Decree No. 146/2018/ND-CP detailing and guiding the implementation of certain provisions of the Health Insurance Law.

DECREE

REGULATIONS AND GUIDELINES FOR IMPLEMENTATION OF CERTAIN ARTICLES OF THE HEALTH INSURANCE LAW

Pursuant to the Law on Government Organization dated June 19, 2015;

Pursuant to the Health Insurance Law dated November 14, 2008, amended and supplemented by certain articles of the Health Insurance Law dated June 13, 2014;

At the proposal of the Minister of Health;

The Government promulgates this Decree providing detailed regulations and guidelines for implementation of certain articles of the Health Insurance Law.

PART I

SUBJECTS PARTICIPATING IN HEALTH INSURANCE

Article 1. Group whose health insurance contributions are made by employees and employers

1. Employees working under indefinite-term labor contracts or fixed-term labor contracts with a duration of at least three months; business managers, non-state public institution managers, and cooperative management personnel receiving salaries; civil servants, public officials, and civil servants.

2. Part-time workers at communes, wards, and towns as prescribed by law.

Article 2. Group whose health insurance contributions are made by the Social Insurance Agency

1. Persons receiving monthly pension benefits or disability allowances.

2. Persons currently receiving monthly social insurance benefits due to work-related accidents or occupational diseases; rubber plantation workers currently receiving monthly benefits as prescribed by the Government.

3. Employees on leave receiving sickness benefits due to illnesses listed in the Ministry of Health's Catalogue of Diseases Requiring Long-Term Treatment.

4. Commune, ward, and town officers who have retired and are currently receiving monthly social insurance benefits.logomonth.

5. Employees during maternity leave or adoption leave.

6. Persons currently receiving unemployment benefits.

Article 3. Group whose health insurance contributions are made by the State budget

1. Commune, ward, and town officers who have retired and are currently receiving monthly benefits from the State budget.

2. Persons who have ceased to receive disability allowances and are currently receiving monthly benefits from the State budget.logomonth from the state budget.

3. Persons meritorious to the revolution as prescribed in the Ordinance on Preferential Policies for Persons Meritorious to the Revolution.

4. Veterans, including:

a) Veterans participating in resistance wars before April 30, 1975, as stipulated in Clause 1, 2, 3, and 4, Article 2 of Decision No. 150/2006/NĐ-CP dated December 12, 2006 of the Government detailing and guiding the implementation of certain provisions of the Ordinance on Veterans (hereinafter referred to as Decision No. 150/2006/NĐ-CP), amended and supplemented by Clause 1, Article 1 of Decision No. 157/2016/NĐ-CP dated November 24, 2016 of the Government amending and supplementing Decision No. 150/2006/NĐ-CP dated December 12, 2006 of the Government detailing and guiding the implementation of certain provisions of the Ordinance on Veterans (hereinafter referred to as Decision No. 157/2016/NĐ-CP).toyears 12June 2024;b) Veterans participating in resistance wars after April 30, 1975, as stipulated in Clause 5, Article 2 of Decision No. 150/2006/NĐ-CP dated December 12, 2006 of the Government detailing and guiding the implementation of certain provisions of the Ordinance on Veterans and at Clause 1, Article 1 of Decision No. 157/2016/NĐ-CP dated November 24, 2016 of the Government amending and supplementing Decision No. 150/2006/NĐ-CP of the Government, including:to- Military personnel, defense industry workers who have received benefits under Decision No. 62/2011/QĐ-TTg dated November 9, 2011 of the Prime Minister on policies for individuals participating in wars to protect the country and international missions in Cambodia and Laos after April 30, 1975, who have been demobilized, discharged, or retired (hereinafter referred to as Decision No. 62/2011/QĐ-TTg);ắ- Officers, professional military personnel, non-commissioned officers, soldiers, defense industry workers directly participating in wars to protect the country and international missions in Cambodia and Laos after April 30, 1975, working in agencies, organizations, and enterprises (who have not received benefits under Decision No. 62/2011/QĐ-TTg);- Office of the President of the State- Officers, professional military personnel who have completed their service in the military during the period of building and protecting the country, who have been demobilized, retired, or transferred to work in agencies, organizations, and enterprises;|||- Militia and self-defense forces who participated in combat and direct support services after April 30, 1975, who have received benefits under Decision No. 62/2011/QĐ-TTg.

5. Individuals participating in resistance wars and national defense, including:toa) Individuals participating in the resistance war against the United States to save the nation who have received benefits under one of the following documents:

- Decision No. 290/2005/QĐ-TTg dated November 1, 2005 of the Prime Minister on policies for some individuals directly participating in the resistance war against the United States who have not yet benefited from the policies of the Party and the State;ắ- Decision No. 188/2007/QĐ-TTg dated December 6, 2007 of the Prime Minister amending Decision No. 290/2005/QĐ-TTg dated November 1, 2005 of the Prime Minister on policies for some individuals directly participating in the resistance war against the United States who have not yet benefited from the policies of the Party and the State;

- Decision No. 142/2008/QĐ-TTg dated October 27, 2008 of the Prime Minister on implementing policies for military personnel participating in the resistance war against the United States with less than 20 years of service in the military who have been demobilized and returned to their hometowns;tob) Individuals who have received benefits under Decision No. 62/2011/QĐ-TTg but are not veterans as stipulated in Clause 4 of this Article;

c) Police officers participating in the resistance war against the United States with less than 20 years of service in the police force who have retired or been discharged and returned to their hometowns and have received benefits under Decision No. 53/2010/QĐ-TTg dated August 20, 2010 of the Prime Minister on policies for police officers participating in the resistance war against the United States with less than 20 years of service in the police force who have retired or been discharged and returned to their hometowns;

d) Youth volunteers who have received benefits under Decision No. 170/2008/QĐ-TTg dated December 18, 2008 of the Prime Minister on health insurance and funeral expenses for youth volunteers during the anti-French resistance war, Decision No. 40/2011/QĐ-TTg dated July 27, 2011 of the Prime Minister on policies for youth volunteers who have completed their tasks during the resistance war, and Decision No. 112/2017/NĐ-CP dated October 6, 2017 of the Government on policies and benefits for youth volunteers.

5. Persons participating in the resistance war and national defense, including:

a) Persons who have received allowances under one of the following consolidated documents:

- Decision No. 290/2005/QD-TTg dated November 1, 2005 of the Prime Minister on the regime and policies for certain subjects directly participating in the resistance war against America who have not yet enjoyed the policies of the Party and State;

- Decision No. 188/2007/QD-TTg dated December 6, 2007 of the Prime Minister amending Decision No. 290/2005/QD-TTg dated November 1, 2005 of the Prime Minister on the regime and policies for certain subjects directly participating in the resistance war against America who have not yet enjoyed the policies of the Party and State;

- Decision No. 142/2008/QD-TTg dated October 27, 2008 of the Prime Minister on implementing the regime for military personnel participating in the resistance war to save the country with less than 20 years of service in the military who have been retired or discharged back to their localities;

b) Persons who have received allowances under Decision No. 62/2011/QD-TTg but are not former combatants as stipulated in Clause 4 of this Article;

c) Police officers and soldiers of the People's Public Security Force who participated in the resistance war to save the country with less than 20 years of service in the Public Security Force who have stopped working or been discharged back to their localities and have received allowances under Decision No. 53/2010/QD-TTg dated August 20, 2010 of the Prime Minister on the regime for police officers and soldiers of the People's Public Security Force who participated in the resistance war to save the country with less than 20 years of service in the Public Security Force who have stopped working or been discharged back to their localities;

d) Young volunteers who have received allowances under Decision No. 170/2008/QD-TTg dated December 18, 2008 of the Prime Minister on the health insurance and funeral allowance regime for young volunteers during the anti-French resistance war, Decision No. 40/2011/QD-TTg dated July 27, 2011 of the Prime Minister on the regime for young volunteers who have completed their tasks in the resistance war, and Decree No. 112/2017/ND-CP dated October 6, 2017 of the Government on the regime and policies for those affected by chemical toxins that have reduced their ability to work by 61% or more;No.i with young volunteers who have completed their tasks in the resistance war and Decree No. 112/2017/ND-CP dated October 6, 2017 of the Government on the regime and policies for those affected by chemical toxins that have reduced their ability to work by 61% or more.No.vesớ||| i volunteers at the grassroots level who participated in the resistance war from 1965 to 1975;on||| d) Civilian fireline workers who participated in the resistance war against France and the United States, in the war for national defense, and in international missions, and have been entitled to allowances under Decision No. 49/2015/QĐ-TTg dated October 14, 2015 of the Government on certain policies for civilian fireline workers who participated in the resistance war against France and the United States, in the war for national defense, and in international missions;

||| 6. Deputies of the National Assembly and members of People's Councils at all levels currently serving.policies.

||| 7. Children under six years old.

||| 8. Persons entitled to monthly social assistance benefits under laws on the elderly, persons with disabilities, and social welfare beneficiaries.

||| 9. Persons belonging to poor households; ethnic minority people residing in areas with difficult socio-economic conditions;

||| 10. Persons residing in areas with particularly difficult socio-economic conditions; persons residing in island communes, island districts, and other specific groups, specifically:urinary catheterState Capital Investment and Business Corporation.ối với Cục Công nghệ thông tin xây dựng danh mục dùng chung của từng lĩnh vực chuyên môn và tham gia công tác quản lý nhà nước đối với hoạt động ứng dụng công nghệ thông tin theo chức năng, nhiệm vụ và quyền hạn được giao.||| a) Persons belonging to poor households based on income criteria, persons belonging to multi-dimensional poor households lacking health insurance as stipulated in Decision No. 59/2015/QĐ-TTg dated November 19, 2015 of the Prime Minister on the multidimensional poverty standard applicable for the period 2016-2020 and subsequent decisions of competent authorities amending, supplementing, or replacing the poverty standard applicable for each period;||| b) Ethnic minority people residing in areas with difficult socio-economic conditions as prescribed by the Government and the Prime Minister;||| c) Persons residing in areas with particularly difficult socio-economic conditions as prescribed by the Government and the Prime Minister;

||| d) Persons residing in island communes and island districts as prescribed by the Government and the Prime Minister.to||| 11. Persons awarded the title of National Artist or Outstanding Artist belonging to families with average monthly per capita income lower than the minimum wage prescribed by the Government.t T||| 12. Relatives of those who made contributions to the revolution, excluding the subjects specified in Clause 11 of this Article, including:on||| a) Parents, spouse, children aged over six but under eighteen, or aged eighteen or older if still continuing their education or suffering from severe or extremely severe disabilities of the following categories: persons who engaged in revolutionary activities before January 1, 1945; persons who engaged in revolutionary activities from January 1, 1945 to August 1945; Heroes of the People's Armed Forces, Labor Heroes during the resistance war; war invalids and disease invalids with reduced work capacity of 61% or more; persons affected by toxic chemicals during the resistance war with reduced work capacity of 61% or more.Family Planning) for consideration and resolution./.||| b) Legitimate children aged six or older of persons affected by toxic chemicals during the resistance war suffering from deformities or disabilities due to the effects of toxic chemicals unable to live independently or with reduced self-care ability are entitled to monthly allowances.

||| 13. Relatives of officers, non-commissioned officers, and soldiers of the Vietnam People's Army on active duty, officers, non-commissioned officers of specialized services, and officers, non-commissioned officers of technical professions working in the Vietnam People's Public Security Force, students of public security schools, non-commissioned officers, and personnel performing medical support duties receiving salaries equivalent to military personnel, students, and medical support personnel enjoying policies according to the regulations for students in military and public security schools, including:â||| a) Parents; parents of spouses; legal guardians of themselves, spouses, or children;ối với Cục Công nghệ thông tin xây dựng danh mục dùng chung của từng lĩnh vực chuyên môn và tham gia công tác quản lý nhà nước đối với hoạt động ứng dụng công nghệ thông tin theo chức năng, nhiệm vụ và quyền hạn được giao.||| c) Legitimate children and legally adopted children aged over six but under eighteen; legitimate children and legally adopted children aged eighteen or older if still continuing their secondary education.

||| 14. Persons who have donated human organs in accordance with the law on organ donation and transplantation.

||| 15. Foreigners studying in Vietnam and receiving scholarships funded by the Vietnamese State budget.

||| 16. Persons serving the families of those who made contributions to the revolution, including:â||| a) Persons serving the Mother Heroines of Vietnam;

||| b) Persons serving war invalids and disease invalids with reduced work capacity of 81% or more;

||| c) Persons serving persons affected by toxic chemicals during the resistance war with reduced work capacity of 81% or more.

||| 17. Persons aged eighty or older receiving monthly pension benefits under the law on social insurance.ẽi with chemical toxins that have reduced their ability to work by 61% or more.

b) Legitimate children aged six or older of persons involved in the resistance war who have been affected by chemical toxins and suffer from deformities or disabilities due to the consequences of chemical toxins.toxins who cannot live independently or whose ability to live independently has been reduced shall receive monthly allowances.13. Relatives of officers, professional soldiers, non-commissioned officers, and soldiers of the People's Army currently serving, officers, non-commissioned officers in specialized positions, and officers, non-commissioned officers in technical professions currently working in the People's Public Security Forces, students at public security schools, non-commissioned officers, and personnel engaged in medical support work.

14. Persons who have donated organs according to the provisions of the law on organ transplantation.t T15. Foreigners studying in Vietnam and receiving scholarships from the Vietnamese state budget.policies16. Persons serving revolutionary meritorious persons living in families, including:No.a) Persons serving Heroic Mothers of Vietnam;policiesb) Persons serving disabled veterans or disabled servicemen with a reduced ability to work of 81% or more;ồ- FTTH terminal devices

c) Persons serving persons involved in the resistance war who have been affected by chemical toxins with a reduced ability to work of 81% or more.

b) Spouse;

17. Persons aged 80 or older who are receiving monthly pension benefits according to the laws on social insurance.

The reduction in the contribution to health insurance as provided for in this point shall be implemented when all members participating in health insurance under the household registration participate in the same fiscal year.

2. For objects supported by the state budget for contributions, the reduction in contributions as provided for in point e, Clause 1 of this Article shall not apply.

3. In cases where the object specified in Clause 1 of Article 1 of this Decree also has one or more indefinite-term labor contracts or labor contracts with a term of three months or more, they shall contribute to health insurance according to the labor contract with the highest salary.

4. In cases where the object participating in health insurance according to Article 6 of this Decree simultaneously belongs to multiple different health insurance objects specified in Articles 1, 2, 3, and 4 of this Decree, they shall contribute to health insurance in the following order: by the employee and employer; by the social insurance agency; by the state budget; by the employer.

5. The Ministry of Health shall take the lead and coordinate with the Ministry of Finance to submit to the Government for adjustment of the health insurance contribution rate to ensure the balance of the health insurance fund, in line with the state budget capacity and the contributions of the insured objects according to the Law on Health Insurance.

