Joint Circular No. 14/2007/TTLT-BYT-BTC amends and supplements certain provisions of Joint Circular No. 06/2007/TTLT-BYT-BTC on voluntary health insurance, including the scope of application, contribution levels for health insurance, collection methods, management of the voluntary health insurance fund, and organization of medical examination and treatment.
Đối tượng áp dụng
Vietnamese citizens (excluding those already holding mandatory health insurance cards) and students.
Các điểm cốt lõi
- Participation in voluntary health insurance: all Vietnamese citizens except those with mandatory health insurance cards and children under six years old (Clause 2, Section I).
- Contribution level for voluntary health insurance: 320,000 VND per person per year in urban areas; 240,000 VND per person per year for individuals and 120,000 VND per person per year; 100,000 VND per person per year for students and college students (Clause 1, Section II).
- Collection method for voluntary health insurance contributions: individuals pay once per year; students and college students pay once or twice per year or for the entire academic period (Point a, Clause 2, Section II).
- The voluntary health insurance fund is allocated as follows: 90% establishes the voluntary health insurance medical care fund; 2% establishes the voluntary health insurance medical care reserve fund; 5% is allocated for coordination activities; and 3% is allocated for training (Point a, Clause 3, Section IV).
- The voluntary health insurance medical care fund is calculated based on the number of registration cards for initial medical care at the healthcare facility and according to the average contribution rate of voluntary health insurance participants; specifically, students and college students have 20% reserved for primary health care (Point b, Clause 2, Section V).
🌐 Tác động xã hội từ văn bản này
- Voluntary health insurance becomes more accessible for Vietnamese citizens not covered by mandatory health insurance and for students and college students.
- The costs of participating in voluntary health insurance are clearly defined, providing citizens with a comprehensive view of the contribution levels.
- The voluntary health insurance medical care fund is strictly managed to ensure effective use for medical examinations and treatments.
❓ Câu hỏi thường gặp
What is the contribution level for voluntary health insurance?
The contribution level for voluntary health insurance is 320,000 VND per person per year in urban areas and 240,000 VND per person per year in rural areas for individuals; 120,000 VND per person per year; 100,000 VND per person per year for students and college students (Clause 1, Section II).
How many times per year does a participant in voluntary health insurance contribute?
Individuals participating in voluntary health insurance contribute once per year; students and college students may contribute once or twice per year or for the entire academic period (Point a, Clause 2, Section II).
How is the voluntary health insurance medical care fund allocated?
The voluntary health insurance medical care fund is allocated as follows: 90% establishes the voluntary health insurance medical care fund; 2% establishes the voluntary health insurance medical care reserve fund; 5% is allocated for coordination activities; and 3% is allocated for training (Point a, Clause 3, Section IV).
How is the voluntary health insurance medical care fund for students and college students used?
The voluntary health insurance medical care fund for students and college students reserves 20% for primary health care at schools; the remaining 80% serves as the basis for determining temporary medical care funds when signing contracts with healthcare facilities and for death benefits (Point b, Clause 2, Section V).
When does this circular take effect?
This circular takes effect fifteen days after its publication in the Official Gazette (II. Conditions for Implementation).
Toàn văn
JOINT CIRCULAR
H||| Guidelines for amending and supplementing certain points of Circular Joint Circular No. 06/2007/TTLT-BYT-BTC dated March 30, 2007 of the Ministry of Health and the Ministry of Finance guiding the implementation of voluntary health insurance
__________________________________
||| Pursuant to Decree No. 63/2005/NĐ-CP dated May 16, 2005 of the Government promulgating the Health Insurance Regulations; the Ministry of Health and the Ministry of Finance issue guidelines for amending and supplementing certain points of Joint Circular No. 06/2007/TTLT-BYT-BTC dated March 30, 2007 of the Ministry of Health and the Ministry of Finance guiding the implementation of voluntary health insurance as follows:
||| I. CONTENT OF AMENDMENTS AND SUPPLEMENTS
||| 1. Amend Clause 2, Section I - Scope of Application as follows:
||| “2. Scope of Application: Voluntary health insurance shall apply to all Vietnamese citizens (except those who already have mandatory health insurance cards as prescribed in the Health Insurance Regulations issued together with Decree No. 63/2005/NĐ-CP dated May 16, 2005 of the Government and children under six years old).”
||| 2. Repeal Clause 3, Section I - Conditions for Implementation: Remove the condition that 100% of members in a household, 10% of households within the administrative area of a commune, and 10% of students and trainees on the list of students and trainees of educational institutions must participate.
