Consolidated Document number 14/VBHN-BQP detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in cryptographic work.

SOCIALIST REPUBLIC OF VIET NAM Independence - Freedom - Happiness ____________________

 

DECREE

Regulations detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work.

 

Decree No. 70/2015/ND-CP dated September 1, 2015 of the Government details and guides the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which took effect from October 15, 2015; amended and supplemented by:

Decree No. 74/2025/ND-CP dated March 31, 2025 of the Government amending and supplementing certain provisions of Decree No. 70/2015/ND-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which took effect from July 1, 2025;

Pursuant to the Law on Organization of the Government dated December 25, 2001;

Pursuant to Resolution No. 142/2024/QH15 dated June 29, 2024 of the seventh session of the 15th National Assembly;

At the proposal of the Minister of National Defense,

The Government promulgates this Decree to detail and guide the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work^[1].

PART I

SCOPE OF REGULATION, OBJECTS, IMPLEMENTATION TIMELINE, CONTRIBUTION LEVEL, CONTRIBUTION OBLIGATION, CONTRIBUTION METHODS FOR HEALTH INSURANCE

 

Article 1. Scope of Regulation^[2]

1. This Decree details and guides the implementation of certain provisions of the Health Insurance Law No. 25/2008/QH12 dated November 14, 2008, amended and supplemented by Law No. 46/2014/QH13 dated June 13, 2014 and Law No. 51/2024/QH15 dated November 27, 2024 (hereinafter referred to as the Health Insurance Law) for the objects specified in Points a, b, c, d, and đ Clause 3 Article 12 of the Health Insurance Law, including the following contents: Contribution level, contribution obligation, and contribution methods for health insurance; health insurance card; scope of benefits, health insurance benefit levels, and transportation costs for patients undergoing inpatient treatment or emergency care requiring transfer to another healthcare facility; health insurance medical examination and treatment; management and use of funds allocated for health insurance medical examination and treatment; health insurance review; health insurance payment and settlement; payment and settlement of health insurance medical examination and treatment costs for the objects stipulated in Point c Clause 4 of Article 31 of the Health Insurance Law.

2. The health insurance fund ensures regular medical examination and treatment for the objects specified in Articles 1, 2, 3, and 4 of this Decree. The state budget guarantees the cost of medical examination and treatment outside the scope covered by the health insurance fund in remote coastal areas.

Other tasks related to military medicine and health of the army, public security, and confidential work shall be carried out according to the regulations of the Government on material standards for logistics support for military personnel, public security personnel, and personnel engaged in confidential work.

3. Ensuring health care for combat readiness, natural disasters, major accidents, infectious diseases classified as Group A, or emergencies and wartime for the army, public security, and confidential work shall be implemented according to relevant laws.

Article 2. Applicability^[3]

1. Persons participating in health insurance under the Ministry of National Defense include:

a) Officers of the People's Army and professional soldiers currently serving;

b) Non-commissioned officers, soldiers of the People's Army currently serving, and military academy students receiving subsistence allowances who are Vietnamese citizens;

c) Military academy students undergoing reserve officer training for three months or more who have not participated in social insurance or health insurance;

d) Military academy students receiving subsistence allowances who are foreign nationals.

2. Persons participating in health insurance under the Ministry of Public Security include:

a) Officers and non-commissioned officers in specialized positions and technical officers and non-commissioned officers in technical positions currently working in the People's Public Security Force;

b) Non-commissioned officers and conscript soldiers in the People's Public Security Force;

c) Public security academy students receiving subsistence allowances who are Vietnamese citizens;

d) Public security academy students receiving subsistence allowances who are foreign nationals.

3. Personnel engaged in confidential work participating in health insurance include:

a) Personnel engaged in confidential work receiving salaries equivalent to those of military personnel currently working at the State Confidential Work Administration;

b) Confidential work academy students receiving subsistence allowances who are Vietnamese citizens;

c) Personnel engaged in confidential work receiving salaries equivalent to those of military personnel currently working at confidential organizations under ministries, sectors, and localities except the Ministry of National Defense and the Ministry of Public Security;

d) Confidential work academy students receiving subsistence allowances who are foreign nationals.

4. Standing Reserve Forces.

5. Agencies and units under the Ministry of National Defense, the Ministry of Public Security, and the State Confidential Work Administration; agencies and organizations related to the implementation of health insurance for the People's Army, the People's Public Security Force, personnel engaged in confidential work, and the people stipulated in Point c Clause 4 Article 31 of the Health Insurance Law.

Article 3.^[4] (Repealed)

Article 4. Contribution Rate for Health Insurance

1.^[5] The monthly contribution rate for health insurance is determined as a percentage of the salary used as the basis for mandatory social insurance contributions according to the provisions of the Social Insurance Law or the reference level as stipulated in the Health Insurance Law, specifically:

a) 4.5% of the monthly salary for the subjects specified in point a Clause 1, point a Clause 2, points a and c Clause 3 Article 2 of this Decree;

b) 4.5% of the reference level for the subjects specified in points b, c and d Clause 1, points b, c and d Clause 2, points b and d Clause 3, Clause 4 Article 2 of this Decree;

c) 4.5% of the reference level for the subjects specified in point a Clause 1, point a Clause 2, points a and c Clause 3 Article 2 of this Decree when they take leave due to illness for 14 working days or more in a month or when taking maternity leave for 14 working days or more in a month according to the laws on social insurance.

2. Based on actual circumstances, the Minister of National Defense shall take the lead, coordinating with the Ministers of Public Security, Health, Finance, and the heads of relevant agencies to submit to the Government proposals to adjust the health insurance contribution rates appropriately.

Article 5. Responsibility for Contributions and Methods of Health Insurance Contributions^[6]

1. The state budget ensures full funding for health insurance contributions for the subjects specified in Clauses 1, 2, 3 and 4 Article 2 of this Decree according to the current budget allocation levels. Management, utilization, and settlement of health insurance contribution funds shall be carried out in accordance with the laws on the state budget.

2. Annually, ministries, ministerial-level agencies, and local agencies responsible for managing the subjects specified in Article 2 of this Decree shall prepare budgets for health insurance contributions, which shall be included in their respective annual state budget estimates and submitted to the financial authorities at the same level in accordance with the State Budget Law and related implementing regulations.

3. Annually, the Military Social Insurance, the People's Police Social Insurance, and the Social Insurance of provinces and centrally-administered cities shall aggregate the health insurance contributions for the cases specified in point c Clause 1 Article 4 of this Decree and send them to the Vietnam Social Security to ensure health insurance contribution funds.

4. Management, utilization, and settlement of health insurance revenues and payments shall be conducted in accordance with the laws on health insurance and related laws:

a) By the last day of the first month of each quarter, the agencies and units responsible for managing the subjects according to the allocation levels shall make quarterly health insurance contributions based on the prescribed contribution rates to the Military Social Insurance, the People's Police Social Insurance, and the Social Insurance of provinces and centrally-administered cities;

b) Annually, the Military Social Insurance shall be responsible for reporting and settling the health insurance revenue and payment portion for the subjects specified in Clause 1 and points a, b and d Clause 3 Article 2 of this Decree; the People's Police Social Insurance shall be responsible for reporting and settling the health insurance revenue and payment portion for the subjects specified in Clause 2 Article 2 of this Decree; the Social Insurance of provinces and centrally-administered cities shall be responsible for reporting and settling the health insurance revenue and payment portion for the subjects specified in point c Clause 3, Clause 4 Article 2 of this Decree to the Vietnam Social Security.

