However, Clause 5 Article 2 of this Decree specifies that during employees taking parental leaves with childbirth and adoption benefits, their contributions to health insurance shall be paid by social insurance agencies, enterprises shall be exempt from appropriating money to contribute to health insurance.
Regarding health insurance contribution rate, it is still 4.5% of the employee’s monthly pay. In addition, this Decree specifies that when an employee enters into multiple employment contracts, he/she shall be bound to pay the health insurance contribution rate determined on the basis of the employment contract under which the highest pay is agreed upon.
Regarding the payment of health insurance benefits, according to Clause 3 Article 14 of this Decree, in case where a health insurance card holder visits an inappropriate-level healthcare establishment at his/her discretion, and then is referred to another healthcare establishment by the receiving healthcare establishment, he/she shall be paid the health insurance fund’s coverage at the coverage rate specified in clause 3 of Article 22 in the Law on Health Insurance.
This Decree takes effect from December 1st, 2018.
This replaces Decree No. 105/2014/ND-CP dated 15th, 2014; Joint Circular No. 41/2014/TTLT-BYT-BTC dated November 24th, 2014; Joint Circular No. 16/2015/TTLT-BYT-BTC dated July 2nd, 2015; Article 8 and Clause 2 Article 9 of Decree No. 151/2016/ND-CP dated November 11th, 2016; Clause 6 Article 11, point c Clause 1 and Clause 2 Article 12 Circular No. 40/2015/TT-BYT dated November 16th, 2015.
Accordingly, in comparison with the old List, this new List is added more medical supplies covered by health insurance fund, in which including prosthetics and implants.
In addition, the new List also specifies the amount of payment of total cost of medical supplies in each use of medical service in the 5th column of the List; With regard to medical supplies for which payment rate is not specified the 5th column, the amount of payment shall not exceed 45 months' base pay amount.
- The maximum price bracket for medical examination services (Appendix I);
- The maximum price bracket for in-patient services (Appendix II);
- The maximum price bracket for technical and testing services, (Appendix III).
Specific prices shall be decided by the Provincial People's Councils, except for prices applied to health facilities affiliated to the Ministry of Health and special grade and grade I hospitals affiliated to Ministries, ministerial authorities and Governmental authorities shall be decided by the Ministry of Health
This Circular takes effect from June 1st, 2017
The following documents shall be expired from January 1st, 2018
a) Joint Circular No. 14/TTLB dated September 30th, 1995;
b) Joint Circular No. 03/2006/TTLT-BYT-BTC-BLDTBXH dated January 26th, 2006;
c) Joint Circular No. 04/2012/TTLT-BYT-BTC dated February 29th, 2012;
In case of outpatients and inpatients whose treatment series starts and ends after the application of new price shall be charged at the existing price until the treatment is ended or the patient is discharged.