Circular No. 37/2018/TT-BYT stipulates the maximum ceiling price for medical services not covered by the Health Insurance Fund in state-run medical facilities and provides guidance on applying prices and settling costs for medical services in certain cases.

CIRCULAR

REGULATIONS ON THE MAXIMUM FRAMEWORK PRICES FOR HEALTH SERVICES THAT ARE OUTSIDE THE SCOPE OF PAYMENT BY THE HEALTH INSURANCE FUND IN STATE HEALTH CARE FACILITIES AND GUIDELINES FOR APPLYING PRICES AND PAYING COSTS FOR HEALTH SERVICES IN CERTAIN CASES

Pursuant to the Law on Medical Examination and Treatment dated November 23, 2009;

Pursuant to the Price Law dated June 20, 2012;

On the basis of the Ordinance on Implementation of Democracy in Communes, Wards, and Towns dated April 20, 2007;

Pursuant to Decree No. 85/2012/NĐ-CP dated October 15, 2012 of the Government on the operational mechanism and financial mechanism for public health service units and prices for health services provided by state-owned healthcare facilities;

Pursuant to Decree No. 16/2015/NĐ-CP dated February 14, 2015 of the Government stipulating the self-management mechanism of public service units;

Pursuant to Decree No. 177/2013/ND-CP dated November 14, 2013 of the Government detailing and guiding the implementation of certain provisions of the Law on Prices;

Pursuant to Decree No. 149/2016/NĐ-CP dated November 11, 2016 of the Government amending and supplementing certain articles of Decree No. 177/2013/NĐ-CP dated November 14, 2013 of the Government detailing and guiding the implementation of certain provisions of the Law on Prices;

Pursuant to the Government's Decree No. 75/2017/NĐ-CP dated June 20, 2017 stipulating the functions, tasks, powers, and organizational structure of the Ministry of Health;

Pursuant to Decree No. 72/2018/NĐ-CP dated May 15, 2018 of the Government on the basic salary for civil servants, public officials, and members of the armed forces;

Pursuant to Resolution No. 140/NQ-CP dated November 9, 2018 of the Government on the regular meeting of the Government in October 2018;

Based on the opinions of the Ministry of Finance in Circular No. 14818/BTC-QLG dated November 27, 2018;

The Minister of Health issues this Circular stipulating the maximum framework prices for health services that are outside the scope of payment by the Health Insurance Fund in state healthcare facilities and guidelines for applying prices and paying costs for health services in certain cases.

Article 1. Scope of Regulation and Applicability

2. Applicability:

This Circular stipulates the maximum framework prices for health services that are outside the scope of payment by the Health Insurance Fund in state healthcare facilities and guidelines for applying prices and paying costs for health services in certain cases.

第二条 组织和实施奖励工作的支出水平，如政府第152/2025/NĐ-CP号决定关于分级授权和奖励领域的分权规定

State healthcare facilities; patients who have not joined the health insurance program; patients with health insurance cards but who seek medical treatment or use health services that are not within the scope of payment by the Health Insurance Fund; other relevant agencies, organizations, and individuals.

3. Patients with health insurance cards seeking medical treatment according to the laws on health insurance shall be reimbursed by the health insurance fund for medical expenses according to regulations.

4. This Circular does not apply to health services in the following cases:

a) Units contributing capital, raising funds, engaging in joint ventures, or partnerships in accordance with Article 6 of Decree No. 85/2012/NĐ-CP dated October 12, 2012 of the Government on the operational mechanism and financial mechanism for public health service units and prices for health services provided by state-owned healthcare facilities, and implementing service prices based on the principle of ensuring sufficient cost recovery and accumulation;

b) Healthcare facilities operating under a business model funded by loans from public service units for investment and joint investment in accordance with Resolution No. 93/NQ-CP dated December 15, 2014 of the Government on certain mechanisms and policies for developing healthcare;

c) Health care facilities invested in under a public-private partnership model as prescribed by the Government's regulations on public-private partnerships.

Article 2. Maximum price range for medical examination and treatment services

The maximum price range for medical examination and treatment services includes:

1. The maximum framework price for outpatient services and health check-ups as specified in Appendix I attached to this Circular;

2. The maximum framework price for daily bed charges as specified in Appendix II attached to this Circular;

3. The maximum framework price for technical services and laboratory tests as specified in Appendix III attached to this Circular.