5. Subjects specified in points a, b, and c of Clauses 1, 2, and 3 Article 2 of this Decree who are sent abroad for study or work shall not have to contribute to health insurance; the time spent abroad shall be counted as participation in health insurance until the date of the decision to return issued by the sending agency or organization.

Chapter II

HEALTH INSURANCE CARD

 

Article 6. Health Insurance Card

1. The model and blank health insurance card shall be implemented as follows:

a) The model of health insurance card for the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree shall be a separate model, prescribed by the Vietnam Social Security after reaching consensus with the Ministry of National Defense, the Ministry of Public Security, and the Ministry of Health;^[7] Article 2 of this Decree is a specific model, to be prescribed by the Vietnam Social Security after reaching consensus with the Ministry of National Defense, the Ministry of Public Security, and the Ministry of Health;

b) The blank health insurance card for the subjects specified in Clause 1 of this Decree, Points a, b, and d of Clause 3 of Article 2 of this Decree shall be issued and managed by the Military Social Security;^[8] Article 2 of this Decree shall be issued and managed by the Military Social Insurance;^[9] of the subjects specified in Clause 2 of Article 2 of this Decree shall be issued and managed by the People's Public Security Social Security;^[10] and implemented multi-level settlement with the Military Social Insurance;

c) ^[11] The model and blank health insurance card for the subjects specified in Point c of Clause 3 and Clause 4 of Article 2 of this Decree shall be issued and managed by the Vietnam Social Security.

2.^[12] The health insurance cards issued by the Military Social Security and the People's Public Security Social Security have a maximum validity period of not more than sixty months, specifically as follows:

a) For the subjects specified in Clauses 1, 2, and 3 of Article 2 of this Decree who join health insurance for the first time, the health insurance card will be valid from the date they become eligible to pay health insurance contributions.

When the subjects specified in Clauses 1, 2, and 3 of Article 2 of this Decree cease service in the military, public security, or cryptographic services or transfer to another category according to the decision of the competent authority, the health insurance card will remain valid until the last day of the month they cease service, transfer categories, and other cases stipulated in Clause 2 of Article 9 of this Decree.

In cases where the competent authority extends the service term or assigns them for training, the validity period of the health insurance card will continue from the expiration date of the previous card until the end of the extended service term or training period.

b) The health insurance card for military students, police students, and cryptographic students receiving living expenses who are Vietnamese citizens will be valid from the date of enrollment to December 31 of the graduation year at military, police, and cryptographic schools.

c) The health insurance card for military students, police students, and cryptographic students receiving living expenses who are foreign nationals will be valid from the date they become eligible to pay health insurance contributions until the end of their study or work period at military, police, and cryptographic institutions.

Article 7. Issuance of Health Insurance Cards^[13]

1. The health insurance cards for the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree shall be issued by the Military Social Security or the People's Public Security Social Security or the provincial social security agency under the direct management of the central government agencies. The Military Social Security and the People's Public Security Social Security issue health insurance cards in paper form and electronic form, both having equal legal validity.

The timing for issuing electronic health insurance cards shall be decided by the Minister of National Defense and the Minister of Public Security.

2. The application materials and issuance deadlines for health insurance cards shall be carried out in accordance with Article 17 of the Health Insurance Law and the regulations of the Government.

3. Procedures for issuing health insurance cards within the Ministry of National Defense:

a) Within thirty days from the date when the subject becomes eligible to participate in health insurance, the unit responsible for managing the subject must complete the issuance of health insurance cards, specifically:

Within five working days from the date the subject becomes eligible to participate in health insurance, the unit responsible for managing the subject must guide the subject to fill out the health insurance participation declaration form, check its legality and accuracy, compile a list of participants in the unit along with electronic data, and submit it together with the declaration form to the personnel department of the regiment-level unit or equivalent. If the declaration form is invalid, the directly managing unit must guide the subject to complete the form according to the regulations.

Within five working days from the date of receipt of the application from the directly managing unit, the regiment-level unit or equivalent must send a report and list along with electronic data to the personnel department of the division-level unit or equivalent.

Within five working days from the date of receipt of the report and list of participants in health insurance and valid declaration forms from the regiment-level unit or equivalent, the division-level unit or equivalent must compile a list and report to the personnel department of the Ministry of National Defense for management, and simultaneously send a request for issuance of health insurance cards along with the list and electronic data file to the Military Social Security.

Within five working days from the date of receipt of all required documents, the Military Social Security must issue the health insurance cards and deliver them to the participating units; if the cards are not issued, the Military Social Security must provide a written response to the unit and clearly state the reasons.

b) Application materials for health insurance cards can be submitted directly or through military postal services or military data transmission to the Military Social Security.

c) In cases of switching from another group of health insurance participants to the subjects specified in Clause 1 and Points a and b of Clause 3 of Article 2 of this Decree, the following procedures shall be followed: Upon receipt, the unit shall guide the completion of the declaration form, compile a list for issuance of health insurance cards, report to the division-level unit or equivalent for consolidation, and return the old health insurance cards (if available) to the Military Social Security for recovery. The new health insurance card will be valid from the date the recruitment, selection, promotion, or transfer decision of the competent authority takes effect.

d) For subsequent issuances of health insurance cards, the following procedures shall be followed: Thirty days before the expiration of the current health insurance card, the division-level unit or equivalent must send a request to the Military Social Security for extension and issuance of new cards. Within five working days from the date of receipt of the request, the Military Social Security must print the cards and lists and send them back to the unit; if the cards are not issued, a written response must be provided with clear reasons.

e) Every six months or annually, the units must compile reports on the implementation of health insurance card issuance and management and submit them to the Military Social Security according to the procedure.

4. Procedures for issuing health insurance cards within the Ministry of Public Security:

a) Within thirty days from the date of occurrence of the subject participating in health insurance, the directly managing unit shall guide the subject to fill out the initial health insurance participation declaration form, submit it to the organizational personnel agency of the provincial public security department or the subordinate unit of the Ministry of Public Security for consolidation and preparation of a list to request issuance of health insurance cards to the Social Insurance of the People's Police along with electronic data and a written request. In cases where the directly managing unit is authorized, it shall prepare the list and send it to the Social Insurance of the People's Police along with electronic data and a written request.

b) For the issuance of health insurance cards from the second time onwards, the following procedures shall be implemented: Thirty days before the expiration date of the health insurance card of the subject, the directly managing unit shall be responsible for reviewing and updating information and implementing according to the provisions set forth in point a of this clause.

Within five working days from the date of receiving complete files in accordance with regulations, the Social Insurance of the People's Police shall issue health insurance cards and send them to the requesting unit for distribution to the subjects. If the cards are not issued, a written response must be provided with clear reasons stated.

The health insurance card application files shall be sent directly, through postal service, or via internal electronic channels to the Social Insurance of the People's Police.

Immediately upon accepting subjects participating in health insurance who have been transferred from another group to the category specified in Clause 2, Article 2 of this Decree, the directly managing unit shall guide the subjects to fill out declarations, prepare lists for issuing health insurance cards, and implement according to the provisions set forth in point a of this clause, accompanied by the old health insurance card (if any) for recovery and issuance of new health insurance cards. The new health insurance cards shall be valid from the date the recruitment or transfer decision of the competent authority takes effect.