6. Provinces and districts applying the policy according to Resolution No. 30a/2008/NQ-CP;

Other regulations, including 20% of the amount specified in point a, Clause 3, Article 35 of the Health Insurance Law (if applicable), shall build and submit to the Provincial People's Council for decision on providing higher support for health insurance contributions than the minimum support level specified in Clause 1 of this Article.

Article 4. Group supported by the state budget for contribution levels

1. Members of households classified as near-poor according to the near-poverty standard criteria set forth by the Government and the Prime Minister.

2. Members of households classified as multi-dimensional poor, excluding those specified in point a, Clause 9, Article 3 of this Decree.

3. Students and trainees.

4. Members of households engaged in agriculture, forestry, fisheries, and salt production with a moderate living standard as defined by the Government and the Prime Minister.

Article 5. Group participating in health insurance under household registration

1. Individuals listed in the household registration book, except those covered under Articles 1, 2, 3, 4, and 6 of this Decree.

2. Individuals listed in temporary residence books, except those covered under Articles 1, 2, 3, 4, and 6 of this Decree and those who have already participated in health insurance as stipulated in Clause 1 of this Article.development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.a) Religious officials, religious workers, and monks/nuns;

b) Individuals residing in social welfare institutions, excluding those covered under Articles 1, 2, 3, 4, and 6 of this Decree and not supported by the state budget for health insurance contributions.

Article 6. Group for which employers make contributions

1. Relatives of defense workers serving in the Military, including those specified in points a, b, and c, Clause 13, Article 3 of this Decree.

2. Relatives of police officers serving in the People's Public Security Force, including those specified in points a, b, and c, Clause 13, Article 3 of this Decree.

3. Relatives of personnel working in other organizations, including those specified in points a, b, and c, Clause 13, Article 3 of this Decree.

CONTRIBUTION LEVELS, STATE BUDGET SUPPORT, AND METHODS OF HEALTH INSURANCE PAYMENTS FOR CERTAIN GROUPS

Article 7. Contribution Levels and Responsibility for Health Insurance Contributionstr1. Monthly health insurance contribution levels for various groups are as follows:

Chapter II

a) 4.5% of the monthly salary of the worker for the group specified in Clause 1, Article 1 of this Decree.

- Workers on sick leave for 14 days or more in a month according to laws on social insurance are exempt from contributions but still enjoy health insurance benefits;

- Workers temporarily detained, held, or placed under investigation for work-related offenses, their monthly contribution is 4.5% of 50% of their monthly salary. If the competent authority concludes that there was no violation, the worker must pay back the health insurance contributions based on the salary received;

b) 4.5% of the pension or disability allowance for the group specified in Clause 1, Article 2 of this Decree;

c) 4.5% of the monthly salary of the worker before maternity leave for the group specified in Clause 5, Article 2 of this Decree;development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.d) 4.5% of unemployment benefits for the group specified in Clause 6, Article 2 of this Decree;

đ) 4.5% of the base salary for other groups;ìe) For the group specified in Article 5 of this Decree, the first person contributes 4.5% of the base salary, the second, third, and fourth persons contribute successively 70%, 60%, and 50% of the first person's contribution, and subsequent persons contribute 40% of the first person's contribution.

The reduction in health insurance contributions as provided in this point shall be implemented when all members of the household participating in health insurance do so within the fiscal year.

2. For groups supported by the state budget for contribution levels, the reduction in contribution levels as stipulated in point e, Clause 1 of this Article does not apply.

3. In cases where individuals specified in Clause 1, Article 1 of this Decree have additional indefinite-term employment contracts or term contracts of three months or longer, they shall contribute to health insurance based on the contract with the highest salary.

4. In cases where individuals participating in health insurance as stipulated in Article 6 of this Decree also belong to multiple different health insurance groups specified in Articles 1, 2, 3, and 4 of this Decree, they shall contribute to health insurance in the following order: by the worker and employer; by the social insurance agency; by the state budget; by the employer.

5. The Ministry of Health shall take the lead and coordinate with the Ministry of Finance to submit to the Government proposals to adjust health insurance contribution levels to ensure balance in the health insurance fund, consistent with the state budget capacity and contributions from responsible contributors as stipulated by the Health Insurance Law.

7. Monthly social insurance pensions guaranteed by the state budget as stipulated in Article 2 and Clause 2, Article 3 of this Decree: Each month, the social insurance agency shall pay health insurance premiums for the object from the funds allocated for paying pensions and social insurance allowances guaranteed by the state budget.Family Planning) for consideration and resolution./.8. Quarterly, the labor, invalids, and social affairs department shall transfer funds from the implementation of preferential policies for persons with meritorious services to the revolution and social welfare policies into the health insurance fund. By the latest on December 15 each year, the labor, invalids, and social affairs department must complete the payment and transfer of funds into the health insurance fund of that year.

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3. In case the subject regulated under Clause 1, Article 1 of this Decree has additional indefinite-term labor contracts or term labor contracts of at least three months, health insurance contributions shall be made according to the labor contract with the highest salary level.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairs3. Experts, leading scientists, chief engineers participating in national defense and security industrial activities at key national defense industrial facilities and key security industrial facilities.

4. In case the subject participates in health insurance as prescribed in Article 6 of this Decree and simultaneously belongs to multiple subjects participating in health insurance as stipulated in Articles 1, 2, 3, and 4 of this Decree, health insurance contributions shall be made in the following order: by the employee and employer; by the social insurance agency; by the state budget; by the employer.Family Planning) for consideration and resolution./.theo thứ tự như sau: Do người lao động và người sử dụng lao động đóng; do cơ quan bảo hiểm xã hội đóng; do ngân sách nhà nước đóng; do người sử dụng lao động đóng.

5. The Ministry of Health shall take the lead and coordinate with the Ministry of Finance to submit to the Government for adjustment of health insurance contribution rates to ensure balance in the health insurance fund, consistent with the state budget capacity and contributions from responsible contributors as prescribed by the Health Insurance Law.policies.

Article 8. Level of Support from the State Budget

1. From the date this Decree takes effect, the level of support from the state budget for certain groups shall be as follows:

a) Full support for the payment of health insurance premiums for individuals belonging to near-poor households residing in poor districts according to Resolution No. 30a/2008/NQ-CP dated December 27, 2008 of the Government on the program to reduce poverty quickly and sustainably and other districts applying policies under Resolution No. 30a/2008/NQ-CP;onn vững và các huyện được áp dụng cơ chpoliciespursuant to Resolution No. 30a/2008/NQ-CP;

b) Minimum support of 70% for the payment of health insurance premiums for individuals specified in Clause 1 and 2 of Article 4 of this Decree;

c) Minimum support of 30% for the payment of health insurance premiums for individuals specified in Clause 3 and 4 of Article 4 of this Decree.

2. In cases where an individual belongs to multiple groups eligible for state budget support for premium payments as stipulated in Clause 1 of this Article, they shall receive the highest level of support for health insurance premiums among those groups.

3. Provincial People's Committees shall base on local budget capacity and other lawful sources, including 20% of the funds specified in Point a, Clause 3, Article 35 of the Health Insurance Law (if applicable) to build and submit to the Provincial People's Council for decision on providing higher levels of support for health insurance premiums than the minimum levels prescribed in Clause 1 of this Article.nationalalong with other policies, including 20% of the funds specified in Point a, Clause 3, Article 35 of the Health Insurance Law (if applicable), to build and submit to the Provincial People's Council for decision on higher support levels for health insurance contributions than the minimum support level prescribed in Clause 1 of this Article.

Article 9. Methods of Paying Health Insurance Premiums for Certain Groups

1. For individuals receiving pensions, disability allowances, and social insurance benefits monthly guaranteed by the state budget as stipulated in Article 2 and Clause 2, Article 3 of this Decree: Monthly, the social insurance agency will pay health insurance premiums for these individuals from the funds allocated for pension and social insurance benefits guaranteed by the state budget.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairs8. Monthly social insurance contributions guaranteed by the state budget as prescribed in Article 2 and Clause 2, Article 3 of this Decree: Each month, the social insurance agency shall make health insurance contributions for the subjects as prescribed.to9. From the funds allocated for pension and social assistance payments guaranteed by the state budget.

2. For individuals specified in Clauses 3, 8, 11, 12, and 16 of Article 3 of this Decree: Quarterly, the labor, invalids, and social affairs department will transfer funds from sources implementing preferential policies for persons with meritorious service in the revolution and social welfare policies into the health insurance fund. By the latest on December 15 each year, the labor, invalids, and social affairs department must complete the settlement and transfer of funds into the health insurance fund for that year.councillORS10. Every quarter, the Department of Labor, Invalids, and Social Affairs shall transfer funds from the implementation of preferential policies for persons who have rendered meritorious service to the revolution and social welfare policies into the health insurance fund.development11. By no later than December 15 each year, the Department of Labor, Invalids, and Social Affairs must complete the settlement and transfer of funds into the health insurance fund of that year.

3. For individuals specified in Clauses 1, 4, 6, 7, 10, 13, 14, and 17 of Article 3, and those specified in Clauses 1 and 2 of Article 4 of this Decree who are supported by the state budget at 100% of the health insurance premium payment: Quarterly, the social insurance agency will compile the number of issued health insurance cards and the amount paid and supported according to Model 1 of the Appendix promulgated together with this Decree, and send it to the finance agency to transfer funds into the health insurance fund as stipulated in Clause 9 of this Article. The time for calculating the amount due: These individuals are listed annually, with the calculation starting from January 1; for those added during the year, the calculation starts from the date determined in the Decision approving the list by the competent state agency.ỗ Subsidize 100% the contribution level for health insurance: Quarterly, the social insurance agency compiles the number of health insurance cards issued and the amount contributed and subsidized according to Appendix 1 promulgated together with this Decree, and sends it to the financial authority to transfer funds into the health insurance fund as stipulated in Clause 9 of this Article. The time for calculating the amount to be paid:Family Planning) for consideration and resolution./.issued and the amount contributed and supported according to Model 1 of the Appendix promulgated together with this Decree, send to the financial authority.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSVarious groups are listed annually, with the payment calculated from January 1st; for those added during the year, the payment is calculated from the date determined in the Decision approving the list by the competent state agency.n l14. Contributions: Subjects are listed annually, with contributions calculated from January 1; for subjects added during the year, contributions are calculated from the date determined in the Decision approving the list by the competent state authority.

4. For individuals specified in Clause 6 of Article 3 of this Decree (excluding those participating in health insurance under other categories, receiving pensions, social insurance benefits, and preferential benefits for persons with meritorious service in the revolution): Periodically every three months, six months, or twelve months, the management agency of such individuals will pay health insurance premiums for them.

5. For students as specified in Clause 3 of Article 4 of this Decree:

5. For students and trainees specified in Clause 4 of Article 3 of this Decree:, a) Periodically every three months, six months, or twelve months, students and trainees or their parents or guardians are responsible for paying the portion of the health insurance premium according to Clause 2 of Article 10 of this Decree to the social insurance agency;

b) The state budget will support as follows:

- Students and trainees studying at educational institutions or vocational training centers directly under ministries or central agencies will be supported by the central budget. Periodically every three months, six months, or twelve months, the provincial social insurance agency will compile the number of issued health insurance cards, the amount collected from students and trainees, and the amount of state budget support according to Model 1 of the Appendix promulgated together with this Decree, and send it to the Vietnam Social Security for consolidation, then to the Ministry of Finance to transfer funds into the health insurance fund as stipulated in Clause 9 of this Article.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS- Students and trainees studying at other educational institutions or vocational training centers will be supported by the local budget, including the part of the central budget support (if any), where the educational institution is located, regardless of the permanent residence registration of the students and trainees. Periodically every three months, six months, or twelve months, the social insurance agency will compile the number of issued health insurance cards, the amount collected from students and trainees, and the amount of state budget support according to Model 1 of the Appendix promulgated together with this Decree, and send it to the finance agency for transferring funds into the health insurance fund as stipulated in Clause 9 of this Article.

- Students studying at educational institutions or vocational training centers shall have their contributions subsidized by the local budget, including the central government's budget support (if any), regardless of the permanent residence registration of the students. Every three months, six months, or twelve months, the social insurance agency compiles the number of health insurance cards issued, the amount collected from students, and the amount of state budget support according to Appendix 1 promulgated together with this Decree, and sends it to the financial authority for transferring funds into the health insurance fund as stipulated in Clause 9 of this Article.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS15. Model 1 of the Appendix promulgated together with this Decree, sent to the financial authority.ể 16. Transfer funds into the health insurance funddevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.as prescribed in Clause 9 of this Article.

6. For individuals supported partially by the state budget for health insurance premium payments as stipulated in Clause 4 of Article 3 of this Decree:

a) Periodically every three months, six months, or twelve months, the representative of the household directly pays the portion of the health insurance premium according to Clause 2 of Article 10 of this Decree to the social insurance agency;developmentsocial insurance;

b) Every three months, six months, or twelve months, the social insurance agency compiles the number of health insurance cards issued, the amount collected from participants, and the amount of state budget support according to Appendix 1 promulgated together with this Decree, and sends it to the financial authority for transferring funds into the health insurance fund as stipulated in Clause 9 of this Article.June 2024;implement, the amount collected from participants and the amountâsupported by the state budgetshallaccording to ModelFUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS15. Model 1 of the Appendix promulgated together with this Decree, sent to the financial authority.development chuydevelopment23. Transfer funds into the health insurance funddevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.as prescribed in Clause 9 of this Article.

7. For individuals participating in health insurance under household registration as stipulated in Article 5 of this Decree: Periodically every three months, six months, or twelve months, the representative of the household or a member of the household participating in health insurance pays the health insurance premium according to Clause 3 of Article 10 of this Decree to the social insurance agency.development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.pay the amounton缴纳医疗保险费，按照本决定第10条第3款的规定向社会保险机构提交。

8. For individuals participating in health insurance as stipulated in Article 6 of this Decree, employers pay health insurance premiums for these individuals monthly along with the premiums for employees according to the following sources:Family Planning) for consideration and resolution./.a) For units using the state budget, the state budget will cover the cost.

a) For units using the state budget, the state budget will ensure the payment;

b) For public service units, they shall use the unit's funds in accordance with the legal provisions on the self-management mechanism of public service units.

c) For enterprises, they shall use the enterprise's funds.

9. The financial agency shall, based on the regulations on budget management decentralization by the competent authority and the consolidated list of beneficiaries and state budget contributions transferred by the social insurance agency, be responsible for transferring the contributions to the health insurance fund once every quarter. By no later than December 15 each year, the transfer of contributions to the health insurance fund for that year must be completed.