4. Supplemental notes for some technical services that have been classified equivalently by the Ministry of Health as set out in Appendix IV attached to this Circular.

Article 3. Structure of medical examination and treatment service prices

The maximum prices for health services stipulated in this Circular are established based on direct costs and salaries to ensure outpatient care, patient care, and treatment, and the provision of medical technical services; specifically as follows:

1. Direct costs included in the medical examination price

a) Costs for clothing, hats, masks, sheets, pillows, mattresses, mats, office supplies, gloves, cotton, bandages, alcohol, gauze, saline solution, and other consumables used in diagnostic activities;

b) Costs related to electricity, water, fuel, waste management (solid and liquid), laundry, sterilization of textiles and examination tools, hygiene and environmental sanitation costs, disinfectants, and anti-infection chemicals during medical examinations;

c) Maintenance and repair costs for buildings, equipment, procurement and replacement of assets, tools, and devices such as air conditioners, computers, printers, dehumidifiers, fans, tables, chairs, beds, cabinets, lighting fixtures, and other necessary tools and equipment during medical examinations;

2. Direct costs included in the medical examination bed-day service price

a) Costs related to clothing, hats, masks, blankets, sheets, pillows, mattresses, mosquito nets, office supplies, gloves used during examinations, injections, and infusions, cotton, bandages, alcohol, gauze, saline solution, and other consumables used daily for patient care and treatment (including costs for changing dressings for inpatients, except in cases covered by the bed charge prices specified in Clauses 4 and 5 of Article 7 of this Circular); electrodes, ECG cables, blood pressure cuffs, SpO2 cables used during patient monitoring in intensive care beds;

For drug, blood, infusion fluid, and certain medical supplies (excluding those mentioned above); syringes, needles, lancets used for injections and infusions; infusion sets, connectors, infusion pump cables, infusion machines used during injections and infusions; oxygen, oxygen tubing, oxygen masks (except in cases where patients are prescribed mechanical ventilation services) are not included in the bed charge structure and will be reimbursed according to actual usage for patients;

b) Costs as stipulated in Point b and Point c, Clause 1 of this Article serving patient care and treatment according to professional requirements.

3. Direct costs included in the medical technical service price

a) Costs related to clothing, hats, masks, sheets, pillows, mattresses, mosquito nets, textiles; office supplies; drugs, infusion fluids, chemicals, consumables, and replacement materials used during the provision of medical services and techniques;

b) Costs as stipulated in Point b and Point c, Clause 1 of this Article serving the provision of medical technical services according to professional requirements.

4. Salary costs included in the medical examination, bed-day, and medical technical service prices, including:

a) Salaries, rank-based allowances, contributions according to regulations set by the State for public service units, and the basic salary level as stipulated in Decree No. 72/2018/NĐ-CP dated May 15, 2018 of the Government on the basic salary level for civil servants, public officials, employees, and military personnel;

b) Overtime allowances, surgical and procedural allowances pursuant to Decision No. 73/2011/QĐ-TTg dated December 28, 2011 of the Prime Minister on certain special allowances for civil servants, public officials, and workers in public healthcare facilities and allowances for epidemic prevention;

5. Salary costs in the service prices stipulated in Clause 4 of this Article do not include expenses covered by the state budget as stipulated in the following documents:

a) Decree No. 64/2009/ND-CP dated July 30, 2009 of the Government on policies for medical staff working in areas with extremely difficult economic and social conditions;

b) Decree No. 116/2010/NĐ-CP dated December 24, 2010 of the Government on policies for cadres, civil servants, employees, and those receiving salaries working in areas with extremely difficult socio-economic conditions.

c) Decision No. 46/2009/QĐ-TTg dated March 31, 2009 of the Government Chairman on special allowances for officials and staff working at Hanoi Friendship Hospital, Thong Nhat Hospital, Da Nang C Hospital under the Ministry of Health, Central Preventive Medical Departments 1, 2, 2B, 3 and 5, Department A11 of Military Central Hospital 108 and Department A11 of Military Central Institute of Oriental Medicine (hereinafter referred to as Decision No. 46/2009/QĐ-TTg) and Decision No. 20/2015/QĐ-TTg dated June 18, 2015 of the Government Chairman on amending and supplementing certain articles of Decision No. 46/2009/QĐ-TTg;

d) Point a Clause 8 Article 6 Decree No. 204/2004/NĐ-CP dated December 14, 2004 of the Government on salary system for civil servants, public officials, and armed forces personnel and Decree No. 76/2009/NĐ-CP dated September 15, 2009 of the Government on amending and supplementing certain articles of Decree No. 204/2004/NĐ-CP dated December 14, 2004 of the Government on salary system for civil servants, public officials, and armed forces personnel.