5. The Social Insurance of provinces and centrally-administered cities shall issue health insurance cards to subjects specified in point c of Clause 3 and Clause 4 of Article 2 of this Decree in accordance with the law.

Article 8. Reissuing and replacing health insurance cards

1. Reissuing health insurance cards in case of loss shall be carried out in accordance with the provisions of Article 18 of the Health Insurance Law which has been amended and supplemented.

2.^[14] Replacing health insurance cards shall be carried out in accordance with the provisions of Article 19 of the Health Insurance Law.

In cases where insured persons are transferred to work in areas with difficult economic and social conditions, extremely difficult conditions, or island communes, island districts, and vice versa, they may replace their health insurance cards.

3.^[15] Application forms, procedures, and formalities for reissuing and replacing health insurance cards

When subjects require reissuing or replacing health insurance cards, the units authorized to manage shall be responsible for guiding the subjects to submit applications, while preparing lists along with electronic data and written requests to send to the social insurance agencies.

The procedures for reissuing and replacing health insurance cards shall be carried out in accordance with the provisions of Clause 3 and Clause 4 of Article 7 of this Decree. Within seven working days from the date of receiving complete files in accordance with regulations, the Military Social Insurance, the Social Insurance of the People's Police, and the Social Insurance of provinces and centrally-administered cities must reissue or replace health insurance cards. If reissuance or replacement is not carried out, these social insurances must provide a written response with clear reasons stated. During the waiting period for reissuance or replacement of health insurance cards, insured persons when seeking medical treatment shall follow the provisions of Clause 5 of Article 15 of this Decree and enjoy full health insurance benefits.

Article 9.^[16] Management, recovery, and temporary retention of health insurance cards

1. Health insurance cards of the subjects specified in Clauses 1, 2, 3, and 4^[17] Article 2. This Decree shall be revoked in the following cases:

a) Resigning from service in the People's Army, People's Public Security Force, or confidential organization;

b) Transferring to another service regime that is not military personnel, public security personnel, or confidential staff;

c) The health insurance card being issued with duplicate numbers for the same category;

d) The health insurance card being issued incorrectly to non-military personnel, public security personnel, or confidential staff;

2. The management unit responsible for the subjects specified in Article 2 of this Decree shall be responsible for recovering the health insurance cards in the cases stipulated in Clause 1 of this Article and report to the Social Insurance Authority at the place where the card was issued to reduce the insurance payment for such subjects.

3. The health insurance cards of the subjects specified in Article 2 of this Decree shall be temporarily withheld in the case where another person uses them to seek medical treatment.

The person entrusted with managing the card or the holder who lends the card to another person must bear disciplinary action from the Military, Public Security, Confidential Service and must reimburse all costs incurred for medical treatment (if any).

4.^[18] Management of Health Insurance Cards:

a) For the subjects specified in point a of Clause 1, point a and point c of Clause 3 of Article 2 of this Decree, the Military Medical Department shall establish a registration book and monitor the subjects seeking medical treatment according to regulations;

b) For the remaining subjects specified in Clause 1 and Clause 3 of Article 2 of this Decree, excluding those sent to study at schools outside the Military, the Military Medical Department of the management unit shall implement the following: If the unit does not have a Military Medical Department, the head of the management unit shall directly designate a card manager. When there is a need for medical treatment, the management unit shall provide the health insurance card to the subject for use. Upon completion of the medical treatment period, the subject shall report the results of the medical treatment and return the health insurance card to the unit for management;

c) For the subjects specified in point c of Clause 3 and Clause 4 of Article 2 of this Decree, they shall be managed according to the regulations of the provincial or centrally-run city and local social insurance regarding health insurance card management.

Chapter III

SCOPE AND LEVEL OF HEALTH INSURANCE BENEFITS

 

Article 10. Scope of Health Insurance Benefits

1.^[19] The scope of health insurance benefits for the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree shall be implemented according to Article 21 of the Health Insurance Law.

2.^[20] In addition to the scope of health insurance benefits stipulated in Clause 1 of this Article, the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree shall also be reimbursed for medical examination and treatment expenses as prescribed in Article 22 of the Health Insurance Law, including: medicines, chemicals, medical equipment approved for circulation in Vietnam, and medical technical services approved by competent authorities according to professional prescriptions and not falling under the cases prescribed in Article 23 of the Health Insurance Law.

3. The medical examination and treatment expenses stipulated in Clause 2 of this Article shall be reimbursed from the health insurance fund allocated for medical examination and treatment of the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree; if this fund is insufficient, it shall be guaranteed by the state budget.^[21] Article 11. Level of Health Insurance Benefits

1. The subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree shall be reimbursed 100% of medical examination and treatment costs within the scope prescribed in Article 10 of this Decree by the health insurance fund without applying the reimbursement ratio and level prescribed in point c and d of Clause 2 of Article 21 of the Health Insurance Law in the following cases:^[22]

a) Seeking medical treatment in accordance with Articles 26 and 27 of the Health Insurance Law;

b) Seeking inpatient medical treatment at specialized medical facilities for the subjects specified in point b of Clause 4 of Article 22 of the Health Insurance Law;

c) Seeking medical treatment at primary healthcare facilities; seeking inpatient medical treatment at basic-level medical facilities;

d) Seeking medical treatment at basic-level or specialized medical facilities which were determined as district-level facilities before January 1, 2025 by authorized agencies; seeking inpatient medical treatment at specialized medical facilities which were determined as provincial-level facilities before January 1, 2025 by authorized agencies;

e) Cases of traveling on business, studying, or taking leave and seeking medical treatment at convenient and suitable health insurance medical facilities based on the location of work, study, or leave;

2. The subjects specified in Clauses 1, 2, and 3 of Article 2 of this Decree under the management of the Central Government, the Ministry of National Defense, the Ministry of Public Security, or provinces/cities shall, in addition to health insurance medical treatment benefits, also be implemented according to the regulations of the Central Government, the Ministry of National Defense, the Ministry of Public Security, or centrally-run cities.

3. The subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree who seek medical treatment independently at medical facilities other than their registered primary healthcare facilities and in accordance with the regulations on transferring medical facilities shall be reimbursed by the health insurance fund within the scope of benefits prescribed in Article 10 of this Decree and shall not apply the reimbursement ratio and level for certain medicines, chemicals, medical equipment, and medical technical services as prescribed by the Minister of Health in point c and d of Clause 2 of Article 21 of the Health Insurance Law, with the following levels of benefits:

a) 100% of the cost of medical treatment at basic-level or specialized medical facilities for cases of definitive diagnosis, treatment of rare, serious, or surgical diseases requiring high-tech procedures as prescribed by the Minister of Health or due to mission requirements;

b) From January 1, 2025, when seeking outpatient medical treatment at basic-level medical facilities with scores below 50 points or ungraded, the insured person shall be reimbursed 100% of the cost of medical treatment by the health insurance fund, except for the basic-level medical facilities specified in point d of this clause;

c) From July 1, 2026, when seeking outpatient medical treatment at basic-level medical facilities with scores between 50 and less than 70 points, the insured person shall be reimbursed 50% of the cost of medical treatment by the health insurance fund.

c) As of July 1, 2026, when seeking outpatient medical care at basic healthcare facilities scoring between 50 points and less than 70 points, the health insurance fund shall cover 50% of the cost of outpatient medical services for insured persons;

d) As of July 1, 2026, when seeking outpatient medical services at a basic-level medical facility that was recognized by the competent authority as a provincial or central level or equivalent to a provincial or central level before January 1, 2025, the insured person shall be reimbursed 50% of the cost of medical examination and treatment by the health insurance fund.