10. For the subjects specified in Clause 15, Article 3 of this Decree, the agencies, units, and organizations providing scholarships shall make health insurance contributions on behalf of the beneficiaries according to the regulations every quarter.

Article 10. Determination of Contribution Amounts and Support for Certain Subjects When the State Adjusts Health Insurance Contribution Rates or Basic Salary Levels

1. For the group of subjects specified in Article 4 of this Decree who are supported by the state budget at 100% of the health insurance contribution rate:

a) The monthly amount of state budget contributions and support is determined by multiplying the health insurance contribution rate (x) by the basic salary level.n lWhen the state adjusts the health insurance contribution rate or the basic salary level, the amount of state budget contributions and support will be adjusted from the date the new health insurance contribution rate and basic salary level take effect;"1. MAINTENANCE OF ROAD CONSTRUCTION PROJECTSThe amount to be paid and the subsidy will be adjusted from the date the new health insurance contribution rate and the minimum wage base take effect.

b) The health insurance contribution amount for children under six years old is calculated from their date of birth until they reach seventy-two months of age. In cases where Vietnamese children born abroad return to reside in Vietnam according to the law, the health insurance contribution amount is calculated from the date they settle in Vietnam.policiesFrom the day the child reaches 72 months old. In cases where children born abroad to Vietnamese citizens return to reside in Vietnam according to the law, the amount to be paid for health insurance will be calculated from the day they settle in Vietnam.

2. For the group of subjects partially supported by the state budget for health insurance contributions as stipulated in Clauses 3 and 4 of Article 4 of this Decree:

a) The monthly amount of contributions made by participants and state budget support is determined by multiplying the health insurance contribution rate (x) by the basic salary level at the time of participation.development3. The following individuals may participate in health insurance under household registration:policies;

b) When the state adjusts the health insurance contribution rate or the basic salary level, participants and the state budget do not need to pay additional amounts or receive refunds for the difference caused by the adjustment of the contribution rate or basic salary level for the remaining period during which the participant has already paid contributions.development3. The following individuals may participate in health insurance under household registration:policiesThe minimum wage base applicable to the remaining period that the participant has already paid for health insurance.development3. The following individuals may participate in health insurance under household registration:policies.

3. For the group of subjects participating in health insurance under household registration as stipulated in Article 5 of this Decree:

a) The monthly amount of contributions made by participants is determined by multiplying the health insurance contribution rate (x) by the basic salary level at the time of health insurance payment.

b) When the state adjusts the health insurance contribution rate or the basic salary level, participants do not need to pay additional amounts or receive refunds for the difference caused by the adjustment of the contribution rate or basic salary level for health insurance.policiesThe minimum wage base applicable to the remaining period that the participant has already paid for health insurance.development3. The following individuals may participate in health insurance under household registration:policies.

4. Participants joining during any day of the month will have their health insurance contribution calculated monthly starting from the day they join the health insurance.

Chapter III

HEALTH INSURANCE CARD

Article 11. Establishment of Health Insurance Card Lists for Certain Subjects

1. Employers shall establish lists for participation in health insurance of the groups of subjects specified in Article 1 of this Decree.Family Planning) for consideration and resolution./.As defined in Article 1 of this Decree.

2. Educational institutions and vocational training institutions shall be responsible for establishing health insurance participation lists for the subjects within their management scope as stipulated in Clause 15, Article 3, and Clause 3, Article 4 of this Decree.uAs stipulated in Clause 15 of Article 3 and Clause 3 of Article 4 of this Decree.

3. Units under the Ministry of National Defense and the Ministry of Public Security shall be responsible for establishing health insurance participation lists for the subjects within their management scope as stipulated in Clause 1, Article 1, Clause 13, Article 3, and Article 6 of this Decree, and in accordance with the guidance of the Ministry of National Defense and the Ministry of Public Security.

4. For individuals who have donated body parts in accordance with the law, the social insurance agency will issue health insurance cards based on discharge papers provided by healthcare facilities where the donation took place.development3. The following individuals may participate in health insurance under household registration:policies.

4. For individuals who have donated body parts in accordance with the law, the social insurance agency shall base its issuance of health insurance cards on discharge papers issued by medical facilities where the donation took place for these individuals.

6. The list of participants in health insurance is compiled according to Appendix 3 promulgated together with this Decree.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS5. People's Committees at the commune level shall be responsible for establishing lists of subjects specified in Article 2; Clauses 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 16, and 17 of Article 3; Clauses 1, 2, and 4 of Article 4, and Article 5 of this Decree.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSModel 3 of the Appendix promulgated together with this Decree.

Article 12. Health Insurance Card

The health insurance card is issued by the social insurance agency and reflects the following information:

1. Personal information of the health insurance participant, including: Full name; gender; date of birth; residential address or workplace.

2. The level of health insurance benefits as stipulated in Article 14 of this Decree.

3. The effective date of the health insurance card.

4. The initial healthcare facility for health insurance registration.

5. Continuous participation period in health insurance of five years or more for those who must co-pay for medical expenses. The continuous participation period is the time recorded on the health insurance card from one issuance to the next; in case of interruption, it shall not exceed three months at most.

Individuals assigned by authorized agencies to work, study, or live abroad with their spouses or minor children under 18 years old accompanying them on official duty shall have their time spent abroad counted as participation time in health insurance.development3. The following individuals may participate in health insurance under household registration:policies.

When workers go to work abroad, the time they participated in health insurance before going abroad will be counted as participation time in health insurance if they join health insurance within thirty days from the date of entry upon returning to the country.

Workers during the period of processing to enjoy unemployment benefits as prescribed by the Labor Law, the previous participation time in health insurancedevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.will be counted as participation time in health insurancedevelopment3. The following individuals may participate in health insurance under household registration:policies.

For the subjects specified in point a, Clause 3, Article 12 of the Health Insurance Law, when retiring, discharging from military service, changing profession, or quitting work, if the time spent studying or working in the People's Army, Public Security Force, and Confidential Organizations without participating in health insuranceì that time will be counted as continuous participation time in health insurance.

6. A photograph of the health insurance participant (except for children under six years old) in cases where the participant does not have identification documents with a photo issued by authorized agencies or a Confirmation Letter from the local police station or other legal identity documents confirmed by educational institutions managing students.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsor other legal identity documents.

Article 13. Validity Period of the Health Insurance Card

1. For the subjects specified in Clause 6, Article 2, the health insurance carddevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.has a validity period until the end of the period for receiving unemployment benefits recorded in the decision granting unemployment benefits by the competent state authority.Plan for handling assets after the expiration of the joint venture and association periodThe Minister of Labor - Invalids and Social Affairs issues this Circular regulating the adjustment rate for monthly wages and income already contributed to social insurance.June 2024;managementầThe date of the first unemployment benefit recorded in the decision granting unemployment benefits by the competent state agency.

2. For the subjects specified in Clause 7, Article 3 of this Decree:

a) In the case of children born before September 30: The health insurance cardối với Cục Công nghệ thông tin xây dựng danh mục dùng chung của từng lĩnh vực chuyên môn và tham gia công tác quản lý nhà nước đối với hoạt động ứng dụng công nghệ thông tin theo chức năng, nhiệm vụ và quyền hạn được giao.is valid until the end of September of the year when the child turns 6 years old;amendb) In the case of children born after September 30: The health insurance card is valid until the last day of the month when the child turns 6 years old.

b) If the child is born after September 30th: The health insurance card is valid until the end of the month when the child turns 72 months old.

3. For the subjects specified in Clause 8, Article 3 of this Decree, the health insurance card is valid from the date of receiving social assistance as decided by the District People's Committee.

4. For the subjects specified in Clause 9, Article 3, and Clause 1, Article 4 of this Decreewho are supported by the state budget for 100% of health insurance contributions,the health insurance card is valid from the date determined in the decision approving the list by the competent state authority.policiesThe health insurance card becomes valid from the date determined in the Decision approving the list by the competent state agency.

5. For the subjects specified in Clause 10, Article 3 of this Decree, the health insurance card is valid from the date determined in the Decision approving the list by the competent state authority.

6. For the subjects specified in Clause 14, Article 3 of this Decree, the health insurance card becomes valid immediately after organ donation.

7. For the subjects specified in Clause 3, Article 4 of this Decree:

a) The health insurance card is issued annually for primary school students, wherein:

- For first-grade students: The validity period starts from October 1 of the first year of elementary school;

- For twelfth-grade students: The card is valid until the end of September of that year.

b) The health insurance card is issued annually for university and vocational school students, wherein:

- For first-year students: The card is valid from the date of enrollment, except for twelfth-grade students whose cards are still valid;

- For final-year students: The card is valid until the end of the month when the academic year ends.

8. For other subjects, the health insurance card is valid from the date the participant pays the health insurance premium. For subjects specified in Clause 4, Articles 4, 5, and 6 of this Decree who participate in health insurancepoliciest 03 of the annex issued together with this Circular.ầa) Units base on the accounting account system issued in this Circular to apply appropriate accounting accounts suitable for their activities.ầintermittently or continuously for three months or more within a fiscal year, the health insurance cardFamily Planning) for consideration and resolution./.has a validity period of twelve months from the date the health insurance card becomes valid according to point c, Clause 3, Article 16 of the Health Insurance Law.

9. The validity period of the health insurance card specified in this Article corresponds to the amount of health insurance premiums paid, except for children under six years old.

Chapter IV

LEVEL OF BENEFITS, PROCEDURES FOR HEALTH INSURANCE MEDICAL CARE AND TREATMENT

Article 14. The level of health insurance benefits for cases prescribed in

1. Participants in health insurance when going to seek medical advice and treat diseases according to Articles 26, 27, and 28 of the Health Insurance Law; Clause 4 and Clause 5, Article 22 of the Health Insurance Law shall be reimbursed by the health insurance fund for medical examination and treatment costs within the scope of benefits at the following levels:

a) 100% of medical examination and treatment costs for subjects prescribed in Clauses 3, 4, 8, 9, 11, and 17, Article 3 of this Decree;

b) 100% of medical examination and treatment costs and not applying the limit on the payment ratio for medicines, chemicals, medical supplies, and technical services as prescribed by the Minister of Health for:

- Persons who were engaged in revolutionary activities before January 1, 1945;

- Persons who were engaged in revolutionary activities from January 1, 1945 to August Revolution Day in 1945;

- Mothers of Vietnam's Heroic Soldiers;

- War invalids, persons enjoying policies similar to war invalids, Class B war invalids, and disabled veterans with a reduction in work capacity of 81% or more;

- War invalids, persons enjoying policies similar to war invalids, Class B war invalids when treating recurrent wounds and illnesses;

- Persons affected by toxic chemicals during the resistance war with a reduction in work capacity of 81% or more;

- Children under six years old.

c) 100% of medical examination and treatment costs at commune-level facilities;

d) 100% of medical examination and treatment costs for cases where the cost of seeking medical advice and treatment exceeds 15% of the minimum wage;|||đ) 100% of medical examination and treatment costs when the patient has participated in health insurance continuously for five years or more and the amount of co-payment for medical examination and treatment costs in a year exceeds six months' worth of the minimum wage, except in cases of self-seeking medical advice and treatment outside the designated facility;ầe) 95% of medical examination and treatment costs for subjects prescribed in Clause 1, Article 2, Clause 12, Article 3, and Clauses 1 and 2, Article 4 of this Decree;of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsg) 80% of medical examination and treatment costs for other subjects;

h) Patients diagnosed and prescribed treatment by higher-level medical facilities and transferred back for management, monitoring, and dispensing of medications at commune-level medical facilities according to the regulations of the Minister of Health shall be reimbursed by the health insurance fund within the scope and at the level of benefits prescribed in point a, b, đ, e, and g, Clause 1 of this Article.development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.2. In cases where a person belongs to multiple categories of health insurance participants, they shall enjoy health insurance benefits according to the category with the highest level of benefits prescribed in Clause 1 of this Article.

3. In cases where a person with a health insurance card seeks medical advice and treatment out-of-network, then is referred to another medical facility by the receiving facility, the health insurance fund shall reimburse medical examination and treatment costs according to the level of benefits prescribed in Clause 3, Article 22 of the Health Insurance Law, except for the following cases: emergency care; being hospitalized and discovering additional conditions outside the specialty of the medical facility; the condition developing beyond the expertise of the medical facility.

4. Participants in health insurance who register for medical examination and treatment at commune health stations located at the border of adjacent provinces shall be reimbursed 100% of medical examination and treatment costs within the scope and at the level of benefits prescribed in Clause 1 of this Article when seeking medical advice and treatment at the commune health station located at the border of an adjacent province.

5. In cases of changing the level of health insurance benefits, the new level of health insurance benefits shall be calculated from the date the new health insurance card becomes valid.No.treated at village-level healthcare facilities as prescribed by the Minister of Health shall be covered by the health insurance fund within the scope and level of benefits stipulated in Points a, b, d, e, and g of Clause 1 of this Article.n lhealth insurance payment within the scope and level of benefits prescribed in Points a, b, đ, e, and g, Clause 1 of this Article.

2. In cases where an individual belongs to multiple categories of health insurance participants, they shall enjoy health insurance benefits according to the category with the highest level of benefits as stipulated in Clause 1 of this Article.ì enjoy health insurance benefits according to the higher benefit level prescribed in Clause 1 of this Article.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairst quy định tại khoản 1 Điều này.

3. In cases where a person with a health insurance card seeks medical treatment outside their designated healthcare facility and is then referred to another healthcare facility by the initial facility, the health insurance fund will cover the costs of medical treatment according to the level of benefits stipulated in Clause 3 of Article 22 of the Health Insurance Law, except in the following cases: emergency care; being hospitalized and diagnosed with a condition outside the expertise of the initial healthcare facility; the condition deteriorates beyond the expertise of the initial healthcare facility.thereimburse medical examination and treatment costs according to the benefit level prescribed in Clause 3, Article 22 of the Health Insurance Law, except in the following cases: emergency care; patients admitted for inpatient treatment discover another disease outside the specialty of the medical facility; the condition exceeds the professional capacity of the medical facility.ẽn bipoliciesn vượt quá khbeyond the professional capacity of the medical facility.năng chuyên môn của cơ sở khám bệnh, chữa bệnh.

4. Health insurance participants who register for medical treatment at village-level healthcare facilities in bordering provinces will have 100% of their medical treatment costs covered by the health insurance fund within the scope and level of benefits stipulated in Clause 1 of this Article when seeking medical treatment at village-level healthcare facilities in bordering provinces.Family Planning) for consideration and resolution./.5. When there is a change in the level of health insurance benefits, the new level of benefits will be effective from the date the new health insurance card becomes valid.ầat the commune health station.June 2024;36. For patients seeking medical examination and treatment at the commune health station of a neighboring province, the health insurance fund will cover 100% of the costs within the scope and level of benefits prescribed in Clause 1 of this Article.

