This Circular amends certain provisions on hospital fees collection to reduce financial difficulties for seriously ill patients and ensure the payment capacity of the Health Insurance Fund. Patients with health insurance cards are reimbursed for the majority of medical examination and treatment costs according to prescribed prices.
Scope of application
Patients, healthcare facilities, health insurance agencies
Key points
- Patients (including those with health insurance cards) who receive treatment based on personal requests must fully pay the actual expenses to the hospital.
- Patients with health insurance cards are reimbursed for the majority of medical examination and treatment costs according to prescribed prices, except in special cases.
- For some high-cost medications and advanced technical services, patients must pay a portion of the costs themselves.
- This regulation does not apply to retired individuals, those with disabilities, and those who have contributed to the Revolution and are covered by health insurance.
- The total amount collected from hospital fees shall not exceed the total amount calculated according to the maximum price table for one day of inpatient treatment.
🌐 Social impact of this document
- Reduce the financial burden for patients with health insurance cards.
- Ensure the payment capacity of the Health Insurance Fund.
- Create more financial difficulties for patients receiving treatment based on personal requests.
- Retired individuals, those with disabilities, and those who have contributed to the Revolution benefit from this regulation.
❓ Frequently asked questions
What percentage of costs must patients with health insurance cards pay themselves?
Patients with health insurance cards are reimbursed for the majority of medical examination and treatment costs according to prescribed prices, except in special cases.
To whom does this regulation apply?
It applies to all patients, but does not apply to retired individuals, those with disabilities, and those who have contributed to the Revolution and are covered by health insurance.
What is the maximum total amount that can be collected from hospital fees?
The total amount collected from hospital fees shall not exceed the total amount calculated according to the maximum price table for one day of inpatient treatment.
Full text
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GOVERNMENT PRICING BOARD-MINISTRY OF LABOUR INVALIDS AND SOCIAL AFFAIRS-MINISTRY OF FINANCE-GOVERNMENT PRICING BOARD These regulations stipulate conditions for ensuring food safety in the production, business, and use of food additives. |
SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ----------------------------------- |
| Decision No. 11/1997/TTLT/BYT-BTC-LDTBXH-BVGCP | Hanoi, September 19, 1997 |
JOINT CIRCULAR
Decision No. 11/1997/TTLT/BYT-BTC-LDTBXH-BVGCP dated September 19, 1997 of the Joint Ministries of Health - Finance - Labour, Invalids and Social Affairs - Government Pricing Board amending certain points of Circular No. 14/TTLB dated September 30, 1995 of the Joint Ministries of Health - Finance - Labour, Invalids and Social Affairs - Government Pricing Board
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Pursuant to Decree No. 95/CP dated August 27, 1994 of the Government on collecting part of hospital fees and based on the guidance of the Prime Minister in Notification No. 62-TB dated June 9, 1997 of the Government Office. To align with current circumstances and the actual payment capacity of the health insurance fund, the Joint Ministries of Health - Finance - Labour, Invalids and Social Affairs - Government Pricing Board amend certain points of Circular No. 14/TTLB dated September 30, 1995 guiding the collection of part of hospital fees as follows:
1. Paragraph 3, Clause 2, Subsection B, Part IV - Forms of collecting part of hospital fees shall be amended as follows:
In order to alleviate difficulties for patients with serious illnesses requiring high actual costs and to ensure the payment capacity of the health insurance fund, the total amount of two charges: bed day fee and actual cost usage directly for the patient shall not exceed the total amount calculated according to the price specified in Section B2: "Maximum price for one day of inpatient treatment" (taking the price from each type of inpatient treatment day in this price list multiplied by the number of inpatient treatment days of the patient). For patients (including those with health insurance cards) who receive treatment according to special requirements, they must fully pay the actual costs to the hospital.
2. Subsection d, Part IV - Forms of collecting part of hospital fees shall be amended as follows:
Patients with health insurance cards will be reimbursed by the health insurance agency to the hospital for medical examination and treatment costs according to the partial hospital fee prices stipulated in Point 1 of this Circular for medical services, except for diseases and cases prescribed in Article 16, Article 17 of the Health Insurance Regulations.
For certain medicines and high-tech medical services specified in the annex attached to this Circular, patients with health insurance cards will be reimbursed by the health insurance agency to the hospital for part of the costs according to the partial hospital fee prices, the remainder will be paid by the patient to the hospital. This provision does not apply to retired persons, disabled individuals, and those who have contributed to the Revolution covered by health insurance.
3. Implementation Provisions
This Circular takes effect from the date of issuance, all previous regulations contrary to this Circular are abolished.
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DEPUTY MINISTER OF HEALTH DEPUTY MINISTER (signed) Tran Thi Trung Chien |
SIGNATURE OF THE MINISTER OF LABOR, WAR INVALIDS AND SOCIAL AFFAIRS DEPUTY MINISTER (signed) Lê Duy Đồng |
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MINISTRY OF AGRICULTURE AND RURAL DEVELOPMENT DEPUTY MINISTER (signed) Tao Huu Phung |
CHIEF GOVERNMENT PRICING BOARD DEPUTY CHAIR (signed) Le Van Tan |
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