đ) As of July 1, 2026, when seeking outpatient medical services at a specialized-level medical facility that was recognized by the competent authority as a provincial level or equivalent to a provincial level according to point h, Clause 4, Article 22 of the Health Insurance Law before January 1, 2025, the insured person shall be reimbursed 50% of the cost of medical examination and treatment by the health insurance fund.

e) 40% of the cost of inpatient medical examination and treatment at a specialized-level medical facility, except for cases specified in points b and d, Clause 1 of this Article and point a of this clause.

g) The remaining portion of the costs of medical examination and treatment specified in Clause 3 of this Article (if any) shall be paid directly by the patient to the medical facility.

4. In the case where the insured person seeks medical examination and treatment on demand:

a) The health insurance fund shall reimburse the cost of medical examination and treatment within the scope prescribed in Clause 1 of Article 21 of the Health Insurance Law and the benefit level prescribed in Article 22 of the Health Insurance Law. The difference between the service fee for medical examination and treatment on demand and the reimbursement amount from the health insurance fund shall be paid directly by the patient to the medical facility.

b) The medical facility shall ensure human resources, professional conditions, medical equipment, and service supply capacity in accordance with the health insurance medical examination and treatment contract signed with the social insurance agency and publicly disclose the fees that the patient must pay outside the scope of benefits, the health insurance benefit level, the differential costs, and must notify the patient in advance.

5. Transportation Costs

a) The health insurance fund shall cover transportation costs for the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree in cases where they are undergoing inpatient treatment or emergency care and need to be transferred to another medical facility according to professional instructions or mission requirements.

b) The reimbursement level for transportation costs for the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree shall be implemented according to the provisions of Government Decree No. 146/2018/ND-CP dated October 17, 2018, detailing and guiding the implementation of certain articles of the Health Insurance Law, which has been amended and supplemented by Government Decrees No. 75/2023/ND-CP dated October 19, 2023, and No. 02/2025/ND-CP dated January 1, 2025.

c) The transportation of subjects specified in Article 2 of this Decree who are injured or ill in coastal and island areas, remote and mountainous regions by military aircraft shall be covered from the state budget and carried out according to the regulations of the Minister of National Defense.

Article 12. Cases Not Entitled to Health Insurance Benefits

1. Cases not entitled to health insurance benefits shall be implemented according to the provisions of Article 23 of the Health Insurance Law, which has been amended and supplemented.

2. Special cases due to national defense and security activities and tasks of military personnel, public security officers, and cryptographic staff shall be implemented according to the guidelines of the Minister of National Defense, the Minister of Public Security, the Minister of Health, and the Minister of Finance.

Chapter IV

ORGANIZATION OF MEDICAL EXAMINATION AND TREATMENT AND METHODS OF PAYING FOR MEDICAL EXAMINATION AND TREATMENT COSTS UNDER HEALTH INSURANCE

 

Article 13.^[23] (Repealed)

Article 14.^[24] (Repealed)

Article 15. Procedures for health examination and treatment under health insurance

1. The procedures for health examination and treatment under health insurance shall be implemented in accordance with the provisions of Article 28 of the Health Insurance Law which has been amended and supplemented.

2.^[25] In cases of traveling on business, studying, taking leave, outside the provisions of Clause 1 of this Article, the patient must present a dispatch document for travel on business or admission notice or leave certificate or referral letter from the head of the unit at regiment level or higher, at the latest before being discharged from the hospital.

3. In cases of performing urgent tasks or field exercises, outside the provisions of Clause 1 of this Article, the patient must additionally present a referral letter from the managing unit, at the latest before being discharged from the hospital.

4. In cases where individuals participating in health insurance, belonging to other categories selected for recruitment into the Military, Public Security, or confidential organizations as specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree, during the period they have not yet received their health insurance card, they must present personal identification documents with photographs and conscription orders, or decisions of competent authorities.^[26] Article 2 of this Decree, during the period they have not yet received their health insurance card, they must present personal identification documents with photographs and conscription orders, or decisions of competent authorities.

5. In cases where individuals are waiting for their health insurance card to be reissued or replaced, they must present a referral letter from the unit clearly stating the health insurance card code or a confirmation letter from the social insurance agency that issued the health insurance card.

Article 16. Contracts for health examination and treatment under health insurance

1. Contracts for health examination and treatment under health insurance shall be implemented in accordance with the provisions of Article 25 of the Health Insurance Law which has been amended and supplemented.

2. Social Insurance of the Military^[27], Social Insurance of the People's Public Security^[28], Social Insurance of provinces and centrally governed cities^[29], "are abolished" ^[30] shall be responsible for signing contracts for health examination and treatment under health insurance with healthcare facilities meeting the conditions stipulated by the Medical Examination and Treatment Law under the Ministry of National Defense, the Ministry of Public Security, the Ministry of Health, relevant ministries, sectors, and localities within their jurisdiction to organize health examinations and treatments for the subjects specified in Article 2 of this Decree.

3. Procedures and documents for signing contracts for health examination and treatment under health insurance

a) The head of Social Insurance of the Military^[31], Social Insurance of the People's Public Security^[32], Social Insurance of provinces and centrally governed cities^[33], "is abolished" ^[34] shall directly sign contracts with the Director of the hospital or the head of the unit managing the healthcare facility to organize the implementation of health examination and treatment under health insurance at healthcare facilities within the unit;

b) Documents for signing contracts for health examination and treatment under health insurance include: Healthcare facility operation permit; decision on classification of healthcare facilities (if any) and a request from the unit participating in the contract.

4.^[35] The authority responsible for classifying technical expertise levels for healthcare facilities managed by the Ministry of National Defense and the Ministry of Public Security shall publicly announce the list of healthcare facilities classified with technical expertise levels along with points on the Ministry of National Defense and Ministry of Public Security’s electronic portal and on the information system for managing medical examination and treatment activities.

5.^[36] Healthcare facilities shall be responsible for publicly announcing the results of technical expertise classification along with points on their electronic website and at the reception area for patients.

Article 17. Health Insurance Appraisal

1. Health insurance appraisal for the subjects specified in Article 2 of this Decree shall be carried out in accordance with the provisions of Article 29 of the Health Insurance Law which has been amended and supplemented.

2.^[37] Social Insurance of the Military, Social Insurance of the People's Public Security shall organize health insurance appraisals for individuals participating in health insurance who seek medical examination and treatment at healthcare facilities that have signed contracts for health examination and treatment under health insurance with Social Insurance of the Military, Social Insurance of the People's Public Security, and send the appraisal results for those not under the management of the Ministry of National Defense and the Ministry of Public Security to the Vietnam Social Insurance.

3.^[38] Social Insurance of provinces and centrally governed cities shall conduct health insurance appraisals for the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree who seek medical examination and treatment at healthcare facilities that have signed contracts for health examination and treatment under health insurance with Social Insurance of provinces and centrally governed cities, and report the appraisal results to the Vietnam Social Insurance.

4.^[39] (abolished).

Article 18. Methods for payment, advance payment, settlement of medical examination and treatment costs under health insurance

1.^[40] The method for paying medical examination and treatment costs under health insurance for the subjects specified in Article 2 of this Decree shall be implemented in accordance with the laws on health insurance.

