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

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.

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

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Penalty document

red-check 117/2020/NĐ-CPNew fine levels imposed on administrative violations in the medical sector
stop-check 176/2013/NĐ-CPDefining administrative fine levels in the medical domain


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

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