37. When changing the health insurance benefit level, the new benefit level will be applied from the effective date of the new health insurance card.development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.mới có giá trị sử dụng.

Article 15. Procedures for Health Insurance Medical Examination and Treatment

1. Participants in health insurance must present their health insurance card with photograph when they come for medical examination and treatment; in cases where the card does not have a photograph, they must present one of the identity cards with photograph issued by authorized agencies or organizations, or a Confirmation Letter from the local police station, or other documents confirmed by educational institutions managing students; various other documents.development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.If there is no photo, they must present one of the identity documents with a photo issued by authorized agencies or organizations, or a confirmation letter from the local police station or other documents certified by the educational institution managing the students; birth certificates; in cases requiring immediate treatment after birth without a birth certificate, the head of the healthcare facility and the parents or guardians of the child must sign the medical record as proof for reimbursement according to Clause 1 of Article 27 of this Decree and bear responsibility for the confirmation.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsbirth certificate; in cases where immediate treatment is required after birth without a birth certificate, the head of the medical facility and the child's parent or guardian must sign the medical record as proof for reimbursement according to Clause 1, Article 27 of this Decree and bear responsibility for the confirmation.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsor other legal identity documents.

2. Children under six years old only need to present their health insurance card when coming for medical examination and treatment. In cases where children have not yet been issued a health insurance card, they must present a copy of the birth certificate or a copy of the registration of birth; in cases where immediate treatment is required after birth without a birth certificate, the head of the medical examination and treatment facility and the child's parent or guardian must sign confirmation on the medical record as the basis for payment according to Clause 1, Article 27 of this Decree and bear responsibility for such confirmation.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsy khai sinh; trường hợp phải điều trị ngay sau khi sinh mà chưa có giấy chứng sinh thì thủ trưởng cơ sở khám bệnh, chữa bệnh và cha hoặc mẹ hoặc người giám hộ của trẻ ký xác nhận vào hồ sơ bệnh án để làm căn cứ thanh toán theo quy định tại khoản 1 Điều 27 Nghị định này và chịu trách nhiệm về việc xác nhận này.

3. Participants in health insurance during the period waiting for issuance or replacement of the health insurance card must present the appointment letter for issuance or replacement of the health insurance card issued by the social insurance agency or organizations or individuals authorized by the social insurance agency to accept applications for issuance or replacement of the card according to Form No. 4 of the Appendix promulgated together with this Decree and one type of document proving their personal information.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsrequest for replacement or renewal of the health insurance card, the social insurance agency or organizations/citizens authorized by the social insurance agency to receive applications for replacement or renewal of the health insurance card shall issue the card according to Model 4 of the Appendix promulgated together with this Decree and one identity document., amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPi thẻ bảo hiểm y tế do cơ quan bảo hiểm xã hội hoặc tổ chức, cá nhân được cơ quan bảo hiểm xã hội ủy quyền tiếp nhận hồ sơ cấp lại thẻ, đổi thẻ cấp theo MFUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSu số 4 Phụ lục ban hành kèm theo Nghị định này và một loại giof the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsy tờ chứng minh về nhân thân của người đó.

4. Individuals who have donated body parts must present the documents specified in Clause 1 or Clause 3 of this Article when seeking medical examination and treatment. In cases requiring immediate treatment after donation, the head of the medical examination and treatment facility where the body part was taken and the patient or the patient's relative must sign confirmation on the medical record as the basis for payment according to Clause 2, Article 27 of this Decree and bear responsibility for such confirmation.

5. In cases of referral for medical treatment, health insurance participants must present the referral documents from the healthcare facility and the referral form according to Appendix 5 promulgated together with this Decree.developmentaccording to ModelFUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS5. In cases of transferring to another level for medical examination and treatment, participants in health insurance must present the transfer file from the medical examination and treatment facility and the transfer form according to Form No. 6 of the Appendix promulgated together with this Decree. If the transfer form remains valid until December 31 but the treatment has not ended, it can be used until the end of the treatment period.policies31 December but the treatment period has not ended, they may continue using the referral until the end of the treatment period.June 2024;ng 12 nhưng đợt điều trị chưa kết thúc thì được sử dụng giấy chuyển tuyến đó đến hết đợt điều trị.

In cases of re-examination as required by treatment, participants in health insurance must have a re-examination appointment letter from the medical examination and treatment facility according to Form No. 5 of the Appendix promulgated together with this Decree.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSrom 202Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;5 of the Appendix promulgated together with this Decree.

6. In emergency cases, participants in health insurance may seek medical examination and treatment at any medical examination and treatment facility and must present the documents specified in Clause 1, Clause 2, or Clause 3 of this Article before being discharged. After the emergency phase ends, the patient will be processed to transfer to another department within the same facility for continued observation and treatment or transferred to another medical examination and treatment facility, which will be considered as appropriate medical examination and treatment.ị continue monitoring and treatmenttror referral to another medical facility, it will be considered appropriate if the patient continues treatment at the referred medical facility.policiesn khám bệnh, chữa bệnh.

Medical examination and treatment facilities without a health insurance medical examination and treatment contract shall be responsible for providing patients with legitimate documents and receipts related to medical examination and treatment costs that the patient needs to settle directly with the social insurance agency according to Articles 28, 29, and 30 of this Decree.ể The patient will directly pay the healthcare facility and subsequently claim reimbursement from the social insurance agency according to Articles 28, 29, and 30 of this Decree.

7. Participants in health insurance during business trips, temporary work, concentrated study programs, or temporary residence may seek initial medical examination and treatment at medical examination and treatment facilities at the same level or equivalent to the initial medical examination and treatment facility registered on their health insurance card and must present the documents specified in Clause 1, Clause 2, or Clause 3 of this Article and one of the following documents (original or copy): work permit, decision to send for training, student ID, temporary residence registration, school transfer certificate.

8. Medical examination and treatment facilities, social insurance agencies shall not stipulate additional procedures for medical examination and treatment under health insurance beyond those prescribed in this Article. In cases where medical examination and treatment facilities, social insurance agencies need to photocopy health insurance cards and related documents for patient medical examinations and treatments for management purposes, they must do so themselves and shall not request patients to provide such copies.ầ8. Medical examination and treatment facilities and social insurance agencies shall not stipulate additional procedures for health insurance medical examination and treatment beyond those specified in this Article. In cases where medical examination and treatment facilities or social insurance agencies need to photocopy health insurance cards or documents related to medical examination and treatment of patients for management purposes, they must do so themselves and shall not require patients to photocopy or pay for these costs.

Chapter V

MEDICAL EXAMINATION AND TREATMENT CONTRACTS UNDER HEALTH INSURANCE

Article 16. Documents for Signing Health Examination and Treatment Contracts under Health Insurance

1. In case of signing health examination and treatment contracts for the first time, the documents shall include:

a) A letter requesting to sign the contract from the health examination and treatment facility;

b) A copy of the license for health examination and treatment activities issued by the competent state agency for the health examination and treatment facility;onn cof the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsc) A stamped photocopy of the decision on hospital classification level by the competent authority (if any) or the decision on specialized technical level by the competent authority for non-public health examination and treatment facilities;

d) The list of medical techniques, medicines, chemicals, and medical supplies approved by the competent authority (in writing or electronically).policies2. In case the health examination and treatment facility is approved by the competent authority to supplement functions, tasks, scope of specialization, hospital classification level, the facility shall notify the social insurance agency to update the health examination and treatment contract under health insurance. Within ten working days from the date of receipt of the approval document sent by the health examination and treatment facility, the social insurance agency shall complete the supplementary execution of the contract appendix or conclude a new contract.

Article 17. Content of Health Examination and Treatment Contracts under Health Insurance and Conditions for Signing Such Contracts with Health Examination and Treatment Facilities

1. The content of health examination and treatment contracts under health insurance shall be established according to Model No. 7 of the Appendix promulgated together with this Decree. Depending on the conditions of the health examination and treatment facility, the social insurance agency and the health examination and treatment facility may agree to supplement the contract content without contravening the laws on health insurance.118/2025/NĐ-CP dated June 09, 2025 of the Government on implementing administrative procedures under the one-stop shop mechanism at the One-Stop Service Center and the National Public Service Portal;2. Conditions for signing health examination and treatment contracts under health insurance with health examination and treatment facilities include:

a) Meeting the requirements for operating health examination and treatment activities as stipulated by the laws on health examination and treatment and having been granted a license for such activities by the competent authority;

b) Ensuring the supply of medicines, chemicals, and medical supplies appropriate to the scope of specialized activities of the health examination and treatment facility.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSArticle 18. Signing Health Examination and Treatment Contracts under Health Insurance

1. In case of signing health examination and treatment contracts for the first time:policiesandNo.a) The health examination and treatment facility shall submit one set of documents as prescribed in Article 16 of this Decree to the social insurance agency;

b) Within thirty days from the date of receiving all valid documents (as recorded on the arrival stamp of the letter), the social insurance agency must complete the review of the documents and sign the contract. If it does not agree to sign the health examination and treatment contract under health insurance, it must provide a written response stating the reasons.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairs2. The validity period of health examination and treatment contracts under health insurance:

a) The term of the contract runs from January 1st to December 31st of the year, with a maximum duration of up to thirty-six months;

b) For initial contracts, the term of the contract is calculated from the signing date to December 31st of the year when the contract expires, with a maximum duration of up to thirty-six months;

c) In case of annual health examination and treatment contracts under health insurance, the health examination and treatment facility and the social insurance agency shall complete the signing of the next year's contract before December 31st of that year.

Ten days before the contract expires, if both the health examination and treatment facility and the social insurance agency agree to extend the contract and continue its implementation through an additional contract appendix, then that appendix will have legal effect unless otherwise agreed.

3. Costs for health examinations and treatments for cases where insured persons undergo health examinations and treatments before January 1st but are discharged after January 1st shall be handled as follows:

a) In case the health examination and treatment facility continues to sign health examination and treatment contracts under health insurance, the costs shall be counted towards the next year's expenses;

b) In case the health examination and treatment facility does not continue to sign health examination and treatment contracts under health insurance, the costs shall be counted towards the current year's expenses.

4. Health examination and treatment contracts under health insurance must clearly specify the payment method for health insurance examination and treatment costs in accordance with the conditions of the health examination and treatment facility.

5. All parties are responsible for ensuring the rights of patients with health insurance cards as stipulated by the laws on health insurance and shall not interrupt health examinations and treatments for patients with health insurance cards.development||| Social insurance agencies must complete the signing of the next year's contracts before December 31 of that year.

||| Ten days prior to the expiration of the contract, if the medical examination and treatment facility and the social insurance agency agree to extend the contract and continue its implementation through an annex to the contract, such annex shall have legal validity unless otherwise agreed.

||| 3. The costs of medical examination and treatment for cases where insured persons undergo medical examination and treatment before January 1 but are discharged from hospital on or after January 1 shall be handled as follows:

||| a) Where the medical examination and treatment facility continues to sign a medical examination and treatment contract under health insurance,ì ||| such costs shall be included in the medical examination and treatment costs of the following year;

||| b) Where the medical examination and treatment facility does not continue to sign a medical examination and treatment contract under health insurance,ì ||| such costs shall be included in the medical examination and treatment costs of the current year.

||| 4. The medical examination and treatment contract under health insurance must clearly specify the method of payment for health insurance medical examination and treatment costs in accordance with the conditions of the medical examination and treatment facility.

||| 5. All parties are responsible for ensuring the rights of patients holding health insurance cards in accordance with the laws on health insurance and shall not interrupt medical examination and treatment services for patients holding health insurance cards.

Article 19. Health examination and treatment contracts for health insurance at commune health stations, public midwifery houses, regional multi-specialty clinics, and healthcare facilities of agencies, units, and schools

1. For commune health stations, public midwifery houses, and regional multi-specialty clinics

a) The social insurance agency shall enter into a contract with the district health center or district hospital or other healthcare facility approved by the Department of Health to provide health examinations and treatments at commune health stations, public midwifery houses, and regional multi-specialty clinics for health insurance participants.ể ||| implement medical examination and treatment at commune health stations, ward health stations, public maternity homes, and regional general outpatient clinics for insured persons;

b) Healthcare facilities shall enter into health examination and treatment contracts for health insurance as prescribed indevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.a clause of this Article and are responsible for supplying medicines, chemicals, medical supplies, Đto commune health stations, public midwifery houses, and regional multi-specialty clinics and paying the costs of bed usage (if applicable) and medical technical services performed within their scope of expertise; while monitoring, supervising, and summarizing to settle accounts with the social insurance agency.Family Planning) for consideration and resolution./.||| for commune health stations,Family Planning) for consideration and resolution./.||| ward health stations, public maternity homes, and regional general outpatient clinics, and settle the costs of bed usage (if any) and medical technical services performed within their scope of expertise; while monitoring, supervising, and compiling data for settlement with the social insurance agency.

2. For healthcare facilities of agencies, units, and schools (excluding those agencies, units, and schools funded for primary healthcare services under the provisions of Clause 1, Article 34 of this Decree), the social insurance agency shall directly enter into health examination and treatment contracts for health insurance with such agencies, units, and schools.n||| (implementing primary healthcare services as stipulated in Clause 1, Article 34 of this Decree), c2. Thiết bị lưu trữ thông tin xét nghiệm phải có đủ dung lượng để đáp ứng thời gian lưu trữ hồ sơ bệnh án theo quy định tại Khoản 3 Điều 59 Luật khám bệnh, chữa bệnh.||| the social insurance agency signs a medical examination and treatment contract under health insurance directly with agencies, units, and schools.

Article 20. Rights and responsibilities of the social insurance agency in implementing health examination and treatment contracts for health insurance

1. Rights of the social insurance agency:

a) Implementing the provisions stipulated in Article 40 of the Health Insurance Law;

b) Requesting healthcare facilities to implement electronic data transfer to conduct medical reviews and pay health examination and treatment costs for health insuranceofas prescribed by the Minister of Health.In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:||| in accordance with the regulations of the Minister of Health.