Article 4. Principles and Authority to Determine Service Fees for Medical Examination and Treatment

1. The competent authority specified in Clause 2 and Clause 3 of this Article shall decide specific prices for medical examination and treatment services provided by medical facilities under its management, which shall not exceed the maximum price range set forth in this Circular.

2. The Provincial People's Council shall decide specific prices for medical examination and treatment services provided at medical facilities under local management and shall decide specific prices or apply service prices for certain cases according to the following principles:

a) Hospitals with beds, provincial health centers with functions of medical examination and treatment; district health centers performing both preventive and curative functions that have been ranked: apply the price level of equivalent-grade hospitals;

b) Healthcare facilities that have not been classified: apply the service fee rate of Grade IV hospitals;

c) For multi-disciplinary clinics in areas:

- In case they are granted a hospital operation permit or fall within the provisions of Clause 12 Article 11 of Decree No. 155/2018/NĐ-CP dated November 12, 2018 of the Government amending and supplementing certain regulations related to investment conditions under the management of the Ministry of Health: apply the price level of Grade IV hospitals;

- In case they only perform emergency care, outpatient medical examination and treatment: apply the price level of Grade IV hospitals. For cases where the Department of Health decides to allow bed retention: apply a price equal to 50% of the daily ward fee for internal medicine type 3 beds of Grade IV hospitals. The maximum number of days to be reimbursed is three days per person per treatment session. No outpatient examination fees will be reimbursed if bed retention fees have already been paid.

d) Commune Health Stations, Ward Health Stations, Town Health Stations

- Medical examination service fee rate: apply the service fee rate of commune health stations. Technical service fee rates equal 70% of the technical service fee rates listed in Appendix III;

- For commune health stations decided by the Department of Health to retain beds: apply a service fee rate equal to 50% of the daily ward fee for Grade III internal medicine wards of Grade IV hospitals.

3. The Minister of Health shall decide specific prices for medical examination and treatment services provided at medical facilities directly under the Ministry of Health and special-grade and Grade I hospitals under central ministries and agencies. For other healthcare facilities under central ministries and agencies, the pricing of medical examination and treatment services shall be as follows:

a) For health stations of organizations, units, military-civilian health stations, military-civilian medical clinics: apply the service fee rate for medical examination and treatment prescribed for commune, ward, town health stations of the locality.

b) For military-civilian health posts: apply the service fee rate for medical examination and treatment prescribed for multi-disciplinary clinics in areas of the locality.

c) For Grade II, III, IV hospitals (including military-civilian hospitals): apply the service fee rate for healthcare facilities of the same grade in the locality.

d) For other remaining healthcare facilities: apply the service fee rate for Grade IV healthcare facilities in the locality.

4. In case medical facilities under central ministries and agencies provide technical services not included in the local medical examination and treatment service pricing regulations, such facilities must develop a pricing plan and report it to the Ministry of Health for review and decision.

5. For new technical services as stipulated in Clause 1 and Clause 2 Article 69 of the Law on Medical Examination and Treatment and other remaining technical services (excluding those already classified by the Ministry of Health regarding technical equivalence and implementation costs) without maximum price ranges:

a) Healthcare facilities shall develop and propose service fee rates to the competent authority specified in Article 4 of this Circular for temporary determination of service fee rates;

b) Every six months (on June 30 and December 31 each year), units and localities must compile reports to submit to the Ministry of Health for consideration and supplementary regulation of maximum price ranges after obtaining the unified opinion of the Ministry of Finance.

c) Procedures and documentation for pricing plans shall comply with laws on pricing.

Article 5. Guidance on Implementing Examination Fees

The number of times and examination fees in certain cases are determined as follows:

1. In case a patient visits the outpatient department for medical examination and is subsequently admitted for inpatient treatment based on professional requirements, the payment for outpatient examination shall be implemented according to the provisions of Clause 2 of this Article. If the patient does not register for outpatient examination but visits and is admitted for inpatient treatment in clinical departments based on professional requirements, no payment for outpatient examination shall be made.

