of capitation fund for health insurance - covered healthcare services
blue-check Costs for Covid-19 testing as indicated by health insurance facilities shall be covered by health insurance fund
blue-check From June 1st, 2021: It is allowable using electronic health insurance card on the VssID for medical examination and treatment
blue-check Some additional notes relating to health insurance-related unrestricted referral from 2021
red-check Guidelines on medical examination and treatment at inappropriate level
red-check 8 cases of medical examination and treatment under health insurance in appropriate level
blue-check From January 1st, 2020: Using health care services at improper health care service provider shall be also covered 100% health insurance benefits
blue-check [Merged] - Law on Health Insurance
blue-check Regulations on procurement of antiretroviral drugs for health insurance fund
blue-check Addition of medicines covered by health insurance
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blue-check Costs related to compulsory Covid-19 tests shall be covered by health insurance
blue-check Regarding costs related to compulsory Covid-19 tests covered by health insurance
blue-check Adjustment of payout limits covered by health insurance with regard to some tests and scans