2. Payment of medical examination and treatment costs under health insurance shall be carried out in accordance with the provisions of Article 31 of the Health Insurance Law as amended and supplemented, specifically as follows:

a) Military Social Insurance^[41], Social Insurance of the People's Public Security^[42] shall pay medical examination and treatment costs under health insurance for subjects provided with health insurance cards for medical examination and treatment by the Military Social Insurance at medical facilities that have signed contracts for medical examination and treatment under health insurance with the Military Social Insurance.^[43], Social Insurance of the People's Public Security^[44] issue health insurance cards for outpatient and inpatient medical care at healthcare facilities that have signed healthcare insurance contracts with the Military Social Insurance;^[45], Social Insurance of the People's Public Security^[46];

b) Social Insurance of provinces and centrally governed cities^[47] "is abolished" ^[48] shall pay medical examination and treatment costs under health insurance for subjects specified in point c, Clause 3, Article 2 of this Decree and subjects provided with health insurance cards for medical examination and treatment by the Military Social Insurance at medical facilities that have signed contracts for medical examination and treatment under health insurance with the Social Insurance of provinces and centrally governed cities,^[49], Social Insurance of the People's Public Security^[50] and shall implement multi-level payment with the Military Social Insurance.^[51], "is abolished" ^[52] and implement multi-level settlement with the Military Social Insurance;^[53], Social Insurance of the People's Public Security^[54].

3. Advance payment, payment, and settlement of medical examination and treatment costs under health insurance between the Social Insurance agency and medical facilities providing medical examination and treatment under health insurance shall be carried out in accordance with the provisions of Article 32 of the Health Insurance Law as amended and supplemented, and the following specific provisions:

a) Military Social Insurance^[55], Social Insurance of the People's Public Security^[56] Advance payment, payment, and settlement of medical examination and treatment costs under health insurance with medical facilities providing medical examination and treatment under health insurance that have signed contracts for medical examination and treatment under health insurance with the Military Social Insurance;^[57], Social Insurance of the People's Public Security^[58] which have signed healthcare insurance contracts;

b) Social Insurance of provinces and centrally governed cities^[59], "is abolished" ^[60] Advance payment, payment, and settlement of medical examination and treatment costs under health insurance with medical facilities providing medical examination and treatment under health insurance that have signed contracts for medical examination and treatment under health insurance with the Social Insurance of provinces and centrally governed cities.^[61] "is abolished" ^[62] which have signed healthcare insurance contracts;

c)^[63] Quarterly, based on the final settlement reports of medical examination and treatment costs under health insurance of the previous quarter from the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree, the Military Social Insurance, the Public Security Social Insurance, and the Social Insurance of provinces and centrally governed cities shall temporarily allocate funds for medical examination and treatment under health insurance to medical facilities that have signed contracts for medical examination and treatment under health insurance with the Military Social Insurance, the Public Security Social Insurance, and the Social Insurance of provinces and centrally governed cities.

4.^[64] Settlement of medical examination and treatment costs under health insurance for the Vietnam Social Insurance

a) Annually, the Social Insurance of provinces and centrally governed cities shall compile the medical examination and treatment costs of the subjects specified in Clauses 1, 2, 3, and 4 of Article 2 of this Decree who received medical examination and treatment at medical facilities that have signed contracts for medical examination and treatment under health insurance with the Social Insurance of provinces and centrally governed cities, and report the final settlement to the Vietnam Social Insurance;

b) Annually, the Military Social Insurance and the Public Security Social Insurance shall compile and submit to the Vietnam Social Insurance the final settlement data of medical examination and treatment costs under health insurance of the subjects specified in Clauses 1, 2, and points a, b, and d, Clause 3, Article 2 of this Decree when they received medical examination and treatment at medical facilities that have signed contracts for medical examination and treatment under health insurance with the Military Social Insurance and the Public Security Social Insurance; the medical examination and treatment costs under health insurance reported through multi-level payment by the Social Insurance of provinces and centrally governed cities and the medical examination and treatment costs under health insurance paid directly; the initial healthcare costs at military units' medical facilities, agency healthcare facilities, and medical facilities assigned the task of providing initial healthcare.

Article 19. Direct payment for medical examination and treatment costs under health insurance

1.^[65] Direct payments shall be implemented according to the provisions of Clause 2, Article 31 of the Health Insurance Law and the regulations of the Government, or cases not covered by the provisions of Articles 10 and 11 of this Decree.

2. Documents for direct payment:

a) The patient's application for direct payment of medical examination and treatment costs under health insurance;

b) The documents specified in Article 15 of this Decree;

c) Discharge summary or prescription or medical record book;

d) Original valid receipts (medication purchase invoices, hospital fee invoices, and related documents).

3. Process and time limit for direct payment:

a) Military personnel, public security officers, and civil servants must submit their documents as stipulated in Clause 2 of this Article to their management units for transfer to, or directly transfer to, the social insurance agency issuing their health insurance cards;

b) Within forty working days from the date of receiving all documents for direct payment requests, the social insurance agency issuing the health insurance card must complete the health insurance review and make direct payments for medical examination and treatment costs for military personnel, public security officers, and civil servants.

4.^[66] Amount of direct payment

a) In cases where medical examinations and treatments are conducted in accordance with Articles 26 and 27 of the Health Insurance Law at healthcare facilities with health insurance medical examination and treatment contracts: Payment will be made within the scope and level of health insurance benefits as prescribed in Articles 10 and 11 of this Decree;

b) In cases where patients seek medical examinations and treatments at healthcare facilities without health insurance medical examination and treatment contracts except in emergency situations, such cases shall be handled according to the regulations of the Government.

5. Responsibility for payment: The social insurance agency that issues health insurance cards to the subjects specified in Article 2 of this Decree shall be responsible for making direct payments to those subjects.

6.^[67] In cases where patients who are subjects managed by the Ministry of National Defense and the Ministry of Public Security as specified in Article 2 of this Decree are hospitalized at healthcare facilities not managed by the Ministry of National Defense and the Ministry of Public Security, they shall be guaranteed additional food expenses compared to basic infantry food expenses or basic food expenses as stipulated by laws on material standards for logistics for military personnel, public security officers, and civil servants. The managing agencies or units shall directly pay for the patients' actual hospitalization days confirmed in the discharge summary.

Article 19a. Medical Examination and Treatment and Direct Payment, Settlement of Medical Examination and Treatment Costs Under Health Insurance for Subjects Specified in Article 2 of this Decree at Healthcare Facilities in Border Areas, Islands, and Particularly Difficult Communes and Villages^[68]

1. Direct payment and settlement of medical examination and treatment costs under health insurance for subjects specified in Article 2 of this Decree at healthcare facilities in border areas, islands, and particularly difficult communes and villages that have signed health insurance contracts shall be carried out according to the provisions of the Health Insurance Law and Articles 18 and 19 of this Decree.

2. Direct payment and settlement of medical examination and treatment costs under health insurance for subjects specified in Article 2 of this Decree at healthcare facilities in border areas, islands near the coast, and particularly difficult communes and villages that have not signed health insurance contracts:

a) Healthcare facilities in border areas and particularly difficult communes and villages shall be responsible for providing medical examinations and treatments to subjects specified in Article 2 of this Decree;

b) Social insurance agencies shall make direct payments for medical examination and treatment costs and transportation fees according to the provisions of the Health Insurance Law and Articles 18 and 19 of this Decree. Patient transfers shall be carried out according to the provisions of Article 11 of this Decree.