2. Medical facilities that organize specialized clinics within clinical departments, where patients register for outpatient examination at the outpatient department and then undergo examination at specialized clinics within clinical departments, shall be considered as undergoing outpatient examination at the outpatient department. The calculation of costs and number of examinations in this case shall be carried out according to the guidelines in Clause 3 of this Article.

3. In the same visit to the outpatient department at the same healthcare facility (which may occur on the same day or due to objective conditions or professional requirements, the examination process cannot be completed on the first day and must continue on subsequent days), if a patient needs to see additional specialties after seeing one specialty, from the second visit onwards, only 30% of the price of one outpatient examination shall be charged, and the maximum reimbursement for outpatient examination costs shall not exceed twice the price of one outpatient examination.

4. A patient who visits a healthcare facility, has been examined and prescribed medication for home treatment, but later returns to the healthcare facility on the same day due to abnormal symptoms and continues to be examined, shall be considered as the second or subsequent visit on the same day. Payment shall be made according to the guidelines in Clause 3 of this Article.

Article 6. Determination of Number of Hospitalization Days and Application of Daily Bed Rates

1. Determining the number of inpatient treatment bed days for payment of hospitalization fees:

a) The number of inpatient days equals the discharge date minus (-) the admission date plus (+) 1: applicable in the following cases:

- In the case where a seriously ill patient undergoing inpatient treatment has not improved, died, or worsened, but the family requests discharge or transfer to a higher-level facility;

- In the case where a patient who has been treated at a higher-level facility through emergency care still requires continued inpatient treatment and is transferred back to a lower-level facility or to another medical facility;

b) The number of inpatient days equals the discharge date minus (-) the admission date: applicable in the remaining cases.

c) Specifically, in cases where a patient is admitted and discharged on the same day (or admitted the previous day and discharged the next day) with a treatment duration of more than four hours but less than twenty-four hours, it shall be counted as one inpatient day. In cases where a patient is admitted to the emergency department without going through the outpatient department, and the emergency treatment time is four hours or less (including cases of discharge, admission, transfer, or death), the cost of outpatient examination, medication, medical supplies, and technical services shall be reimbursed, but not the cost of intensive care unit bed days.

d) In case a patient is admitted to and discharged from the hospital on the same day with a treatment time of four hours or less, they shall be reimbursed for the examination fee, medication costs, medical supplies, and technical services used, but not for the inpatient bed fee.

2. If a patient transfers between two departments on the same day, each department shall only be counted as half a day. If a patient transfers among three or more departments on the same day, the bed fee for that day shall be calculated based on the average of the highest and lowest bed fees at departments where the patient stayed for more than four hours.

3. The postoperative intensive care bed fee for surgical and burn cases shall apply for a maximum of ten days following surgery. From the eleventh day onwards, the inpatient bed fee according to the corresponding departments as specified in Section 3 of Appendix II attached hereto shall apply.

4. The bed fee is calculated for one person per bed. If two people share one bed simultaneously, only half the bed fee shall be reimbursed; if three or more people share one bed, only one-third of the bed fee shall be reimbursed.

5. The daily bed rate for Intensive Care Unit (ICU) treatment can only be applied in the following cases:

a) For special-class, Class I, or Class II hospitals that have established Intensive Care Units (ICUs), Poison Control Departments, ICU-Poison Control Departments, and these departments meet all conditions for operation as stipulated in Decision No. 01/2008/QD-BYT dated January 21, 2008, issued by the Minister of Health regarding emergency care, intensive care, and poison control (hereinafter referred to as Decision No. 01/2008/QD-BYT).

b) In cases where healthcare facilities have not established ICUs but have beds in the Emergency Department or Anesthesia Recovery Department used for intensive care; postoperative beds for special surgeries that meet the requirements for ICU beds as stipulated in Decision No. 01/2008/QD-BYT.

c) Patients lying in these beds must be cared for, treated, and monitored according to the emergency care, intensive care, and poison control regulations. Other cases shall only be charged the ICU emergency bed fee and other bed fees as specified in Appendix II attached hereto.

6. For clinical departments with ICU beds (for example, pediatric departments with pediatric ICU beds, neonatal or specialized care departments for premature infants): the ICU bed fee as specified in service number 2 of Appendix II attached hereto shall apply.

7. For Class III, Class IV hospitals, or unranked hospitals approved by competent authorities to perform special surgeries: the highest surgical bed fee of the hospital providing the service shall apply.