2. Responsibilities of the social insurance agency:

a) Implementing the provisions stipulated in Article 41 of the Health Insurance Law;

b) Within the first ten days of the month following the signing of the contract, providing healthcare facilities with a list of individuals holding health insurance cards registered for initial health examinations and treatments according to Form No. 8 attached to this Decree at the beginning of each quarter in either electronic form or signed and stamped paper form;development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.||| register for initial medical examination and treatment according to Model No. 8 of the Appendix issued together with this Decree at the beginning of each quarter in electronic form or in written form with signatures and seals;FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS||| and handle violations within their authority; support the application of information technology in the appraisal and settlement of health insurance medical examination and treatment costs for medical examination and treatment facilities;

c) Ensuring compliance with laws on health examinations and treatments and medical record management regulations as prescribed by the Minister of Health;policies;

d) Cooperating with healthcare facilities in receiving and checking procedures for health examinations and treatments under health insurance; retrieving, temporarily retaining health insurance cards, and handling violations within their authority; supporting the application of information technology in medical reviews and payment of health examination and treatment costs for healthcare facilities;Family Planning) for consideration and resolution./.||| Article 21. Rights and responsibilities of medical examination and treatment facilities in implementing medical examination and treatment contracts under health insurance

e) Protecting the rights of health insurance participants; resolving complaints, grievances, and accusations regarding health insurance benefits within their authority;

f) Completing the medical review system and ensuring timely receipt and feedback on the acceptance of electronic data and medical review results for health examinations and treatments under health insurance for healthcare facilities as prescribed by the Minister of Health.policies.

||| a) Implement in accordance with the provisions of Article 43 of the Health Insurance Law;

Article 21. Rights and responsibilities of healthcare facilities in implementing health examination and treatment contracts for health insurance

1. Rights of healthcare facilities:

Implementing the provisions stipulated in Article 42 of the Health Insurance Law.

||| ||

2. Responsibilities of healthcare facilities:policies;

a) Implementing the provisions stipulated in Article 43 of the Health Insurance Law;In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:b) Ensuring the supply of medicines, chemicals, medical supplies, and appropriate medical technical services according to the level of specialized technical expertise as prescribed by the Minister of Health;policiesc) Sending electronic data for managing health examinations and treatments under health insurance immediately after completing a health examination orpolicies;

outpatient treatment session or inpatient treatment period for patients as prescribed by the Minister of Health;policies.

Article 22. Amending and supplementing the contract

1. During the implementation of the health examination and treatment contract under medical insurance, if either party requests to amend or supplement the content of the contract, they must notify the other party in writing at least 30 days in advance about the contents to be amended or supplemented in the health examination and treatment contract under medical insurance.ầ2. In cases where both parties agree on the amendment or supplementation of the health examination and treatment contract under medical insurance, the amendment or supplementation of the contract shall be carried out through signing an annex to the contract or entering into a new contract.

3. In cases where both parties cannot reach an agreement on amending or supplementing the content of the contract, the existing contract shall continue to be implemented.ồArticle 23. Cases for terminating the contract

1. The healthcare facility ceases operations, dissolves, goes bankrupt, or has its operating permit revoked.

2. Both parties agree to terminate the health examination and treatment contract under medical insurance in accordance with the provisions of the law.

3. During the implementation of the health examination and treatment contract under medical insurance, if the social insurance agency or any organization, unit, entity, or individual discovers that the healthcare facility violates the health examination and treatment contract under medical insurance,

they shall report to the Department of Health in cases where the healthcare facility falls within the management scope of the Department of Health or the Ministry of Health,

or the health administration agency of the ministry or sector in cases where the healthcare facility falls within the management scope of the ministry or sector (hereinafter referred to as the management agency).policiesWithin five working days from the date of receipt of the notification, the management agency shall have the responsibility to issue a written request for the healthcare facility to provide a written explanation regarding the relevant content related to the violation report.ì After receiving the written request for explanation from the management agency, the healthcare facility shall have the responsibility to send a written explanation to the management agency along with any supporting evidence (if available).policiesandNo.After receiving the written explanation from the healthcare facility, the management agency shall have the responsibility to coordinate with the social insurance agency at the same level to examine and organize verificationFamily Planning) for consideration and resolution./.and conclude on the violation report. The conclusion must clearly state whether the healthcare facility has committed a violation and the measures to address the consequences (if applicable).

4. During the implementation of the health examination and treatment contract under medical insurance, if any organization, unit, entity, or individual discovers that the social insurance agency has

violated the health examination and treatment contract under medical insurance, they shall report to the management agency.

Within five working days from the date of receipt of the notification, the management agency shall have the responsibility to issue a written request for the social insurance agency to provide a written explanation regarding the relevant content related to the violation report.developmentAfter receiving the written request for explanation from the management agency, the social insurance agency shall have the responsibility to send a written explanation to the management agency along with any supporting evidence (if available)."1. MAINTENANCE OF ROAD CONSTRUCTION PROJECTSAfter receiving the written explanation from the social insurance agency, the management agency shall have the responsibility to coordinate with the social insurance agency at the same level (in cases where the social insurance agency at the same level is the subject of the report, invite the higher-level social insurance agency) to examine, organize verification, and conclude

on the violation report. The conclusion must clearly state whether the social insurance agency has committed a violation and the measures to address the consequences (if applicable).ứPAYMENT OF HEALTH EXAMINATION AND TREATMENT COSTS BETWEEN THE SOCIAL INSURANCE AGENCY AND THE HEALTHCARE FACILITYto||| ||||| ||||| If there is a violation of the medical examination and treatment contract under health insurance, the facility must notify the management authority.June 2024;||| Within five working days from the date of receipt of the notification, the management authority

||| has the responsibility to issue a written request to the social insurance agency to explain in writing the contents related to the complaint about the violation.ối với Cục Công nghệ thông tin xây dựng danh mục dùng chung của từng lĩnh vực chuyên môn và tham gia công tác quản lý nhà nước đối với hoạt động ứng dụng công nghệ thông tin theo chức năng, nhiệm vụ và quyền hạn được giao.||| After receiving the written request for explanation from the management authority, the social insurance agency has the responsibility to send a written explanation to the management authority along with any evidence (if available).

||| After receiving the written explanation from the social insurance agency, the management authority has the responsibility to coordinate with the same-level social insurance agency (in case the same-level social insurance agency is the subject of the complaint, invite the higher-level social insurance agency)

||| to examine, organize verification, and conclude on the complaint about the violation. The conclusion must clearly state whether the social insurance agencyn l||| has or does not have a violation and measures to rectify the consequences (if any).No.||| ||development||| |||||||| ||policies||| ||

Chapter VI

||| SETTLEMENT OF MEDICAL EXAMINATION AND TREATMENT COSTS BETWEEN THE SOCIAL INSURANCE AGENCY AND MEDICAL EXAMINATION AND TREATMENT FACILITIES

Article 24. Payment based on service prices

1. Payment based on service prices is a method of paying for medical examination and treatment costs based on the service prices for medical examinations and treatments set by the competent authority."1. MAINTENANCE OF ROAD CONSTRUCTION PROJECTS||| costs related to medical examination and treatment under health insurance, excluding costs of medical services already settled through other methods.No.Costs related to drugs, chemicals, medical supplies, blood, and blood products not included in the service price shall be paid for when used for patients at medical examination and treatment facilities.

2. Payment based on service prices for medical examinations and treatments shall be applied to pay for health insurance medical examination and treatment costs, except for costs of medical services already paid for through other methods.June 2024;||| The allocated quota for medical examination and treatment facilities under health insurance annually must be within the allocated quota for the province and within the national allocated quota.

3. Principles of payment:

a) Health insurance service prices for medical examinations and treatments shall be uniformly applied across hospitals of the same level nationwide;

b) Drug, chemical, and medical supply costs not included in the service prices for medical examinations and treatments shall be paid according to purchase prices as stipulated by laws on bidding;

c) Blood and blood product costs shall be paid according to guidelines issued by the Minister of Health..

4. The total amount of payment for health insurance medical examination and treatment costs for medical examination and treatment facilities annually shall be calculated using the following formula:development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.T = [T

n-1_{x k] + [T1} n-1_{drugs, chemicals} +] + [T_n-1n-1_{medical supplies}] + [T_{x k] + [T1}] _{blood, blood products} +] + [T_{x k] + [T1}] _{medical examinationservices,c Qutreatment} + C_n

Where:

a) T is the total amount of payment for health insurance medical examination and treatment costs at the facility, which is the sum of the total amount of payment for inpatient medical examination and treatment costs and the total amount of payment for outpatient medical examination and treatment costs;

b) T_n-1b) T

n-1C_n.

d)C_nis the health insurance medical examination and treatment costs at the facility in the immediately preceding year that have been reviewed and settled by the social insurance agency;No.c) k is the adjustment factor due to fluctuations in drug, chemical, and medical supply prices at the medical examination and treatment facility corresponding to each of these factors, excluding costs already included in the service price;d) x is the additional cost increase or decrease during the year at the facility due to reasons such as applying new medical techniques; adding new drugs, chemicals, and medical supplies; applying new service prices for medical examinations and treatments; new blood and blood product prices; adjusting hospital levels; changes in health insurance card holders; changes in the scope of operations of the medical examination and treatment facility as decided by the competent authority (if applicable); changes in disease patterns; and the number of medical examinations and treatments. These costs are aggregated into actual costs to serve as the basis for calculating the total amount of payment for health insurance medical examination and treatment costs for the medical examination and treatment facility.5. The health insurance fund shall pay medical examination and treatment costs according to the annual settlement report of the medical examination and treatment facility, which has been reviewed, but shall not exceed the total amount of payment for health insurance medical examination and treatment costs determined according to Clause 4 of this Article.June 2024;6. Annually, based on the price index of each factor of drugs, chemicals, and medical supplies published by the General Statistics Office, the Ministry of Health will announce the factor k after reaching consensus with the Ministry of Finance.developmentArticle 25. Payment based on fixed ratesexperiments,1. Payment based on fixed rates shall be applied to medical examination and treatment facilities providing outpatient health insurance medical examinations and treatments.

2. The scope of payment based on fixed rates includes costs within the scope of benefits and benefit levels for health insurance card holders registered for initial medical examinations and treatments at the medical examination and treatment facility and for health insurance card holders registered for initial medical examinations and treatments at other medical examination and treatment facilities who come to the medical examination and treatment facility for medical examinations and treatments.June 2024;3. Diseases, disease groups, healthcare services, and costs not within the scope of payment based on fixed rates shall be specified by the Minister of Health.

4. The fixed rate fund allocated to health insurance medical examination and treatment facilities annually must remain within the scope of the fixed rate fund allocated to the province and within the national fixed rate fund scope.

5. Handling discrepancies in the fixed rate fund allocated to medical examination and treatment facilities

a) In cases where there is a surplus in the fixed rate fund in a year (the allocated fund is greater than the expenditure on medical examinations and treatments), the medical examination and treatment facility shall record this surplus in the unit's operating revenue and use it as a basis for determining the fixed rate fund for the following year. If the medical examination and treatment facility is contracted to provide initial medical examinations and treatments including health stations, the facility is responsible for transferring part of the surplus to the health stations;

b) In cases where the fixed rate fund is overspent in a year (the allocated fund is less than the expenditure on medical examinations and treatments), the medical examination and treatment facility shall balance its own sources of income according to regulations.

6. In cases where the total costs within the national fixed rate fund allocation for the year exceed the total national fixed rate fund allocation, the Vietnam Social Security will aggregate, report to the Management Board of the Vietnam Social Security for approval, and report to the Ministry of Finance and the Ministry of Health. The Ministry of Health will take the lead, coordinating with the Ministry of Finance to review, aggregate, and submit to the Prime Minister for decision.

7. The Minister of Health shall specify the scope of implementation, the implementation timeline, technical methods for determining the fixed rate fund, and payment based on fixed rates as stipulated in this Article.councillORS||| 5. Handling surplus or deficit of the allocated quota for medical examination and treatment facilities

||| a) In cases where the allocated quota has a surplus in the year (the allocated quota is greater than the expenditure on medical examination and treatment),

||| the medical examination and treatment facility shall record this surplus in the unit's revenue account and use it as a basis for determining the allocated quota for the following year. In cases where the medical examination and treatment facility is assigned to sign contracts to implement initial medical examination and treatment including commune health stations,o||| the facility is responsible for transferring part of the surplus to the commune health stations;h||| b) In cases where the allocated quota exceeds the expenditure on medical examination and treatment in the year (the allocated quota is less than the expenditure on medical examination and treatment), the medical examination and treatment facility shall balance within the revenue sources of the medical examination and treatment facility in accordance with the regulations.12. Leather shoes||| 6. In cases where the total expenditure within the national allocated quota exceeds the total national allocated quota, the Vietnam Social Security will compile and report to the Management Council of the Vietnam Social Security for approval and report tocouncillORS||| the Ministry of Finance, the Ministry of Health. The Ministry of Health shall take the lead and coordinate with the Ministry of Finance to review, compile, and submit to the Prime Minister for decision.Family Planning) for consideration and resolution./.||| 7. The Minister of Health shall prescribe the scope of implementation, the implementation schedule, the techniques for determining the quota, and the settlement according to the quota prescribed in this Article.

||| 2. Settlement of costs for medical examination and treatment for individuals who have donated organs and require immediate treatment without a health insurance card: after the medical examination and treatment facility has received the donated organ,a||| the facility is responsible for issuing a health insurance card for the individual and settling the costs of medical examination and treatment. In cases where the individual has not been issued a health insurance card, it shall be issued in accordance with the regulations.June 2024;medical examination and treatment costs are self-funded from the income of the medical facility according to regulations.

6. If the total expenses within the national fixed-rate fund exceed the allocated national fixed-rate fund, the Vietnam Social Security will compile and report to the Management Board of the Vietnam Social Security for approval and report to the Ministry of Finance, the Ministry of Health. The Ministry of Health will take the lead and coordinate with the Ministry of Finance to review and compile reports to the Prime Minister for decision.ton quốc đã giao, Bảo hiểm xã hội Việt Nam tổng hợp, báo cáo Hội đồng quản lý Bảo hidevelopmentm xã hội Việt Nam thông qua và báo cJune 2024;o Bộ Tài chính, Bộ Y tế. Bộ Y Health

7. The Minister of Health shall specify the scope of implementation, the implementation timeline, technical methods for determining the fund and making payments according to the fixed rate as prescribed in this Article.

Article 26. Payment for transportation costs of patients

1. Insured persons under the categories specified in Clauses 3, 4, 7, 8, 9 and 11, Article 3 of this Decree, in cases of emergency or inpatient treatment requiring transfer to a higher level facility for specialized technical services from a district-level medical facility to a higher level, including:

a) From the district level to the provincial level;

b) From the district level to the central level.