3. Direct payment and settlement of medical examination and treatment costs under health insurance for subjects specified in Article 2 of this Decree at healthcare facilities in remote island areas that have not signed health insurance contracts:

a) Healthcare facilities of the Ministry of National Defense and localities in remote island areas shall be responsible for providing medical examinations and treatments to military forces and civilians working, studying, and living in these areas;

b) Funding for medical examinations and treatments for military personnel and civilians working, studying, and living in remote island areas shall be extracted from the income from medical examinations and treatments under health insurance of these subjects. The annual funding extraction rate for medical examinations and treatments shall be 92% of the health insurance income of military personnel and civilians working, studying, and living in remote island areas who participate in health insurance. If the extracted funds are insufficient to cover medical examinations and treatments, the state budget shall ensure the shortfall;

c) Annually, the provincial or centrally-administered city social insurance agency shall prepare a budget for health insurance income, extract funds from the health insurance income of civilians working, studying, and living in remote island areas according to the provisions of point b of this clause and send it to the Vietnam Social Security for transferring funds to the Ministry of National Defense;

d) The Ministry of National Defense shall use the funds for medical examinations and treatments for military personnel and civilians as stipulated in point b of this clause to purchase medicines and medical equipment and provide them to healthcare facilities in remote island areas; consolidate and settle the amount transferred into the medical examination and treatment fund. The Minister of National Defense shall decide on the content, level, usage mechanism, and settlement procedures for medicines and medical equipment provided to healthcare facilities in remote island areas;

e) Transportation costs for patients from healthcare facilities in remote island areas back to the mainland as stipulated in point c of Clause 5, Article 11 of this Decree shall be covered by the state budget.

Chapter V

MANAGEMENT AND USE OF HEALTH INSURANCE INCOME FROM MILITARY PERSONNEL, PUBLIC SECURITY OFFICERS, AND CIVIL SERVANTS

 

Article 20. Allocation and Management of Health Insurance Revenue^[69]

1. The total health insurance revenue of the subjects specified in Clauses 1, 2, and 3 of Article 2 of this Decree shall be managed by the Ministry of National Defense and the Ministry of Public Security and allocated and managed as follows:

a) 92% of the health insurance premium payment shall be allocated for medical examination and treatment (hereinafter referred to as the medical examination and treatment fund) and shall be managed and utilized by the Military Social Insurance and the People's Police Social Insurance.

b) 08% of the health insurance premium payment shall be transferred to the Vietnam Social Security to reserve for the contingency fund, organizational and operational costs of health insurance, of which at least 04% of the health insurance premium payment shall be reserved for the contingency fund.

2. The allocation, management, and utilization of the health insurance fund of the subjects specified in Point c Clause 3 and Clause 4 of Article 2 of this Decree shall be carried out by the provincial or centrally-administered city Social Insurance that issues the health insurance card in accordance with the provisions of Government Decree No. 146/2018/ND-CP dated October 17, 2018, detailing and guiding the implementation of certain articles of the Health Insurance Law, amended and supplemented by Government Decrees No. 75/2023/ND-CP dated October 19, 2023, and No. 02/2025/ND-CP dated January 1, 2025. The proportion of funds transferred to implement primary healthcare at agencies and units in accordance with Point a Clause 1 of Article 21 of this Decree.

3. The Military Social Insurance and the People's Police Social Insurance may open deposit accounts for health insurance revenues and expenditures in accordance with the Government's regulations on the financial mechanism for social insurance, unemployment insurance, and health insurance.

Article 21. Use of the Medical Examination and Treatment Fund under Health Insurance

1.^[70] The medical examination and treatment fund under health insurance specified in Point a Clause 1 of Article 20 of this Decree shall be used to settle medical examination and treatment costs within the scope and level of health insurance benefits stipulated in Articles 10 and 11 of this Decree for the people's armed forces, public security personnel, and personnel engaged in confidential work holding health insurance cards issued by the Military Social Insurance and the People's Police Social Insurance, including:

a) Allocating 12% of the total health insurance revenue to implement primary healthcare at military units, agency clinics, and healthcare facilities assigned the task of providing primary healthcare.

The expenditure includes: purchasing medicines and medical equipment for emergency care and initial treatment for individuals who suffer from accidents, injuries, or common illnesses; paying for technical service fees for medical examinations and treatments at military units, agency clinics, and healthcare facilities assigned the task of providing primary healthcare; purchasing, repairing medical equipment, office equipment; software for managing and ensuring information security for medical activities.

Annually, the Ministry of National Defense and the Ministry of Public Security allocate budgets to subordinate units to decentralize to agencies and units responsible for implementing primary healthcare at military units, agency clinics, and healthcare facilities assigned the task of providing primary healthcare, and organize settlement and finalization according to regulations. Unspent funds are transferred to the next year.

b) The remaining amount shall be used to settle medical examination and treatment costs under health insurance and transportation costs.

2. In the case where the medical examination and treatment fund of the Military Social Insurance exceeds the medical examination and treatment costs and transportation costs for the year, including expenses within the scope and level of benefits stipulated in Articles 10 and 11 of this Decree, after being reviewed and finalized by the Vietnam Social Security, the unused funds shall be used as follows:^[71], Social Insurance of the People's Public Security^[72] a) From the date this Decree takes effect until December 31, 2020, it shall be retained entirely by the Military Social Insurance for general regulation in healthcare facilities under the Ministry of National Defense and the Ministry of Public Security to support medical examinations and treatments; purchase medical equipment suitable for the capabilities and qualifications of medical staff; purchase patient transport vehicles at grassroots units.

a) From the date this Decree takes effect until December 31, 2020, it shall be retained entirely by the Military Social Insurance;^[73], Social Insurance of the People's Public Security^[74] for common use and regulation within healthcare facilities under the Ministry of National Defense and the Ministry of Public Security to support medical examination and treatment; purchase medical equipment;^[75] commensurate with the capabilities and qualifications of medical staff; purchase patient transport vehicles at grassroots units;

b) From January 1, 2021 onwards, 70% shall be retained by the Military Social Insurance for general regulation in healthcare facilities under the Ministry of National Defense and the Ministry of Public Security to support the implementation of the contents as stipulated in Point a Clause 2 of this Article; 30% shall be transferred to the Vietnam Social Security for general regulation.^[76], Social Insurance of the People's Public Security^[77] for common use and regulation within healthcare facilities under the Ministry of National Defense and the Ministry of Public Security to support the implementation of the contents stipulated in point a, Clause 2 of this Article; 30% transferred to the Vietnam Social Security for accounting and allocation into the Reserve Fund for common regulation;

3. In the case where the medical examination and treatment fund of the Military Social Insurance is less than the medical examination and treatment costs for the year, including expenses within the scope and level of benefits stipulated in Articles 10 and 11 of this Decree, after being reviewed and finalized by the Vietnam Social Security, it shall be handled as follows:^[78], Social Insurance of the People's Public Security^[79] a) The Vietnam Social Security shall be responsible for using the contingency fund to supplement the shortfall in medical examination and treatment costs within the scope of health insurance reimbursement stipulated in Clause 1 of Article 10 and Article 11 of this Decree.

b) In the event that the contingency fund of the Vietnam Social Security is insufficient to make up the shortfall, the Vietnam Social Security shall coordinate with the Military Social Insurance

or the People's Police Social Insurance^[80]to compile and report to the Management Council of the Vietnam Social Security for a resolution plan.^[81]consolidate, report to the Management Board of the Vietnam Social Security the resolution plan;

c) For medical examination and treatment costs outside the scope of health insurance reimbursement covered by the state budget, the Vietnam Social Security shall compile and report to the Ministry of Finance to request supplementary funding from the Prime Minister.