Example: At Hospital A, which has been approved to perform special surgeries: If the hospital is ranked Class III, it shall apply the postoperative surgical bed fee of Class III for special surgery type I; if the hospital is ranked Class IV or unranked, it shall apply the postoperative surgical bed fee of Class IV for special surgery type I.

8. In cases where a surgery is classified differently across various specialties (excluding pediatrics) as stipulated in Circular No. 50/2014/TT-BYT dated December 26, 2014, issued by the Minister of Health regarding surgery classification, procedures, and staffing levels for each surgery (hereinafter referred to as Circular No. 50): the surgical bed fee for burns shall apply based on the lowest surgery classification.

9. For surgeries classified by the Ministry of Health as equivalent to those specified in this Circular but classified differently across specialties as stipulated in Circular No. 50: the surgical bed fee for burns shall apply based on the classification of the surgery as specified in Circular No. 50.

10. For surgeries not classified according to the provisions of Circular No. 50, the price level for surgical ward bed day type 4 corresponding to the hospital category shall be applied.

11. For Class I Traditional Medicine Hospitals under the Ministry of Health: the bed fee shall apply according to the corresponding departments of Class I hospitals, without applying the fees of specialized hospitals under the Ministry of Health in Hanoi and Ho Chi Minh City.

12. For departments within Traditional Medicine Hospitals (excluding those specified in Clause 11 of this Article) and rehabilitation hospitals:

a) Intensive Care Unit (ICU) beds: as provided for in Clause 5 of this Article;

b) Emergency ICU Bed: as stipulated in Clause 6 of this Article;

c) Patients treated in oncology and pediatric departments: the price for internal ward bed day type 1 shall be applied;

d) Patients treated for spinal cord injury, cerebrovascular accident, or brain trauma: the price for internal ward bed day type 2 shall be applied;

đ) Patients treated in other departments: the price for internal ward bed day type 3 shall be applied.

13. For healthcare facilities organizing departments in a multi-specialty format: the price for internal ward bed day of the lowest specialty among the corresponding departments shall be applied according to the hospital category.

14. In cases where patients lie on stretchers or foldable beds: the price shall be applied at 50% of the ward bed day price for the respective specialty as stipulated in Appendix II attached to this Circular.

Article 7. Guidelines for Implementing Technical Service Prices and Laboratory Tests

1. Medical technical services shall be implemented in the following order:

a) For specific services already defined with prices in the appendices issued along with this Circular: apply the defined prices.

b) Technical services not defined in the appendices attached hereto but classified equivalently in terms of technology and cost: shall apply the fees of services classified equivalently by the Ministry of Health in terms of technology and cost.

c) In cases where there is overlap between different specialties, the technical service performed in a particular specialty shall be applied at the price of the technical service in that specialty.

2. For technical services approved by competent authorities (central ministries and agencies for units under central management, provincial health departments for units under local management) in the technical service directory (excluding care services already included in the daily bed fee, and services that are part of another service's cost): if the technical service was prescribed but could not be performed due to the patient's condition or disease progression: reimbursement shall be made based on the actual quantity of drugs and supplies used and their purchase price as regulated by law.

3. In cases where multiple interventions are performed during a single surgery: reimbursement shall be based on the most complex surgery with the highest fee; other technical services arising outside the surgical procedure shall be reimbursed as follows:

a) At 50% of the price of additional surgeries if the same surgical team performs them;

b) At 80% of the price of additional surgeries if a different surgical team is required;

c) In cases where the additional service is a procedure, reimbursement shall be made at 80% of the price of the additional service.

4. For the service "Changing dressings for wounds or incisions up to 15 cm long": it shall only apply to inpatients in the following cases: infected wounds or incisions; wounds with fluid or blood leakage in skin abrasions or open wounds larger than 6 cm; wounds with gauze packing; leg wounds with excessive drainage; multiple wounds or incisions; or after a surgery requiring two or more incisions; it shall not apply to changing dressings in the following cases: laparoscopic surgery, routine wound dressing changes, umbilical cord dressing changes for newborns.²; the wound has been packed with gauze; the drainage from the wound on the limb is excessive; multiple wounds or surgical incisions; or after surgery but requires two incisions or more; this does not apply to changing dressings in the following cases: laparoscopic surgery, changing dressings for surgical incisions, routine wounds, and changing newborn umbilical cord dressings.

