03 CASES OF APPROPRIATE MEDICAL EXAMINATION AND TREATMENT FEES UNDER HEALTH INSURANCE RELATED TO COVID-19

In Official Dispatch No. 3100/BYT-BH dated 20/04/2021, the Ministry of Health has issued provisional guidelines for settling costs for medical examination and treatment covered by health insurance, related to the Covid-19 pandemic.

Accordingly, there are 03 cases that are considered as medical examination and treatment with health insurance at the right level, related to the Covid-19 epidemic as follows:

• • The first, for each holder of health insurance cards who are experiencing concentrated medical quarantine due to Covid-19 and must get medical service at health facilities: Health Insurance Fund shall settle costs for medical examination and treatment for other diseases within the scope of insurance liability and amount similar to cases of medical examination and treatment inappropriate level, except for medical examination and treatment resulting from COVID-19 paid by the State budget, including costs for medical examination, hospital beds, technical services, medicine, blood, intravenous fluid, etc. according to guidelines of Ministry of Health;
  • The Second, in case medical examination and treatment establishments, utilize health insurance must organize concentrated quarantine under decisions of competent authorities or are assigned by competent authorities to provide medical examination and treatment for persons infected or suspected to have been infected with COVID-19, Departments of Health shall cooperate with Social Security of provinces and central-affiliated cities:
    • • Instruct applicants for initial medical examination and treatment under health insurance in the medical examination and treatment establishments to apply for initial medical examination and treatment in other establishments within provinces and cities;
      • Instruct medical examination and treatment establishments to transfer patients to establishments in other levels for medical examination and treatment depending on epidemic situations.
• • The third, for patients who have been prescribed, issued with medicines, medical equipment, provided with treatment, issued with a notice of re-examination appointment or medical examination number, medical records for re-examination appointment (referred to as “notice of re-examination appointment”) by medical examination and treatment establishments but are unable to arrive for re-examination.Patients may use notice of re-examination appointment of medical examination and treatment establishments that issue the notice in other medical examination and treatment establishments accepting health insurance under guidelines of the issuing establishments and guidelines of Departments of Health, local Social Security where the patients reside or undergo quarantine to receive medical examination and treatment.In case the epidemic has ceased, patients may use notice of re-examination of medical examination and treatment establishments that issue medicine and medical equipment to receive medical examination and treatment in medical examination and treatment establishments that deliver medicine and medical equipment.

  These cases are defined to be medical examinations and treatments covered by health insurance at appropriate levels.

Reference: Official Dispatch 3100/BYT-BH