2. The payment amount for transportation costs:

a) In cases where the means of transport is provided by the medical facility designated for transfer,policiesocess xthenthe health insurance fund will pay the transportation costs for both the outbound and return journeys for that medical facility according to a rate of 0.2 liters of gasoline per kilometer based on the actual distance between the two medical facilities and the gasoline price at the time of patient transfer. If more than one patient is transported together in the same vehicle, the payment amount will only be calculated as if transporting one patient. The receiving medical facility must confirm on the ambulance dispatch form of the transferring medical facility; in cases outside regular working hours, the signature of the receiving physician is required.logob) In cases where the means of transport is not provided by the medical facility, the health insurance fund will pay the transportation cost for one direction (outbound) for the patient according to a rate of 0.2 liters of gasoline per kilometer based on the actual distance between the two medical facilities and the gasoline price at the time of patient transfer. The medical facility designated for transferýhas the responsibility to directly pay this expense to the patient before transferring them to a higher level, and subsequently settle with the social insurance agency.toArticle 27. Payment for examination and treatment costs in certain cases

1. Payment for examination and treatment costs for children under six years old who have not yet obtained a health insurance card: the medical facility shall compile a list of children under six years old and the health insurance examination and treatment costs within the scope of benefits and payment levels, and submit it to the social insurance agency for payment according to regulations.developmentThe social insurance agency, based on the list of children who have been examined and treated by the medical facility, shall be responsible for verifying the issuance of health insurance cards to these children, and implementing the payment of examination and treatment costs. In cases where children have not yet received a card, they shall be issued a card according to regulations.on2. Payment for examination and treatment costs for individuals who have donated organs and require immediate treatment after donation but have not yet obtained a health insurance card: the medical facility, after obtaining the donated organ, shall be responsible for compiling a list of donors and the examination and treatment costs within the scope of health insurance benefits and payment levels after donation, and submitting it to the social insurance agency for payment according to regulations., Đ chuydevelopmentThe social insurance agency, based on the list of individuals who have donated organs and have been examined and treated after donation, along with the costs submitted by the medical facility, shall implement payment and issue health insurance cards.development3. Payment for examination and treatment costs for patients who have participated in health insurance continuously for five years or more and whose total out-of-pocket expenses for examination and treatment in a year exceed six times the minimum wage as stipulated in Point d, Clause 1, Article 14 of this Decree:policiesa) In cases where a patient's single or multiple out-of-pocket expenses for examination and treatment at the same medical facility exceed six times the minimum wage, the medical facility shall not collect the excess out-of-pocket expenses exceeding six times the minimum wage from the patient. The medical facility is responsible for providing an invoice for the out-of-pocket expenses equal to six times the minimum wage so that the patient can request the social insurance agency to confirm that they do not need to co-pay in that year;

b) In cases where a patient's cumulative out-of-pocket expenses for examination and treatment across different medical facilities or at the same medical facility in a fiscal year exceed six times the minimum wage, the patient shall bring relevant documents to the social insurance agency issuing their health insurance card to settle the excess out-of-pocket expenses exceeding six times the minimum wage and obtain a confirmation that they do not need to co-pay in that year;

c) In cases where a patient's out-of-pocket expenses exceed six times the minimum wage calculated from January 1st, the health insurance fund will cover 100% of the examination and treatment costs within the patient's benefit scope from the date the patient has participated continuously for five years until December 31st of that year., amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CP4. In cases where a patient requires a healthcare worker to accompany them during transfer for examination and treatment and uses medicines and medical supplies as required by professional standards during the transfer process, the costs of these medicines and medical supplies shall be included in the treatment costs of the medical facility designated for transfer.development5. In cases where a patient, after stable inpatient treatment, needs to continue using medication post-discharge according to the prescription of the medical facility as prescribed by the Minister of Health, the health insurance fund will cover the cost of such medications within the scope of benefits and payment levels according to regulations. The medical facility shall include this medication cost in the patient's examination and treatment costs prior to discharge.development6. In cases where a medical facility cannot perform clinical laboratory tests, diagnostic imaging, functional examinations, and must transfer the patient or specimen to another medical facility with the necessary qualifications approved by the competent authority to perform these services, the health insurance fund will cover the costs of performing these services within the scope of benefits and payment levels for the medical facility transferring the patient or specimen. The transferring medical facility is responsible for paying the costs to the receiving medical facility or service provider, and subsequently consolidating these costs into the patient's examination and treatment costs for settlement with the social insurance agency.

The Minister of Health shall specify the principles and list of clinical laboratory tests and diagnostic procedures.tr8. Verification and issuance of health insurance cards for children who have been transferred for medical examination and treatment by medical facilities and are responsible for verifying and issuing health insurance cards for children who have not yet received them, and paying medical examination and treatment costs. If the child has not yet received a card, it shall be issued according to regulations.

2. Payment of medical examination and treatment costs for individuals who have donated organs and require immediate treatment but do not have a health insurance card: After the medical facility receives the organ donation,of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsy bộ phận cơ thể the medical facility responsible for providing medical examination and treatment under health insurance (except in emergency cases),, amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPCombine the list of the number of people who have donated organs and the medical examination and treatment costs within the scope of health insurance benefits after donation, and submit it to the social insurance agency for payment according to regulations.

The social insurance agency shall base on the list of the number of people who have donated body parts that have been examined and treated after donation and the costs transferred by the medical examination and treatment facilities to implement payment and issue health insurance cards.

3. Payment of medical examination and treatment costs for patients who have participated in health insurance continuously for five years or more and whose total out-of-pocket expenses for medical examinations and treatments in a year exceed six times the minimum wage as stipulated in point d, Clause 1, Article 14 of this Decree:

a) In cases where the patient's total out-of-pocket expenses at one or multiple medical examinations and treatments at the same medical examination and treatment facility exceed six times the minimum wage,ần the medical examination and treatment facility shall not collect the amount exceeding six times the minimum wage from the patient. The medical examination and treatment facility is responsible for providing invoices for the amount of out-of-pocket expenses equal to six times the minimum wage so that the patient can request the social insurance agency to confirm that they do not need to pay out-of-pocket expenses in that year;ì b) In cases where the patient's cumulative out-of-pocket expenses throughout the fiscal year at different medical examination and treatment facilities or at the same medical examination and treatment facility exceed six times the minimum wage, the patient must bring relevant documents to the social insurance agency issuing their health insurance card to settle the amount exceeding six times the minimum wage and receive a confirmation letter exempting them from paying out-of-pocket expenses in that year;

c) In cases where the patient's out-of-pocket expenses exceed six times the minimum wage calculated from January 1st, the health insurance fund will cover 100% of the medical examination and treatment costs within the scope of the patient's entitlements from the date the patient has participated continuously for five years until December 31st of that year.

4. In cases where patients need to be referred for medical examination and treatment and require medical staff accompaniment and medication, medical supplies, and equipment usage as required by professional standards,

during transportation, the cost of medication, medical supplies, and equipment usage will be included in the treatment costs of the designated medical examination and treatment facility.Family Planning) for consideration and resolution./.5. In cases where patients have been hospitalized and stabilized but still need to continue taking medication after discharge as prescribed by the medical examination and treatment facility according to the regulations of the Minister of Health, the health insurance fund will cover the cost of medication within the scope of entitlements and levels of coverage as stipulated. The medical examination and treatment facility will include this medication expense in the patient's medical examination and treatment costs before discharge.tr6. In cases where the medical examination and treatment facility cannot perform clinical laboratory tests, imaging diagnostics, functional examinations, and must refer the patient or specimen to another medical examination and treatment facility with health insurance accreditation or approved by the competent authority to perform these services,Family Planning) for consideration and resolution./.can be, amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPthe health insurance fund will cover the cost of performing these services within the scope of entitlements and levels of coverage as stipulated for the referring medical examination and treatment facility. The medical examination and treatment facility that refers the patient or specimen is responsible for settling the costs with the receiving facility and then including the costs in the patient's medical examination and treatment costs for settlement with the social insurance agency.development3. Payment for examination and treatment costs for patients who have participated in health insurance continuously for five years or more and whose total out-of-pocket expenses for examination and treatment in a year exceed six times the minimum wage as stipulated in Point d, Clause 1, Article 14 of this Decree:policiesn.

7. The Minister of Health shall specify the principles and list of clinical laboratory tests and diagnostic procedures.In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:b) Within forty days from the date of receipt of all documents for payment claims, complete the health insurance assessment and payment of medical examination and treatment costs for the patient or the patient's relatives or legal representative. If payment is not made, provide a written response stating the reasons.

b) For inpatient medical examination and treatment, payment shall be based on actual costs within the scope of entitlements and levels of coverage as stipulated, but not exceeding half a time the minimum wage at the time of discharge.developmentnh, chIn which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:a bệnh bảo hiểm y tế (except in emergency cases), payment shall be based on actual costs within the scope of entitlements and levels of coverage as stipulated, but not exceeding one time the minimum wage at the time.ể 3. In cases where patients seek inpatient medical examination and treatment at central-level medical examination and treatment facilities or equivalent facilities without a health insurance agreement (except in emergency cases),khpayment shall be based on actual costs within the scope of entitlements and levels of coverage as stipulated, but not exceeding two and a half times the minimum wage at the time.ệof discharge.12. Leather shoescompared to outpatient medical examination and treatment, and not exceeding half a time the minimum wage at the time of discharge for inpatient medical examination and treatment.ể as stipulated in Articles 14, 26, 27, and 30 of this Decree;

specific annual amounts and contents of expenditures shall be implemented according to the Prime Minister's regulations;rime Minister cAmount extracted = 5% x (N x M x L x Th)June 2024;||| The images, functional examinations shall be transferred to the medical examination and treatment facility or service provider unit.

||| 7. Payment for medical examination and treatment costs for technical services performed by staff of the medical examination and treatment facility transferring technology under the directive program,policies||| project to enhance capacityng||| for the medical examination and treatment facilitykh||| receiving technology transfer, according to the technology transfer contract as prescribed by the Minister of Health.policies:

||| a) In the case where the technical service has been approved by the competent authority for the medical examination and treatment facility receiving technology transfer, the health insurance funddevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.||| shall pay according to the approved service price level;

||| b) In the case where the technical service has not been approved by the competent authority for the medical examination and treatment facility receiving technology transfer, the medical examination and treatment facility receiving technology transfer shall notify in writing the social insurance agencyealth||| of the medical examination and treatment insurance contract about the technical services carried out under the program, project, contractý||| for payment purposes, while submitting to the competent authority for approval of the technical list as the basis for implementation when accepting new medical technology.developmentlto|||policies||| ;

||| c) For drug, chemical, medical supplies costs, the health insurance fundIn which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:||| shall pay according to the purchase price of the medical examination and treatment facility in accordance with the regulations onof the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairsa) Tender Document Model for Non-Consulting Services No. 01 (Model No. 01) applies to open tender packages using a one-stage single-envelope method;ầquarantine upon import.

||| 8. Payment for medical examination and treatment costs for cases where the medical examination and treatment facility implements new technology, methods that have been approved by the competent authority but have no pricing regulations for medical services, the medical examination and treatment facility must establish and submit to the competent authority for approval of the technical service priceể ||| as the basis for payment. The medical examination and treatment facility is responsible for notifying in writing the social insurance agency about the implementation of new technology, methods.

||| 9. In the case where the person holding a health insurance card is undergoing inpatient treatment at a medical examination and treatment facility but the health insurance card has expired, the health insurance fund shall pay medical examination and treatment costs within the scope and level of benefits until discharge, but not exceeding a maximum of 15 days from the date the health insurance card expires. The medical examination and treatment facility is responsible for informing the patient and the social insurance agencyFamily Planning) for consideration and resolution./.||| that signed the medical examination and treatment insurance contract with the medical examination and treatment facility so that the patient can continue to participate in health insurance, the social insurance agency shall implement the issuance or extension of the health insurance card for the patient during the treatment period at the medical examination and treatment facility.development|||development||| .

||| 10. Payment for medical examination and treatment costs for medical examination and treatment facilities organizing medical examination and treatment insurance on holidays and public holidays:

||| a) People holding a health insurance card who come for medical examination and treatment shall be paid by the health insurance fund within the scope and level of benefits of health insurance;

||| b) Medical examination and treatment facilities havetr||| the responsibility to ensure human resources, professional conditions, and publicly disclose the expenses that patients must pay outside the scope and level of benefits of health insurance;development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.||| and must notify patients in advance; notify in writing the social insurance agency to supplement the medical examination and treatment insurance contract before implementing medical examination and treatment activities on holidays and public holidays as the basis for payment.

Chapter VII

||| DIRECT PAYMENT OF MEDICAL EXAMINATION AND TREATMENT COSTS BETWEEN THE SOCIAL INSURANCE AGENCY AND HEALTH INSURANCE PARTICIPANTS

Article 28. Documents for Direct Payment Application

1. Copies of the following documents (accompanied by original documents for verification):

a) Health insurance card and personal identification document as prescribed in Clause 1, Article 15 of this Decree.

b) Discharge certificate, medical examination receipt, or medical record book of the medical examination and treatment session being claimed for payment.

2. Invoice and related supporting documents.

Article 29. Submission and Processing of Direct Payment Applications

1. The patient or their relative or legally authorized representative shall directly submit the application documents specified in Article 28 of this Decree to the social insurance agency at the district level where they reside.

2. The district-level social insurance agency shall be responsible for:

a) Receiving the patient's direct payment application documents and issuing a receipt for the documents. Incomplete applications shall be advised to provide additional information;In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:b) Within forty days from the date of receiving complete payment application documents, complete the health insurance claim review and pay the medical examination and treatment costs for the patient or their relative or legally authorized representative. If payment is not made, a written response with reasons must be provided.

nh, chtoa) The expenditure level is 10% of the health insurance revenue collected from workers on ships participating in health insurance to purchase medicine cabinets, medicines, and medical supplies for initial first aid and treatment, calculated as follows:

Article 30. Amounts for Direct Payment

1. In cases where patients seek medical examination and treatment at county-level medical facilities without a health insurance contract (except in emergency situations), payment will be made as follows:n la) For outpatient medical examinations and treatments, payment will be based on actual expenses within the scope of benefits and the health insurance coverage rate stipulated, but not exceeding 0.15 times the base salary at the time of medical examination and treatment;

b) For inpatient medical examinations and treatments, payment will be based on actual expenses within the scope of benefits and the health insurance coverage rate stipulated, but not exceeding 0.5 times the base salary at the time of discharge.

Amount extracted = 10% x (N x L x Th)ng where N is the number of workers participating in health insurance working on fishing vessels.

2. In cases where patients seek inpatient medical examinations and treatments at provincial-level medical facilities without a health insurance contract (except in emergency situations), payment will be based on actual expenses within the scope of benefits and the health insurance coverage rate stipulated, but not exceeding 1.0 times the base salary at the time of discharge.ệnh, ch, Đ3. In cases where patients seek inpatient medical examinations and treatments at central-level medical facilities without a health insurance contract (except in emergency situations), payment will be based on actual expenses within the scope of benefits and the health insurance coverage rate stipulated, but not exceeding 2.5 times the base salary at the time of discharge.