5. For the service "Changing bandages for incisions longer than 15 cm to 30 cm" in inpatient treatment, it shall only be applied in the following cases:

a) Infected incisions, gastrointestinal fistulas, bile fistulas, urinary fistulas;

b) Incisions after contaminated surgery (peritonitis or osteomyelitis or abscess), incisions after digestive tract, urinary system, bile duct, or abdominal ascites surgery;

c) Incisions after surgery requiring two or more incisions;

d) In cases of cesarean section surgery: apply this price but not more than three times.

6. For indirect Coombs test at 37°C using anti-human globulin serum in blood transfusion: Pay according to the price of the "Compatibility reaction with human antibody" service with code number 1340 or 1341 in Appendix III.

Article 8. Implementation organization

1. The budget shall ensure funding according to the current budget allocation level for:

a) Expenses as prescribed in the documents mentioned in Clause 5, Article 3 of this Circular;

b) State budget funds to implement salary reform policies as currently prescribed by the Government regarding the basic salary for officials, civil servants, employees, and armed forces personnel.

c) In cases where the financial resources of the unit do not ensure regular operations, the unit is classified by the competent authority as a public service organization self-financing part of its regular expenses or a public service organization fully funded by the state for regular expenses.

2. Responsibilities of the Ministry of Health:

a) Assign the Planning and Finance Department to take the lead, coordinate with relevant units to organize the implementation, inspection, interim review, and final assessment of this Circular nationwide;

b) Coordinate with the Ministry of Finance to review and adjust the maximum price range of medical examination and treatment services specified in the appendices issued together with this Circular when supplementing factors forming prices according to the schedule, adjusting economic and technical norms or changes in costs of factors forming prices.

3. Responsibilities of the Health Departments:

b) Take the lead and coordinate with the Department of Finance to report to the People's Committee of the province to submit to the People's Council of the province for consideration and decision on the service fee and implementation time for medical examination and treatment facilities under local management.

b) Chair and coordinate with relevant units to organize the implementation, inspection, supervision, interim review, and final assessment of this Circular within their jurisdictional area.

c) Direct healthcare facilities under local management to strictly implement professional regulations and comprehensively apply measures to improve service quality.

d) Report to the competent authority to allocate hospital beds and decide on the number of staff for medical facilities under local management so that these facilities have sufficient beds and personnel to meet needs and improve the quality of medical examination and treatment services for the people.

4. Responsibilities of healthcare facilities:

a) Must use funds equivalent to the maintenance and repair costs of equipment, replacement tools and accessories already structured within the medical examination and treatment service price, daily hospital bed rate (for special class, class I, and class II hospitals equivalent to 5% of the price, for class III and class IV hospitals and ungraded hospitals equivalent to 3% of the price) to repair, upgrade, and expand the outpatient area, treatment departments; purchase and replace: tables, chairs, beds, cabinets, trolleys, air conditioners, fans, heating lamps, heating fans, computers, multi-specialty examination kits, bedding, quilts, pillows, mattresses, mats; ... to ensure professional conditions, hygiene, patient safety, and improve service quality for patients.

b) Strictly implement medical professional regulations, particularly regarding the referral of patients for inpatient treatment; transfer to higher-level facilities, and the prescription of services, medications, and supplies in accordance with regulations.

Article 9. Cross-References

In case the referenced documents in this Circular are replaced or amended, they shall be implemented according to the replacing or amended documents.

Article 10. Provisions on implementation

1. This Circular takes effect from January 15, 2019.

2. The following documents cease to be effective from January 15, 2019:

a) Circular No. 02/2017/TT-BYT dated March 15, 2017 of the Ministry of Health stipulating the maximum price range for medical examination and treatment services not covered by the Medical Insurance Fund in state-run medical examination and treatment facilities and guiding the application of prices and payment of examination and treatment costs in certain cases;

b) Circular No. 44/2017/TT-BYT dated November 16, 2017 of the Ministry of Health amending Circular No. 02/2017/TT-BYT dated March 15, 2017 of the Ministry of Health stipulating the maximum price range for medical examination and treatment services not covered by the Medical Insurance Fund in state-run medical examination and treatment facilities and guiding the application of prices and payment of examination and treatment costs in certain cases.

Article 11. Transitional Provisions

During the period awaiting the competent authority's decision on medical examination and treatment fees as prescribed in this Circular, medical examination and treatment facilities may continue to implement the previously prescribed fees until the competent authority decides on the fees according to this Circular.

In the course of implementation, if there are difficulties or obstacles, units and localities are requested to report in writing to the Ministry of Health for consideration and resolution./.