IT ' S SMART

Planning to register for disease, cure for initial medical insurance.

We ' re going to go to the clinic. What?

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The National Health Insurance Act. 25 /2008/QH12 November 14, 2008 and the Amendment Law, which complements some of the provisions of the Digital Health Insurance Law 46 /2014/QH13 June 13, 2014;

Medical Clinic, medical treatment. 40 /2009/QH12 November 23, 2009;

Base of Protocol 105 /2014/ND-CP November 15, 2014 of the Government rules the details and guidelines for the implementation of some of the provisions of the Health Insurance Law;

Base of Protocol 63 /2012/NĐ-CP August 31, 2012 of the Government stipulated the function, mandate, jurisdiction and organizational structure of the Ministry of Health;

On the recommendation of the Chief of Health Insurance, the Ministry of Health;

The Minister of Health Department of Health issued a report for the registration of the disease, treating the initial medical insurance and the transfer of the hospital, treating the health insurance.

Chapter I

GENERAL REGULATION

What? 1. The adjustment range

This information regulates the registration of the disease, treating the initial medical insurance and the transfer of the disease route, treating the health insurance.

What? 2. Principles

1. The basis for the registration of the disease, the treatment of the original health insurance specified in this condition, is determined by the lines in the system of disease, the treatment of the state and the equivalent.

2. The person with the health insurance card is transferred to the clinic, treating the disease according to the transfer of technical expertise between the facilities of the disease, the treatment and the regulation at this level.

Chapter II

THE FACILITY OF THE DISEASE, THE ORIGINAL MEDICAL INSURANCE.

What? 3. The basis of the disease, healing of the original health insurance and the equivalent of

1. Medical Station, ward, town;

2. Infirmary, medical station, medical room of the agency, unit, organization;

3. The private private family doctor ' s clinic;

4. Military Medical Station-Medical Center, Medical Clinic-Health Corps, battalion-level military and other medical facilities, medical treatment, according to the regulations of the Secretary of Defense.

What? 4. The basis of the disease, cure of the original health insurance and the equivalent of

1. District General Hospital, district, town, city of the province;

2. The district health center has a medical, healing function; the district health center has a multi-faculties clinic;

3. Multi-department Clinic; Regional Multi-faculties clinic;

4. III Multi-department Hospital, Class IV and has not ranked in ministries, sector or unit subordinated units of ministries, Industry;

5. Private multi-scientific hospital equivalent to Grade III, equivalent to Class IV or not ranked equivalent;

6. The fourth-equivalent fourth-equivalent private medical hospital, the fourth equivalent or has not been ranked equivalent;

7. Medical Chamber, Infirmary of the Ministry of Public Security, Provincial Public Safety Hospital, Central City of Central;

8. The Army Medical Center, Medical Infirmary, Children ' s Hospital, Grade III Medical Hospital, Class IV or unranked, hospital-class III hospital, Class IV or unranked, medical examination facilities, medical treatment under the provisions of the Ministry of Health and Health. Secretary of Defense.

What? 5. The basis of the disease, cure of the original and equivalent provincial health insurance

1. Provincial General Hospital, Central City Direct;

2. General I-class hospital, Class II of ministries, Industry, or subordinated units of ministries, Industry;

3. Specialist Hospital, Institute of Specialist, Specialist Centre, Provincial Medical Center, Central Municipal City has a multi-faculties clinic;

4. Children 's Hospital, Children' s Hospital, Central City

5. Private multi-department hospital equivalent to Grade I, equivalent to Grade II;

6. Old provincial medical hospital, central city, ministry, industry; and more.

7. First Class I-equivalent private medical hospital, equivalent to Grade II;

8. The clinic of the Provincial Health Care Protection Board, the central city of the central city;

9. II Grade II Hospital in the Ministry of Defense, Second Class Hospital, medical examination facilities, medical treatment of the Ministry of Defence.

What? 6. The basis for registration of the disease, cure of the central and equivalent head health insurance.

1. The Department of General Medical Hospital, except for the prescribed hospitals at Article 3;

2. Specialist Hospital, the Department of Health Sciences with the General Medical Clinic;

3. Friendship Hospital, C Da Nang Hospital and the United Hospital for Health;

4. Special Class Hospital, Grade I Hospital in the Department of Defense, Military Institute of Cervical Medicine, medical examination facilities, medical treatment under the provisions of the Secretary of Defense.

What? 7. The condition of the clinic registration facility, cure for initial medical insurance.