4. The Ministers of National Defense, Public Security, Health, and Finance shall guide the implementation of Clauses 2 and 3 of this Article.

Article 22. Management expenses for health insurance of the Social Insurance of the Ministry of National Defense and the Social Insurance of the Ministry of Public Security

1. Management expenses for health insurance of the Social Insurance of the Military^[82], Social Insurance of the People's Public Security^[83] shall be guaranteed by the Vietnam Social Security.

2.^[84] The contents of expenditures for organizing and operating health insurance shall be carried out in accordance with the provisions of the Law on Health Insurance.

Article 23. Preparation of budget estimates and settlement of income and expenditure of the health insurance fund

1. Annually, the Minister of National Defense and the Minister of Public Security shall instruct the Social Insurance of the Military[85to prepare budget estimates for income and expenditure of the health insurance fund, management costs of the health insurance fund for the objects specified in Article 2 of this Decree within their jurisdiction, and report to the Vietnam Social Security.^[86] 2. Annually, the Social Insurance of the Military

shall report to the Minister of National Defense and the Minister of Public Security to issue decisions allocating budget estimates for income and expenditure of health insurance to units for implementation.^[87], Social Insurance of the People's Public Security^[88] 3. Annually, the Social Insurance of the Military

shall settle income and expenditure of health insurance for the objects specified in Article 2 of this Decree within its jurisdiction for units, healthcare facilities providing health insurance services, and report the settlement of income and expenditure of health insurance to the Vietnam Social Security.^[89], Social Insurance of the People's Public Security^[90] 1. The objects specified in Article 2 of this Decree, during the period before participating in health insurance according to the schedule prescribed in Article 3 of this Decree, still have access to regular medical examinations and treatments and will be covered by the state budget as currently provided for.

Chapter VI

IMPLEMENTING PROVISIONS^[91]

 

Article 24. Transitional Provisions

2. The state budget shall ensure standards for medicines, bandages, chemicals, and medical supplies used at units; bed costs as stipulated in Government Decrees: Decree No. 123/2003/NĐ-CP dated October 22, 2003 on material standards for military personnel; Decree No. 65/2009/NĐ-CP dated July 31, 2009 amending and supplementing Decree No. 123/2003/NĐ-CP dated October 22, 2003 on material standards for military personnel; Decree No. 18/2013/NĐ-CP dated February 21, 2013 on material standards for public security officers; and Decree No. 32/2013/NĐ-CP dated April 16, 2013 detailing and guiding the implementation of certain articles of the Cryptographic Law regarding the system and policies for cryptographic staff, will be adjusted accordingly with the schedule prescribed in Article 3 of this Decree and the practical implementation of health insurance for the objects specified in Article 2 of this Decree.

Article 25. Provisions on Application

The management and organization of health insurance for military personnel, public security officers, and cryptographic staff performing special tasks shall be regulated by the Minister of National Defense and the Minister of Public Security.

This Decree takes effect from October 15, 2015.

Article 26. Effective date

1. The Minister of National Defense shall take the lead and coordinate with the Minister of Health and the Minister of Finance to guide the implementation of the provisions assigned in this Decree concerning the implementation of health insurance for military personnel and cryptographic staff.

Article 27. Responsibilities for Implementation Guidance

2. The Minister of Public Security shall take the lead and coordinate with the Minister of Health, the Minister of Finance to guide the implementation of the provisions assigned in this Decree concerning the implementation of health insurance for public security personnel.

1. The Minister of Health shall be responsible for directing and guiding healthcare facilities to organize medical examinations and treatments under health insurance for the objects specified in Article 2 of this Decree.

Article 28. Responsibility for Implementation

2. The Ministers of National Defense and Public Security shall be responsible for consolidating and improving the organization of health insurance and healthcare facilities in the Ministries of National Defense and Public Security to meet the requirements of implementing health insurance for the objects specified in Article 2 of this Decree; direct the connection and integration of the data systems for medical examinations and treatments under health insurance of the Ministries of National Defense and Public Security with the data systems of the Ministry of Health and the Vietnam Social Security, ensuring the specific requirements of national defense and security tasks.

3. The General Director of the Vietnam Social Security shall be responsible for coordinating with the Ministers of National Defense and Public Security to guide the implementation of health insurance for the objects specified in Article 2 of this Decree.

4. The Ministers, Heads of ministerial-level agencies, Heads of government agencies, and Chairmen of provincial People's Committees (directly under the central government) shall be responsible for implementing this Decree./.

Number: 14/VBHN-BQP

 

MINISTRY OF NATIONAL DEFENSE _____________ - Prime Minister, Deputy Prime Ministers (for comments);   Place of Receipt: - C37, C29, C41; - Comrades in Leadership Positions of the Ministry(08); - Government Office; - Agencies and units under the Ministry; - Government Cryptographic Agency; - To be filed: VT, NCTH, PC. Nhung100. - Legal Department/Ministry of National Defense; - Official Gazette, Government Portal Website; - Ministry of National Defense Portal (for publication); Hanoi, May 7, 2025

CERTIFIED CONSOLIDATED DOCUMENT   Decision No. 74/2025/NĐ-CP amending and supplementing some articles of Decision No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain articles of the Law on Health Insurance for the People's Army, the People's Public Security, and cryptographic staff is based on the following grounds:   DEPUTY MINISTER DEPUTY MINISTER Lieutenant General Vu Hai San

 

 

^{_____________________________________}

^[1] Based on the Health Insurance Law dated November 14, 2008; the Law Amending and Supplementing Certain Articles of the Health Insurance Law dated June 13, 2014; and the Law Amending and Supplementing Certain Articles of the Health Insurance Law dated November 27, 2024;

"Pursuant to the Law on the Organization of the Government dated February 18, 2025;"

The Government promulgates the Decree amending and supplementing some articles of Decision No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain articles of the Health Insurance Law for the People's Army, the People's Public Security, and cryptographic staff".

"Based on the proposal of the Minister of National Defense;"

The Government promulgates a Decree amending and supplementing some articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work.

^[2] This is amended and supplemented pursuant to Clause 1, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[3] This is amended and supplemented pursuant to Clause 2, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[4] This is repealed pursuant to Clause 6, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[5] This clause is amended and supplemented pursuant to Clause 3, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[6] This is amended and supplemented pursuant to Clause 4, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[7] The phrase "Clause 1 and 2, Points a and b of Clause 3" is replaced by the phrase "Clauses 1, 2, 3 and 4" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[8] The phrase "Points a and b of Clause 3" is replaced by the phrase "Points a, b and d of Clause 3" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from January 1, 2025.