: The first person's health insurance contribution in the household as stipulated in point e, Clause 1, Article 7 of this Decree.ệ : The minimum wage at the time of contribution.policiesb) The Chairman of the Provincial People's Committee organizes the procurement and distribution of medicine cabinets, medicines, and medical supplies to distant-sea fishing boat owners. The social insurance agency transfers the amount specified in point a of this clause to the agencies or organizations assigned by the Chairman of the Provincial People's Committee to procure medicine cabinets, medicines, and medical supplies; and includes the transferred amount in the final settlement of the medical examination and treatment fund.ệnh, chữa bệnh bảo hiểm y tế (trừ within the scope and level of benefits prescribed but not exceeding 2.5 times the base salary at the timeFamily Planning) for consideration and resolution./.of discharge.điểm of medical examination and treatment.

4. In cases where patients seek medical examinations and treatments at primary healthcare facilities outside the designated initial registration as prescribed in Clause 1, Article 28 of the Health Insurance Law, the health insurance fund will pay based on actual expenses within the scope of benefits and the health insurance coverage rate stipulated, but not exceeding 0.15 times the base salary at the time of medical examination and treatment for outpatient cases and not exceeding 0.5 times the base salary at the time of discharge for inpatient cases.ần mức lương cơ sở tại thời điểm khám bệnh, chữa bệnh đNo.for outpatient medical examination and treatment cases, and a maximum not exceeding 0.5 times the minimum wage at the time of discharge for inpatient medical examination and treatment cases.

Chapter VIII

MANAGEMENT AND USE OF THE HEALTH INSURANCE FUND

Article 31. Allocation and Use of Health Insurance Fund

The total amount of health insurance contributions as stipulated in Article 7 of this Decree shall be allocated and used as follows:

1. Ninety percent (90%) shall be allocated for medical examination and treatment (hereinafter referred to as the medical examination and treatment fund) and shall be used for the following purposes:

a) To pay for expenses within the scope of benefits for insured persons as prescribed in Articles 14, 26, 27, and 30 of this Decree;Family Planning) for consideration and resolution./.as stipulated in Articles 14, 26, 27, and 30 of this Decree;

b) To retain for educational institutions or vocational training institutions, agencies, organizations, enterprises that meet the conditions as prescribed in Clause 1 of Article 34 of this Decree.

2. Ten percent (10%) of the health insurance contribution shall be allocated for the reserve fund and management costs of the health insurance fund and shall be regulated as follows:

a) The maximum level of management costs for the health insurance fund shall be five percent (5%) of the total health insurance contributions. The specific annual management cost levels and expenditure items shall be implemented according to the regulations of the Prime Minister;development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.specificallylogoannually and the content of expenditures shall be implemented in accordance with the regulations of the Prime Minister;

b) The level of reserve fund contributions shall be the remaining amount after deducting the management fund contributions as prescribed in point a of this clause, with a minimum of five percent (5%) of the total health insurance contributions.

Article 32. Management Costs of the Health Insurance Fund

1. Management costs of the health insurance fund include:

a) Operating costs of social insurance agencies at all levels;

b) Costs for tasks related to propaganda, dissemination of policies and laws; development and management of insured persons; training and professional upgrading; administrative reform; collection organization; inspection, supervision, and other costs as prescribed by laws on health insurance;

c) Costs for information technology application and investment development.

2. Specific expenditure items as prescribed in Clause 1 of this Article shall be implemented according to the regulations of the Prime Minister.

Article 33. Level of Expenditure for Medical Examination and Treatment in Primary Health Care Work

1. The amount retained for educational institutions or vocational training institutions includes:Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;a) Five percent (5%) of health insurance revenue based on the total number of children under six years old or students currently studying at educational institutions, calculated using the following formula:

Amount Retained = 5% x (N x M x L x Th)

The amount deducted = 5%x (N_{Number of children under six years old or students currently studying at educational institutions or vocational training institutions who participate in health insurance.} x M _{Health insurance premium: The basic salary applicable to children under six years old or students as prescribed in Clause 1, Article 7 of this Decree.} x L _{THE UNIT} x Th)

Where:

- N_{Number of children under six years old or students currently studying at educational institutions or vocational training institutions who participate in health insurance.}: - Th: Number of months of health insurance contributions.CLASS MONOCOTYLEDONAnnually, every three months, six months, or twelve months, the social insurance agency is responsible for transferring the amount specified in this point to educational institutions or vocational training institutions and consolidating it into the settlement of the medical examination and treatment health insurance fund.

- M_{health insurancepolicies}: b) One percent (1%) of the monthly health insurance contributions for workers at educational institutions or vocational training institutions, the social insurance agency has the responsibility to settle this expense immediately after receiving the health insurance contributions from educational institutions or vocational training institutions.

-_{THE UNIT}2. The amount retained for agencies, organizations, enterprises meeting the conditions as prescribed in Clause 1 of Article 34 of this Decree is equal to one percent (1%) of the monthly health insurance contributions for workers at agencies, organizations, enterprises. The social insurance agency is responsible for settling this expense immediately after receiving the health insurance contributions from agencies, organizations, enterprises.

3. The amount retained for people working on fishing boats operating far from shore:

a) The expenditure level is ten percent (10%) of health insurance revenue based on the number of people working on the boat participating in health insurance to purchase medicine cabinets, medicines, medical supplies for initial rescue and first aid, calculated using the following formula:

Amount Retained = 10% x (N x M x L x Th)June 2024;childrenệimmediately settle this expenditure upon receipt of the health insurance payment from the educational institution or vocational training institution.

Number of people participating in health insurance working on the fishing boat.Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;Health insurance premium: The health insurance premium for the first person in the household as prescribed in Point e, Clause 1, Article 7 of this Decree.In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:Basic salary: The basic salary at the time of payment.

b) The Chairman of the Provincial People's Committee organizes the purchase and distribution of medicine cabinets, medicines, and medical supplies to distant fishing boat owners. The social insurance agency transfers the amount specified in Point a of this Clause to the agency or organization assigned by the Chairman of the Provincial People's Committee to purchase medicine cabinets, medicines, and medical supplies; consolidates the transferred amount into the settlement of the medical examination and treatment health insurance fund.ắ4. Based on actual needs and the ability to balance the health insurance fund, the Minister of Health shall submit to the Government proposals to adjust the level of transfer of funds for medical examination and treatment in primary health care work.

a) The expenditure level equals 10% of the health insurance revenue based on the number of people working on the ship who participate in health insurance to purchase medicine cabinets, medicines, and medical supplies for emergency care, initial treatment, calculated as follows:In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:The amount deducted = 10% No. x LNo. x Th)Family Planning) for consideration and resolution./.Number of people participating in health insurance working on the fishing vessel.of the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairshealth insurance

: The health insurance contribution rate for the first person in the household as stipulated in Point e Clause 1 Article 7 of this Decree.x (N_{Number of children under six years old or students currently studying at educational institutions or vocational training institutions who participate in health insurance.}GTSS: is the state budget payment value of the investor receiving preferential treatment for comparison and ranking;_{Health insurance premium: The basic salary applicable to children under six years old or students as prescribed in Clause 1, Article 7 of this Decree.}basic salary_{: The minimum wage at the time of contribution.(i) Name, headquarters address, contact phone number of the parties signing the contract;}b) The Chairman of the Provincial People's Committee organizes the purchase and distribution to distant-sea fishing boat owners of medicine cabinets, medicines, and medical supplies. The Social Insurance Agency deducts the amount specified in Point a of this Clause for the agency or organization assigned by the Chairman of the Provincial People's Committee to purchase medicine cabinets, medicines, and medical supplies; consolidate the deducted amount into the final settlement of the medical examination and treatment fund.

Where:

- N_{Number of children under six years old or students currently studying at educational institutions or vocational training institutions who participate in health insurance.}: Provincial People's Committees set specific pricesinto the final settlement of corporate expenses;

- M_{The Standing Office of the Council for International Cooperation on Non-Governmental Organizations (Vietnam Friendship Association) is the agency responsible for receiving registration dossiers, leading, and coordinating with member agencies of the Council to examine dossiers and return results of reviews of registration dossiers of foreign non-governmental organizations in Vietnam.n le} initial settlement according to the regulations on medical treatment costs within the year. After reviewing the final settlement, the Vietnam Social Security is responsible for supplementing the entire difference in operating funds and investment from the health budget. The Ministry of Finance will coordinate with the Ministry of Health to review, consolidate, and submit financial plans to the Prime Minister as stipulated in Article 32 of the Health Insurance Law.

-_{health insurance.in}b) Direct the provincial social security agencies to lead and coordinate with the Department of Health, Department of Finance, and health examination and treatment facilities under health insurance on their respective territories, adjacent territories, and related agencies to resolve issues within their authority or recommend higher authorities to promptly consider and handle any difficulties;

3. The amount retained for people working on fishing boats operating far from shore:

village people's committees in compiling and managing lists of households participating in health insurance;developmentforms of implementing health insurance policies; forms of revenue, expenditure, management, and utilization of health insurance funds; and report to the Ministry of Health and the Ministry of Finance for consolidation as stipulated in this Decree;âe) Specify the authority to sign health insurance medical examination and treatment contracts between the Social Insurance Agency and health examination and treatment facilities ensuring compliance with the functions, tasks, powers, and organizational structure of the Vietnam Social Security;

4. Based on actual needs and the ability to balance the health insurance fund, the Minister of Health shall submit to the Government for adjustment of the amount transferred from the budget for outpatient medical examination and treatment expenses.

Article 34. Conditions, contents of expenditure, settlement, and final settlement of funds for medical examination and treatment in primary health care work

1. Educational institutions or vocational education institutions, agencies, organizations, enterprises specified in pointbClause 1, Article 31 of this Decree (excluding educational institutions or vocational education institutions, agencies, organizations, enterprises that have signed medical examination and treatment insurance contracts according to the provisions of Article 19 of this Decree) shall be allocated funds fromnational5. The list, format, explanation of content, and method for preparing accounting books are specified in Appendix No. 03 "Accounting Book System" issued along with this Circular.ồồng khangJune 2024;the health insurance fund to implement medical examination and treatment in primary health care when they meet the following conditions:ừ a) Having at least one person who meets the conditions for practicing medical examination and treatment according to the laws on medical examination and treatment working full-time or part-time in primary health care work;

b) Having a medical room or separate workspace to perform first aid and initial treatment for individuals managed by educational institutions or vocational education institutions, agencies, organizations, enterprises when they suffer from accidents, injuries, or common illnesses during their study or work at these institutions or enterprises.ầu;

a) Expenditure on purchasing medicines and medical supplies for first aid and initial treatment for children, students, employees, and other individuals managed by agencies, organizations, enterprises when they suffer from accidents or common illnesses during their study or work at educational institutions or vocational education institutions, agencies, organizations, enterprises;

2. Contents of expenditure:

b) Expenditure on purchasing, repairing ordinary medical equipment for primary health care, and filing cabinets for managing health records at educational institutions or vocational education institutions, agencies, organizations, enterprises;

c) Expenditure on office supplies for activities related to medical examination and treatment in primary health care work.3. Settlement and final settlement of funds:a) For public educational institutions or vocational education institutions implementing accounting for expenditures on medical examination and treatment in primary health care work as part of the costs of carrying out health work at the institution and settling accounts with the superior management unit according to current regulations;

b) For non-public educational institutions or vocational education institutions implementing accounting for expenditures on medical examination and treatment in primary health care work as part of the costs of the institution and settling accounts with the superior unit (if any);

c) For enterprises and economic organizations implementing separate accounting books to reflect the receipt and use of funds, not included in the final settlement of enterprise or economic organization costs;

d) For other agencies and units implementing accounting for expenditures on medical examination and treatment in primary health care work as part of the costs of carrying out health work at the agency or unit and settling accounts with the superior management agency or unit (if any) or the same-level finance agency according to current regulations.3. Settlement and final settlement of funds:4. Educational institutions or vocational education institutions, agencies, organizations, enterprises receiving funds for medical examination and treatment in primary health care work according to the provisions

of this Decree shall be responsible for using them for primary health care work and shall not use them for other purposes. Any remaining funds allocated up to the end of the year that have not been used shall be transferred to the next year for continued use without having to settle accounts with the social insurance agency.

c) For enterprises and economic organizations, they shall maintain separate accounting books to reflect the receipt and use of funds, not included in the settlement of enterprise costs., amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPforcemennationalg) By no later than January 1, 2020, the Social Insurance Agency must issue electronic health insurance cards to health insurance participants.

d) For other agencies and units, they shall account for the expenses for medical examination and treatment in primary healthcare within their health work costs and settle with the superior management agency (if any) or the same-level financial agency according to current regulations.

4. Educational institutions or vocational education institutions, agencies, organizations, and enterprises that are allocated funds for medical examination and treatment in primary healthcare under this Decree shall be responsible for using them for primary healthcare activities and may not use them for other purposes. Any remaining funds at the end of the year that have not been used can be carried over to the next year for continued use without having to settle accounts with the Social Insurance Agency.e ban đầu theo quy định tperiodi this Decree shall be responsible for using them for primary healthcare activities, not to be used for other purposes, any remaining funds at the end of the year that have not been used can be carried over to the next year for continued use, without having to settle accounts with the Social Insurance Agency.

Article 35. Management and Use of the Reserve Fund

1. Sources for forming the reserve fund:

a) The amount of money allocated annually as stipulated at point b, Clause 2, Article 3 of this Decree and point a, Clause 3, Article 35 of the Health Insurance Law;1 b) Late payments and evasions of health insurance contributions;

c) Profits from investment activities using the health insurance fund;

d) Interest on late payments and evasions of health insurance contributions.

d) Late payment interest or evading health insurance contributions.

2. Contents of using the reserve fund:

a) Supplementing medical examination and treatment costs under health insurance for provinces and cities when the revenue from health insurance dedicated to medical examinations and treatments as stipulated at Clause 1, Article 31 of this Decree is less than the expenditure on medical examinations and treatments in the year. After settlement and auditing, the Vietnam Social Security shall be responsible for supplementing the entire difference from the reserve fund.on sNo. for medical examination and treatment during the year. After reviewing and settling accounts, the Vietnam Social Security shall be responsible for supplementing the entire difference into the reserve fund.ệnh chữa bệnh trong năm. Sau khi thẩm định quyết toán, bảo hiểm xã hội Việt Nam có trách nhiệm bổ sung toàn bộ phần kinh phí chênh lệch ntohealthcare.Plan for handling assets after the expiration of the joint venture and association period gapsồn the reserve fund.

b) Refunding the state budget for duplicate health insurance card issuance costs.

3. In case the reserve fund is insufficient to supplement medical examination and treatment costs for provinces and cities as stipulated at point a, Clause 2 of this Article, the Vietnam Social Security shall report to the Management Council of the Vietnam Social Security the resolution plan before reporting to the Ministry of Health and the Ministry of Finance.tohereinafter referred to as the DecreePursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;The Ministry of Health shall take the lead and coordinate with the Ministry of Finance to submit measures to the Government to ensure sufficient and timely funding for medical examinations and treatments under health insurance as prescribed.policiesMinistry of Finance.