1. The facility of the disease, healing must have a permit to operate the disease, cure the disease.

2. The practice of the medical examination, the treatment of medical treatment, is treated.

3. The medical examination facility, curing the disease prescribed at 1, 2 and 4 Article 3 This information if there is not a permit for an autopsy, it has to be qualified for human resources, facilities, equipment, equipment, maintenance needs, medical treatment, medical treatment, and medical treatment. Normal and initial emergency care, supply, drug delivery within the scope of professional activity according to the law of the examination, treatment.

4. Independent Private Family physician Clinic: Is eligible under the Ministry of Health 's regulations on the condition of licensing the operation to the independent private family doctor' s clinic.

5. separately from the polyclinic clinic, there must be at least 2 (two) internal and external faculties; for a polyscientific clinic, treating children, in addition to the upper 2 (two) professionals, must have a pediatric specialist.

Chapter III

REGISTER FOR MEDICAL TREATMENT, CURE FOR INITIAL MEDICAL INSURANCE

What? 8. Registration for the disease, cure for the initial medical insurance at the facility of the disease, cure the original health insurance, the district.

The health insurance participant is entitled to register for medical treatment, the initial medical insurance treatment (later called an autopsy, the initial treatment) at one of the medical treatment facilities, the treatment of regulation at Article 3 and Article 4 This is not differentiated from the site. administrative, consistent with the workplace, the residence and the ability to respond to the disease facility, cure disease.

What? 9. Registration for the disease, cure for the initial medical insurance at the facility of the disease, cure the initial medical insurance, the central line.

1. The medical insurance participant is registered for the disease, the initial treatment at one of the medical examination facilities, the treatment of regulation at 1, 2, 3, 4, 5, 6, 7, and 9 Articles 5 and Article 6 This information in the following cases:

a) The permanent resident, long-term temporary or working on the county table, district, town, the province, the province has no basis for medical examination, treatment for regulation at Article 3 and Article 4 of this or those facilities are not responding to the examination, medical treatment. initial for people to participate in health insurance pursuits to the provisions of the Director of Health after having a written unification of the Director of the Provincial Social Insurance, the central city of the central city;

b) A permanent resident, long-term residence or work on the county table, district, town, the province, the province is registered for the disease, the initial treatment at the facilities of the disease, the treatment of regulations at 1, 2, 3, 4, 5, 6, 7 and 9 Articles 5 and Article 6. This is due to the Director of the Health Department after having a written unification of the Director of the Provincial Social Insurance, the city's central city.

2. The person involved in health insurance is registered for the disease, the initial treatment at one of the medical examination facilities, the treatment of regulation at Article 8, paragraph 1 Article 9 of this information, or registered to the disease, the initial treatment at the clinic, treating the health insurance. Other health in the following cases:

a) The subject of a management, health protection under the 52 HD/BTCTW Manual on December 2, 2005, of the Central Committee of the Central Committee on the Adjustment Of Examination of the Object, healing at some of the Central Medical facilities registered to the exam. sick, early treatment at Friendship Hospital, C Da Nang Hospital, Hospital Unification of the Ministry of Health or Medical Clinic, other treatment prescribed at Article 5 (except Clause 4) and provisions 1.2 and 4 Article 6 This Information;

b) The subject of a managed, protected area of the province, the city was registered for the disease, the initial treatment at the clinic in the department of the Provincial Health Care Protection Board or the examination facility, treating the disease at 1, 2, 3, 5, 6, 7, and 9. This is the fourth thing.

c) The person with the revolution, who is 80 years old and older, has been given the registration of the disease, the initial treatment at the clinic, the treatment of the disease prescribed at 1, 2, 3, 5, 6, 7, and 9 Articles 5, the 1, 2 and 4 Articles 6.

d) Children under the age of 6 are registered for the disease, the initial treatment at the facility of the disease, the treatment of regulation at 1, 2, 4 and 5 Article 5 This information;

The worker in the army, when he was retired, was registered for the disease, the initial treatment at the medical clinics, the treatment of the disease in paragraph 9 Article 5, paragraph 4 Article 6 of this information.

3. The person who joined the health insurance is living in the island, the island district was registered for the disease, the initial treatment at an examination facility, the most favorable treatment on land if on the islands, the island district has no basis for disease, treatment for disease. Three, four, five and six.

Chapter IV

TRANSFER OF MEDICAL TREATMENT, CURE FOR HEALTH INSURANCE

What? 10. Transfer of a disease route, cure health insurance

The transfer of the clinic, cure health insurance is done according to the Digital Information. 14 /2014/TT-BYT April 14, 2014 of the Ministry of Health on the transfer of technical expertise between the facilities of the disease, treatment, other specific cases are carried out by regulation at Article 11 of this.

