Joint Circular No. 10/2008/TTLT-BYT-BTC guiding the implementation of health insurance for persons belonging to near-poor households

JOINT CIRCULAR

Guidelines for Implementing Health Insurance for Individuals from Near-Poor Households

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Pursuant to Decree No. 63/2005/NĐ-CP dated May 16, 2005, issued by the Government on the Health Insurance Regulations;

Pursuant to Decision No. 117/2008/QĐ-TTg dated August 27, 2008, issued by the Prime Minister on adjusting health insurance contribution levels for social policy beneficiaries;

The Ministry of Health and the Ministry of Finance issue guidelines a) Report to the Ministry of Natural Resources and Environment on the results of training and upgrading, including listing the teaching staff participating in teaching, evaluating the participation of trainees in the training process, the results of organizing examinations for completing the training and upgrading program on land valuation business, the issuance of Certificates and the use of Certificate codes, summarizing the feedback from trainees on the quality of the training and upgrading program on land valuation business, and other relevant matters. of health insurance for individuals from near-poor households who are supported by the state budget for health insurance (BHYT) contributions. as follows:

I. SCOPE OF ADJUSTMENT AND APPLICABLE OBJECTS

1. These guidelines provide guidance on implementing BHYT for individuals from near-poor households with average per capita income not exceeding 130% of the poverty line income of poor households according to current standards (excluding those required to participate in mandatory BHYT, children under six years old, and those currently receiving voluntary BHYT support from national programs/projects or international/nongovernmental organizations).

2. The list of near-poor households and individuals from near-poor households shall be determined in accordance with the guidelines of the Ministry of Labor, Invalids, and Social Affairs and approved by competent authorities.

II. CONTRIBUTION LEVELS, PAYMENT METHODS, AND ISSUANCE OF BHYT CARDS

1. Contribution Levels

The monthly BHYT contribution level for individuals from near-poor households is 3% of the minimum wage, including:

a) The state budget supports at least 50% of the BHYT contribution. Depending on local budget capacity and other funding sources, the Chairman of the People's Committee of provinces/cities directly under the Central Government decides on the BHYT contribution support level for individuals from near-poor households.

b) Individuals from near-poor households pay the remaining portion themselves.

2. Payment Methods

Individuals from near-poor households (excluding those required to participate in mandatory BHYT, children under six years old, and those currently receiving voluntary BHYT support from national programs/projects or international/nongovernmental organizations) shall directly pay their BHYT contributions to the Social Insurance Authority in accordance with the guidelines of the Vietnam Social Insurance.

3. Issuance of Cards

a) The Social Insurance Authority, based on the list of individuals from near-poor households approved by competent authorities, collects money from members of the household in accordance with Clause 1 and 2, Section II of this Circular, and simultaneously issues BHYT cards to individuals from near-poor households.

b) The BHYT card is valid for one year.

III. RIGHTS OF INDIVIDUALS FROM NEAR-POOR HOUSEHOLDS PARTICIPATING IN HEALTH INSURANCE

The rights of individuals from near-poor households participating in BHYT are implemented in accordance with Clause 1, Section III, Joint Circular No. 06/2007/TTLT-BYT-BTC dated March 30, 2007, issued by the Ministry of Health and the Ministry of Finance on guiding the implementation of voluntary BHYT.

IV. MANAGEMENT AND USE OF BHYT REVENUE FOR INDIVIDUALS FROM NEAR-POOR HOUSEHOLDS

1. Financial Support Sources

a) The central budget supports 100% of funds for localities that have not yet achieved budget self-balancing.

b) The central budget supports 50% of funds for localities with a redistribution rate of revenue sharing to the central budget below 50%, including: Hai Phong, Quang Ninh, Vinh Phuc, Da Nang, Khanh Hoa, Can Tho.

c) Remaining localities allocate from their local budgets.

2. Distribution of Financial Support

a) The Social Insurance Authority at district, county, town, and city levels directly under provinces (collectively referred to as district level) compile lists of individuals from near-poor households participating in BHYT within their districts who have been issued BHYT cards (detailed by commune, ward, township) and send them to the Social Insurance Authority at provincial/city levels directly under the Central Government (collectively referred to as provincial level).

b) The Social Insurance Authority at provincial level compiles lists of individuals from near-poor households within their province who have been issued BHYT cards (detailed by district) and sends them to the Department of Finance for the basis of transferring financial support in accordance with Point a, Clause 1, Section II of this Circular.

c) Based on the list of individuals from near-poor households who have been issued BHYT cards sent by the Social Insurance Authority at provincial level, the Department of Finance is responsible for transferring funds to the Social Insurance Authority at provincial level within 15 days through payment orders.

3. Allocation, Management, and Use of BHYT Revenue

a) All revenue transferred from the state budget to support individuals from near-poor households participating in BHYT is transferred into the Health Examination and Treatment Fund.

b) All revenue from BHYT contributions paid by individuals from near-poor households is managed and used in accordance with Point a, Clause 6, Section I of Joint Circular No. 14/2007/TTLT-BYT-BTC dated December 10, 2007, issued by the Ministry of Health and the Ministry of Finance on amending and supplementing certain provisions of Joint Circular No. 06/2007/TTLT-BYT-BTC dated March 30, 2007, guiding the implementation of voluntary BHYT.

V. IMPLEMENTATION

1. Provincial People's Committees directly under the Central Government

a) Implement propaganda and dissemination of support policies for BHYT for individuals from near-poor households as stipulated by law.

b) Direct relevant departments and agencies at the local level to identify individuals from near-poor households and organize the implementation of policies in accordance with regulations.

c) Annually report results of implementation to the Ministry of Health and the Ministry of Finance for consolidation and reporting to the Prime Minister (prepared according to the attached appendix to this Circular).

2. Departments of Finance

a) Prepare annual budget estimates for financial support for individuals from near-poor households participating in BHYT from the state budget; consolidate and submit for review and decision by the Provincial People's Committee.

b) Ensure timely provision of financial support from the state budget for individuals from near-poor households to the BHYT Fund as prescribed.

3. Departments of Health

a) Advise the Provincial People's Committee on organizing the implementation of health examination and treatment policies for individuals from near-poor households participating in BHYT within their jurisdiction.

b) Direct healthcare facilities to implement health care and examination/treatment services for individuals from near-poor households holding BHYT cards in accordance with the law.

4. Provincial Social Insurance Authorities

a) Coordinate with relevant departments and agencies to implement propaganda and dissemination of BHYT policies and regulations; promote participation in BHYT among individuals from near-poor households. guide

, organize ofthe collection of payments from function of collecting money of person of households classified as near-poor participating in health insurance (BHYT), print and issue BHYT cards in accordance with regulations.

specialized agency under the People's Committee of the province/city.) Summarize the collection and expenditure of BHYT for individuals from near-poor households every six months and report to the Vietnam Social Security for consolidation and reporting to the Ministry of Health - Ministry of Finance.

VI. IMPLEMENTATION PROVISIONS

1. This Circular takes effect fifteen days from the date of publication in the Official Gazette.

2. For cases where individuals from near-poor households have voluntarily participated in BHYT before this Circular takes effect and their BHYT cards are still valid, they shall continue to use the cards and enjoy BHYT benefits as prescribed until the expiration date indicated on the card.

During the implementation process, if there are difficulties or obstacles, units are advised to report to the Ministry of Health and the Ministry of Finance for consideration and resolution./.