^[9] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[10] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[11] This point is amended and supplemented pursuant to Point a, Clause 5, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[12] This clause is amended and supplemented pursuant to Point b, Clause 5, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[13] This provision is amended and supplemented pursuant to Clause 6, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[14] This clause is amended and supplemented pursuant to Point a, Clause 7, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[15] This clause is supplemented pursuant to Point b, Clause 7, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[16] The title of this provision is amended pursuant to Point a, Clause 8, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

[1The phrase "Clauses 1, 2, 3, and 4" is supplemented before the phrase "Article 2 of this Decree" pursuant to Clause 2, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[18] This clause is supplemented pursuant to Point b, Clause 8, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[19] This clause is amended and supplemented pursuant to Point a, Clause 9, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[20] This clause is amended and supplemented pursuant to Point b, Clause 9, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[21] The phrase "Clauses 1, 2, 3, and 4" is supplemented before the phrase "Article 2 of this Decree" pursuant to Clause 2, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[22] This provision is amended and supplemented pursuant to Clause 10, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[23] This is repealed pursuant to Clause 6, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[24] This is repealed pursuant to Clause 6, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[25] This clause is amended and supplemented pursuant to Clause 11, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[26] The phrase "Clauses 1, 2, 3, and 4" is supplemented before the phrase "Article 2 of this Decree" pursuant to Clause 2, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[27] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[28] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[29] The phrase "directly under the Central Government" is added after the phrase "Social Insurance Department of the Province" pursuant to Clause 1, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[30] The phrase "Health Insurance Examination Center and Multi-level Payment Center" is abolished pursuant to Clause 5, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[31] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[32] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[33] The phrase "directly under the Central Government" is added after the phrase "Social Insurance Department of the Province" pursuant to Clause 1, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[34] The phrase "Health Insurance Examination Center and Multi-level Payment Center" is abolished pursuant to Clause 5, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from January 1, 2025.

^[35] This clause is added pursuant to Clause 12, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[36] This clause is added pursuant to Clause 12, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[37] This clause is amended and supplemented pursuant to Point a, Clause 13, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[38] This clause is amended and supplemented pursuant to Point b, Clause 13, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[39] This clause is abolished pursuant to Clause 6, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[40] This clause is amended and supplemented pursuant to Point a, Clause 14, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[41] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[42] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[43] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[44] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[45] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[46] The phrase "Social Insurance Department of the Ministry of Public Security" is replaced with the phrase "Social Insurance Department of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[47] The phrase "directly under the Central Government" is added after the phrase "Social Insurance Department of the Province" pursuant to Clause 1, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[48] The phrase "Health Insurance Examination Center and Multi-level Payment Center" is abolished pursuant to Clause 5, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[49] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[50] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[51] The phrase "directly under the Central Government" is added after the phrase "Social Insurance Department of the Province" pursuant to Clause 1, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[52] The phrase "Health Insurance Examination Center and Multi-level Payment Center" is abolished pursuant to Clause 5, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[53] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[54] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[55] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[56] The phrase "Social Insurance Department of the Ministry of Public Security" is replaced with the phrase "Social Insurance Department of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[57] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[58] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[59] The phrase "directly under the Central Government" is added after the phrase "Social Insurance Department of the Province" pursuant to Clause 1, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[60] The phrase "Health Insurance Examination Center and Multi-level Payment Center" is abolished pursuant to Clause 5, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[61] The phrase "directly under the Central Government" is added after the phrase "Social Insurance Department of the Province" pursuant to Clause 1, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[62] The phrase "Health Insurance Examination Center and Multi-level Payment Center" is abolished pursuant to Clause 5, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[63] This point is amended and supplemented pursuant to Point b, Clause 14, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[64] This clause is amended and supplemented pursuant to Point c, Clause 14, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[65] This clause is amended and supplemented pursuant to point a, Clause 15, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[66] This clause is amended and supplemented pursuant to point b, Clause 15, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[67] This clause is supplemented pursuant to point c, Clause 15, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[68] This provision is supplemented pursuant to Clause 16, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[69] This provision is amended and supplemented pursuant to Clause 17, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[70] This clause is amended and supplemented pursuant to Clause 18, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[71] Replace the phrase "Social Insurance of the Ministry of National Defense" with the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025,

^[72] Replace the phrase "Social Insurance of the Ministry of Public Security" with the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[73] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[74] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[75] The phrase "medical equipment" is replaced with the phrase "healthcare equipment" pursuant to Clause 4, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[76] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[77] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[78] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[79] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[80] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[81] The phrase "Social Insurance of the Ministry of Public Security" is replaced with the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[82] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[83] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[84] This clause is amended and supplemented pursuant to Clause 19, Article 1 of Decree No. 74/2025/NĐ-CP amending and supplementing certain provisions of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[85] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[86] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[87] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[88] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[89] The phrase "Social Insurance of the Ministry of National Defense" is replaced by the phrase "Social Insurance of the People's Army" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[90] The phrase "Social Insurance of the Ministry of Public Security" is replaced by the phrase "Social Insurance of the People's Public Security Force" pursuant to Clause 3, Article 2 of Decree No. 74/2025/NĐ-CP amending and supplementing certain articles of Decree No. 70/2015/NĐ-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025.

^[91] Article 3, 4 and Article 5 of Decree No. 74/2025/ND-CP amending and supplementing certain provisions of Decree No. 70/2015/ND-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personnel engaged in confidential work, which shall take effect from July 1, 2025, are stipulated as follows:

"Article 3. Transitional Provisions

1. Appointment letters for rescheduling medical examinations, referral letters for health insurance examination and treatment, receipt letters for file submission and appointment letters for result delivery issued before January 1, 2025 and still valid after that date may continue to be used until such documents expire.

2. Medical examination and treatment insurance contracts signed before July 1, 2025 and still valid after that date shall be implemented in accordance with the regulations of the Government.

Article 4. Effective date

1. This Decree takes effect from July 1, 2025.

2. The following articles and clauses shall take effect from January 1, 2025:

a) Clause 1, Clause 11, and Clause 12 of Article 1, Article 2, Clause 1 of Article 3, Clause 4 and Clause 5 of Article 4 of this Decree;

b) Clause 9 and Clause 10 of Article 1 of this Decree, except for the level of benefits and scope of health insurance coverage for the subjects specified in point c and point d of Clause 1, point d of Clause 2, point d of Clause 3, and Clause 4 of Article 2 of Decree No. 70/2015/ND-CP amended and supplemented in Clause 2 of Article 1 of this Decree.

3. Circular Joint No. 85/2016/TTLT-BQP-BYT-BTC dated June 20, 2016 of the Ministry of National Defense, the Ministry of Health, and the Ministry of Finance guiding the implementation of health insurance for military personnel and personnel engaged in confidential work shall cease to be effective from the date this Decree takes effect.

4. In cases where the documents referred to in this Decree are amended, supplemented, or replaced, they shall be applied according to the amended, supplemented, or replacing documents.

5. Amend and supplement point a of Clause 5 of Article 14 of Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government detailing and guiding measures to implement the Health Insurance Law, which has been amended and supplemented by Decree No. 75/2023/ND-CP dated October 19, 2023 and Decree No. 02/2025/ND-CP dated January 1, 2025 of the Government as follows:

“a) From January 1, 2025, when undergoing outpatient medical examination and treatment at basic-level healthcare facilities scoring below 50 points or temporarily classified as basic-level, insured persons shall be reimbursed 100% of the benefit level by the health insurance fund, except for basic-level healthcare facilities specified in point c of this clause;"

Article 5. Responsibilities for Implementation

Ministers, Heads of ministerial-level agencies equivalent to ministries, Heads of government-affiliated agencies, Chairpersons of provincial and centrally-run city People's Committees, and related organizations and individuals are responsible for implementing this Decree.”