The Ministry of Health shall take the lead and coordinate with the Ministry of Finance to submit to the Government measures to ensure sufficient and timely funding for medical examination and treatment under health insurance as prescribed.yand investment from the idle balances of the health insurance fund. The Ministry of Finance shall take the lead and coordinate with the Ministry of Health to examine, compile, and submit to the Prime Minister for approval the financial plan.

Article 36. Financial Planning and Settlement

1. Annually, the Vietnam Social Security shall prepare financial plans regarding the collection and expenditure of the health insurance fund; management costs of the health insurance fund and investments from temporary idle funds of the health insurance fund. The Ministry of Finance shall take the lead and coordinate with the Ministry of Health to review, consolidate and submit the financial plan to the Prime Minister.development3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.và đầu tư từ sNo. tonemporarily idleThis Resolution takes effect from the date it is adopted by the National Assembly.balances of the health insurance fund. The Ministry of Finance shall take the lead and coordinate with the Ministry of Health to examine, compile, and submit to the Prime Minister for approval the financial plan.n lo hidevelopmentm y tế. Bộ Tài chính chThe Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"trì, phối hợp với Bộ Y tế xem xét, tổng hợp trình Thủ tướng Chính phủ giao kế hoạch tài chính.

2. Annually, before October 1st, the Vietnam Social Security shall be responsible for compiling and preparing the annual settlement report of the health insurance fund as stipulated at Article 32 of the Health Insurance Law.Family Planning) for consideration and resolution./.as stipulated in Article 32 of the Health Insurance Law.b) ADDING CLAUSES 10 AND 11 TO ARTICLE 2 AS FOLLOWS:quy định tại Điều 32 của Luật bảo hiểm y tế.

Chapter IX

APPLICATION OF INFORMATION TECHNOLOGY IN THE MANAGEMENT OF MEDICAL EXAMINATIONS AND TREATMENTS UNDER HEALTH INSURANCE

Article 37. Principles for Applying Information Technology in Medical Examinations and Treatments Under Health Insurance

1. Adhering to laws on information technology application; laws on medical examinations and treatments under health insurance; laws on protecting state secrets and related secrets; laws on electronic transactions, storage, and information security.policies; laws on state secrets protection and related secrets; provisions of laws on electronic transactions, record keeping, and information security.

2. Adhering to technical standards and specifications to ensure compatibility, smoothness, and security, facilitating electronic transactions between healthcare facilities and the Ministry of Health and the social insurance agency.developmentsocial security.

3. Ensuring confidentiality and privacy of data and information on medical examinations and treatments of health insurance participants.

4. Ensure technical infrastructure, network connections, software, and human resources to meet the requirements for managing medical examination and treatment and appraisal, reimbursement of medical examination and treatment costs under health insurance.

4. Ensuring technical infrastructure, transmission lines, software, and human resources to meet the needs of managing medical examinations and treatments and appraising and settling medical examination and treatment costs under health insurance.

Article 38. Content and Funding for Implementing Information Technology Applications in Managing Medical Examinations and Treatments Under Health Insurance

a)ứ1. Content of information technology applications, including:

b)ứInformation technology applications serving medical examination and treatment work at healthcare facilities;

c)ứInformation technology applications serving health insurance fund management work;

d)ứInformation technology applications serving state management work on health insurance;

Other information technology applications serving medical examination and treatment management work under health insurance.

Chapter X

IMPLEMENTING PROVISIONS

Article 39. Transitional Provisions

1. Individuals who join health insurance before this Decree takes effect but are discharged from hospital after it takes effect shall be reimbursed by the health insurance fund within the scope and level of benefits as prescribed by the Health Insurance Law and Article 14 of this Decree.

2. Funding for implementing information technology applications in managing medical examinations and treatments under health insurance shall be carried out according to the provisions of laws on information technology application.national1. Health insurance participants admitted to hospitals before this Decree takes effect but discharged after it takes effect shall be reimbursed by the health insurance fund within the scope and level of benefits as prescribed by the Health Insurance Law and Article 14 of this Decree.Family Planning) for consideration and resolution./.signed before this Decree takes effect shall continue to be implemented until December 31, 2018.

2. Medical examination and treatment contracts under health insurance signed before this Decree takes effect shall continue to be implemented until December 31, 2018.

4. For the settlement of the health insurance fund for the years 2017 and 2018, apply the provisions of Government Decree No. 105/2014/ND-CP dated November 15, 2014, detailing and guiding the implementation of certain articles of the Health Insurance Law and related guiding documents.

3. The content of expenditures, management, and settlement of medical examination and treatment costs in primary healthcare services in 2018 at educational institutions, vocational training institutions, agencies, organizations, and enterprises that have already implemented them shall continue to be implemented until December 31, 2018.

Article 40. Reference Provisions

In cases where the referenced documents in this Decree are replaced or amended, they shall be implemented according to the replacement document or the document that has been amended and supplemented.

Article 41. Effective Date

1. This Decree takes effect from December 1, 2018.

2. The following documents cease to be effective from the date this Decree takes effect:

a) Decree No. 105/2014/NĐ-CP dated November 15, 2014 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law;In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:except for the provisions at Point b Clause 1 Article 6 and Article 8 which continue to be implemented until December 31, 2018;

b) Circular Joint No. 41/2014/TTLT-BYT-BTC dated November 24, 2014 of the Ministry of Health and the Ministry of Finance guiding the implementation of health insurance; except for the provisions at Article 11, Clause 2 Article 17, and Article 18 which continue to be implemented until December 31, 2018;to the reportingc) Circular Joint No. 16/2015/TTLT-BYT-BTC dated July 2, 2015 of the Ministry of Health and the Ministry of Finance amending Clause 5 Article 13 of Circular Joint No. 41/2014/TTLT-BYT-BTC dated November 24, 2014 guiding the implementation of health insurance;

d) Article 8 and Clause 2 Article 9 of Decree No. 151/2016/NĐ-CP dated November 11, 2016 detailing and guiding the implementation of certain provisions regarding the regime and policies of the Law on Professional Military Personnel, Workers, and Civil Servants of National Defense;

đ) Clause 6 Article 11, Point c Clause 1 and Clause 2 Article 12 of Circular No. 40/2015/TT-BYT dated November 16, 2015 of the Ministry of Health on registering for initial medical examination and treatment under health insurance and transferring for medical examination and treatment under health insurance;

đ) Clause 6, Article 11, point c, Clause 1 and Clause 2, Article 12 of Circular No. 40/2015/TT-BYT dated November 16, 2015 of the Ministry of Health on registration for initial medical examination and treatment under health insurance and referral for medical examination and treatment under health insurance.abệnh bảo hiểm y tế.

Article 42. Responsibilities for Guidance on Implementation

1. The Ministry of Health shall be responsible for:

a) Guide the implementation of the articles and clauses assigned in this Decree;

b) Take the lead and coordinate with relevant ministries and agencies to inspect the implementation of policies and laws on health insurance;

c) Guide the assessment of conditions for signing contracts for initial medical examination and treatment with healthcare facilities providing health insurance services;development3. The following individuals may participate in health insurance under household registration:policies;

d) Issue a unified code directory for nationwide use, including: Medical technical services, new drugs, traditional medicine, medical supplies,In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:ical information system of the Ministry of Health and the appraisal information system of the Vietnam Social Security to serve health insurance management and appraisal,118/2025/NĐ-CP dated June 09, 2025 of the Government on implementing administrative procedures under the one-stop shop mechanism at the One-Stop Service Center and the National Public Service Portal;equipment, blood and blood products, traditional Chinese medicine diseases, disease diagnosis codes according to international classification (ICD), healthcare facility codes, and other directories meeting management requirements;policiesđ) Direct healthcare facilities to strengthen the application of information technology in medical examination and treatment; update timely, accurately, and sufficiently information on health insurance medical examination and treatment and transfer data to the national system for receiving health insurance medical examination and treatment data of the Ministry of Health and the information verification system of the Vietnam Social Security to serve health insurance management and verification, payment of medical examination and treatment costs under health insurance;

e) Specify the specific content of the application of information technology in medical examination and treatment under health insurance;ầg) Specify the roadmap for implementing the interconnection of data on test results, diagnostic imaging, patient treatment information with health insurance cards;Article 4. Agencies and units with headquarters outside the reception locations specified in Clauses 2 and 3 of this Article shall proactively arrange a reception room suitable for the nature and activities of their unit.h) Take the lead and coordinate with the Ministry of Finance and the Vietnam Social Security to build reports to the Government for submission to the National Assembly on the situation of implementing health insurance regimes and policies, including the management and use of the health insurance fund on an urgent, periodic, or annual basis;In which, the adjustment rate for the monthly income already contributed to social insurance for the corresponding year shall be implemented according to Table 2 below: Table 2:payment of medical examination and treatment costs under health insurance;councillORSb) Guide the compilation of lists of subjects as prescribed in Clauses 3, 5, point a, Clause 9, 11, 12, 16, and 17, Article 3, Clauses 1, 2, and 4, Article 4 of this Decree.

3. The Ministry of National Defense and the Ministry of Public Security are responsible for guiding the implementation of health insurance for subjects within their respective areas of management as stipulated in Clause 1 Article 1; Clause 13 and 15 Article 3; Clause 3 Article 4 and Article 6 of this Decree.

4. The Ministry of Labor, Invalids and Social Affairs is responsible for:policies;

a) Studying and building criteria for determining households engaged in agriculture, forestry, fisheries, and salt production with a moderate standard of living suitable for each period's economic and social conditions, to submit to the Prime Minister for issuance;ìb) Guiding the establishment of lists of subjects as stipulated in Clauses 3 and 5, Point a Clause 9, Clauses 11, 12, 16, and 17 Article 3, Clauses 1, 2, and 4 Article 4 of this Decree.

2. The Ministry of Finance shall be responsible for:

5. Vietnam Social Security:

a) Directing social security agencies at all levels to sign contracts with healthcare facilities that meet the conditions stipulated in this Decree;

b) Directing provincial and municipal social security agencies to take the lead and coordinate with the Department of Health, the Department of Finance, and healthcare facilities providing health insurance services in their respective areas, border areas, and related agencies to resolve issues within their authority or propose higher authorities to consider and handle promptly any arising issues;ìc) Directing social security agencies at all levels to provide forms and guidance to commune people's committees in establishing and managing health insurance participation lists by household;

d) Improving the information technology system to ensure timely receipt, verification, and feedback to healthcare facilities about health insurance medical examination and treatment data; ensuring accuracy, safety, confidentiality of information, and the rights of all parties involved;

đ) Summarizing and reporting regularly, annually, or reporting urgently as required by state management agencies on the implementation of health insurance regimes and policies; the collection, expenditure, management, and use of the health insurance fund, and sending them to the Ministry of Health and the Ministry of Finance for consolidation as stipulated in this Decree;2. Carry out state management functions over cooperatives and cooperative unions within their assigned tasks and powerse) Specifying the authority to sign health insurance medical examination and treatment contracts between social security agencies and healthcare facilities in accordance with the functions, tasks, powers, and organizational structure of the Vietnam Social Security;

g) By January 1, 2020 at the latest, social security agencies must issue electronic health insurance cards for health insurance participants.

5. Vietnam Social Security:

a) Direct the social insurance agencies at all levels to enter into contracts with medical examination and treatment facilities meeting the conditions as prescribed in this Decree;

b) Direct the social insurance agencies of provinces and cities to take the lead and coordinate with the Department of Health, the Department of Finance, and health insurance medical examination and treatment facilities in the area, border areas, and relevant agencies to resolve issues within their authority or propose to higher authorities for consideration and prompt handling of arising problems.

b) Chỉ đạo bảo hiểm xã hội các tỉnh, thành phố chủ trì phối hợp với Sở Y tế, Sở Tài chính và các cơ sở khám bệnh, chữa bệnh bảo hiểm y tế trên địa bàn, địa bàn giáp ranh và các cơ quan liên quan giải quyết theo thẩm quyền hoặc kiến nghị cấp có thẩm quyền xem xét, xử lý kịp thời các vướng mắc) Direct the social insurance agencies at all levels to provide forms and guidance to the People's Committees at the commune level in compiling and managing the list of household-based health insurance participants;

d) Improve the information technology system to promptly receive, appraise, and feedback data on health insurance medical examinations and treatments to medical examination and treatment facilities, ensuring accuracy, security, confidentiality of information, and the rights of all parties involved;DEPARTMENT OF PLANNING AND INVESTMENTban nhân dân cấp xã trong việc lập danh sách, quản lý danh sách tham gia bảo hiểm y tế theo hộ gia đình;

e) Summarize and report periodically, annually, or ad hoc as required by the competent state management agency on the implementation of health insurance policies and systems; the collection, expenditure, management, and use of the health insurance fund, and send them to the Ministry of Health and the Ministry of Finance for consolidation as prescribed in this Decree;ệof discharge.12. Leather shoesf) Prescribe the authority to sign health insurance medical examination and treatment contracts between social insurance agencies and medical examination and treatment facilities in accordance with the functions, tasks, powers, and organizational structure of the Vietnam Social Security;

g) By January 1, 2020 at the latest, the social insurance agency must issue electronic health insurance cards for health insurance participants.ình hình thực hiện chế độ, chính sách bảo hiểm y tế; tình hình thu, chi, quản lý và sử dụng quỹ bảo hidevelopment3. The following individuals may participate in health insurance under household registration:Family Planning) for consideration and resolution./.và gửi Bộ Y tế, Bộ Tài chính để tổng hợp theo quy định tại Nghị định này;

e) Quy định thẩm quyền ký hợp đồng khám bệnh, chữa bệnh bảo hiểm y tế của cơ quan bảo hiểm xã hội với cơ sở khám bệnh, chữa bệnh bảo đảm phurinary catheterIn the course of implementation, if there are difficulties or obstacles, please reflect them to the Ministry of Health for consideration and resolution./.nationalp chức namendng, nhiệm vụ, quyền hạn và cơ cấu tổ chức của Bảo hiểm Xã hội Việt Nam;

g) Chậm nhất đến ngày 01 tháng 01 năm 2020, cơ quan bảo hiểm xã hội phải thực hiện phát hành thẻ bảo hiểm y tế điện tử cho người tham gia bảo hiểm y tế.

6. The People's Committee of the province or centrally governed city shall be responsible for submitting to the People's Council at the same level to ensure funding for health insurance contributionsFamily Planning) for consideration and resolution./.for the subjects for whom the State budget pays or subsidizes health insurance contributions in accordance with current regulations.

Article 43. Responsibility for Implementation

Ministers, heads of ministerial-level agencies, heads of government-affiliated agencies, Chairpersons of provincial and municipal People's Committees directly under the Central Government are responsible for implementing this Decree./.