||| 3. Amend and supplement Point a, Clause 1, Section II - Framework of Contribution Levels and Payment Methods for Voluntary Health Insurance:
||| “1. Contribution Levels
||| a) On the basis of the contribution levels already stipulated in Joint Circular No. 06/2007/TTLT-BYT-BTC dated March 30, 2007, the Ministry of Health and the Ministry of Finance prescribe the contribution levels and payment methods for voluntary health insurance as follows:
||| - Contribution level for individuals participating in voluntary health insurance: urban areas at 320,000 VND/person/year; rural areas at 240,000 VND/person/year;
||| - Contribution level for students and trainees currently studying at educational institutions participating in voluntary health insurance: urban areas at 120,000 VND/person/year; rural areas at 100,000 VND/person/year.”
||| 4. Repeal Points b and d, Clause 1, Section II - Framework of Contribution Levels and Payment Methods for Voluntary Health Insurance.
||| 5. Amend and supplement Points a and b, Clause 2, Section II - Framework of Contribution Levels and Payment Methods for Voluntary Health Insurance:
||| “a) The collection of contributions for voluntary health insurance shall be carried out as follows:
||| - Individuals participating in voluntary health insurance shall pay once a year;
||| - Students and trainees participating in voluntary health insurance shall pay once or twice a year; or pay for the entire duration of their study program.
||| b) Social Insurance agencies shall be responsible for organizing the system for collecting contributions for voluntary health insurance and issuing health insurance cards to participants in voluntary health insurance, ensuring convenience, timeliness, security, and compliance with the provisions of the law.”
||| 6. Amend and supplement Point a, Clause 3, Section IV - Management and Utilization of the Voluntary Health Insurance Fund as follows:
||| a) The contributions collected from voluntary health insurance (as stipulated in Points a and b, Clause 1, this Section) in the planning year shall be allocated and utilized as follows:
||| - 90% to establish the Voluntary Health Insurance Treatment Fund;
||| - 2% to establish the Voluntary Health Insurance Treatment Reserve Fund;
||| - 5% to cover expenses for coordination activities, organization of contribution collection for voluntary health insurance, issuance of voluntary health insurance cards, and support for healthcare facilities to organize hospital fee collection and settlement of treatment costs for voluntary health insurance patients;
||| - 3% to cover training expenses for agents, and supplementary expenses for propaganda, mobilization, rewards, and enhancement of staff capacity.”
||| 7. Amend Point c, Clause 5, Section IV - Management and Utilization of the Voluntary Health Insurance Fund as follows::
||| “c) If the expenditure on voluntary health insurance treatment exceeds the amount available in the Voluntary Health Insurance Treatment Fund for use in the year, the Vietnam Social Security may utilize funds from the Voluntary Health Insurance Treatment Reserve Fund or the Mandatory Health Insurance Treatment Reserve Fund as prescribed to ensure full and timely payment for voluntary health insurance participants.
||| The Ministry of Health shall be responsible for coordinating with the Ministry of Finance to develop solutions to ensure balance in the health insurance fund; directing the Vietnam Social Security and provincial Departments of Health to strengthen inspection and supervision to eliminate unreasonable costs in the use of medical services, techniques, medicines, materials, chemicals, etc., at health insurance treatment facilities according to the provisions of the law.”
||| 8. Amend and supplement Point b, Clause 2, Section V - Organization of Treatment and Settlement of Treatment Costs for Voluntary Health Insurance:
||| “b) The Voluntary Health Insurance Treatment Fund shall be calculated based on the number of initial registration cards at the treatment facility and the average contribution level of voluntary health insurance participants.
||| For students and trainees, the Voluntary Health Insurance Treatment Fund shall be calculated based on the number of registration cards and the average contribution level of students and trainees participating in voluntary health insurance in the locality. Twenty percent of the Voluntary Health Insurance Treatment Fund for students and trainees shall be reserved for primary health care at schools; eighty percent of the remaining Voluntary Health Insurance Treatment Fund shall serve as the basis for determining the provisional treatment fund when signing contracts with treatment facilities and providing death benefits.”
||| II. IMPLEMENTATION PROVISIONS
||| This Circular shall take effect fifteen days after its publication in the Official Gazette.
||| During the implementation process, if there are any difficulties, please promptly report them to the Ministry of Health and the Ministry of Finance for further research and supplementary guidance./.
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