What? 11. The cases are identified as the right exam route, cure health insurance.

1. The person with a medical insurance card registration exam, initial treatment at a medical examination facility, a medical treatment or a multi-department clinic or district hospital is entitled to examine the disease, cure health insurance at the local medical station or a multi-faculties clinic, or the district hospital in the same province.

2. The person with a medical insurance card registered for the disease, the initial treatment at the hospital facility, healing the route to the district hospital, including the district hospitals having been ranked I, Grade II and the Provincial Medical Hospital (in the case of). The district hospital has no medical science.

3. The person with a health insurance card is served by the district hospital, including the hospital that has been ranked I, Class II and the multi-faculties hospital, specialist hospital, specialist hospital, the provincial department center moving the line to the provincial department center. Or a multi-faculties hospital, a specialist hospital, a department or a lower division of the provincial department.

4. School of emergency:

a) The sick person is granted an emergency at any medical examination facility. The doctor or a doctor receives the pathologist, identifying the state of emergency and writing to the file, the patient.

b) After the emergency treatment phase, the sick person was transferred to the boarding treatment at the clinic, treating the disease where the recipient of the patient ' s emergency or being transferred to a medical treatment facility, healing other illnesses to continue treatment under specialist requirements or being treated. move back to the site of the medical examination, the initial treatment after a stable treatment.

5. The case of sick people being transferred to the hospital, treated for other diseases accompanied, the disease was discovered or discovered in addition to the disease that has been on the route paper, the basis of the disease, the treatment of the disease where the disease receives the disease, the treatment of the disease. It ' s in the field of expertise.

6. Cases of health insurance participants who go to work, study, work or shelter less than 12 months in another locality, be discovered, cure disease at the clinic, treating the disease that is equivalent to the route of the clinic, The initial treatment was on the health insurance card. That local case does not have the equivalent medical facility, and the health insurance participant is selected for the basis of medical treatment, the treatment of the disease, the original medical insurance organization.

What? 12. Use the transfer paper and revisit paper in the medical examination, cure health insurance.

1. Use a transfer paper for the person with a medical insurance card:

a) The case of a sick person being transferred to a medical clinic, another treatment, just the route of the clinic, to heal the disease directly.

b) The case of the person who is sick to the clinic, treating the disease is not the basis of the disease, the initial medical insurance, and then being transferred to the clinic, treating other diseases, only the route of the clinic, treating the disease. Move the sick away.

c) The route paper has a value used for 10 working days, since the date of the signing;

d) The sick person has a health insurance card with diseases, group of diseases, and cases which are used by using a prescribed transfer paper at Annex 01 issued by this message, the transfer paper has the value to use until the end of December 31 of that calendar year. It was not until December 31 of that year that the sick person was still treating boarding at the clinic, treating the disease, and the transfer paper was worth the rest of the treatment.

2. Use the Examination Certificate: Each examination paper uses only 1 (a) time for the time of the examination of the medical examination facility, cure. A search for the medical insurance person specified in Annex 02, issued by this information.

Chapter V.

EXECUTE RESPONSIBILITY

What? 13. Health Department Responsibility

1. Host, in collaboration with the Provincial Social Insurance, the central to the central city, the clinics of the disease, the treatment of the Ministry of Health and the ministries, the Industry based on the site to carry out:

a) Define, establish and publish a list of medical examination facilities, the initial treatment of the original in the provinces of the province, the city;

b) The registration of the registration of the disease, the initial treatment for the specified object at Clause 3 Article 9;

c) The registration of the registration of the disease, the initial treatment for children under the age of 6 rules at the point d, paragraph 2 Article 9 This information.

d) The direction of the transfer of the route between the facilities of the disease, the treatment of the person involved in the prescribed health insurance.

2. Host, in collaboration with the Provincial Social Insurance, the central-central city, the facilities of the disease, healing of the Ministry of Health and the ministries, the industry, the subject regulation, the object group structure, the number of medical insurance participants registered to examine the disease, healing. The initial disease stipulated at Article 8, Article 9 of this information is consistent with the actual conditions of the locality and the ability to respond to the treatment facility, cure disease.

3. Host, in collaboration with the Provincial Social Insurance, the central city-oriented city, the object group structure and the number of medical insurance participants registered for the disease, the initial treatment at the institutions, the center, the specialist hospital, the hospital. The Institute of Medicine, the Institute of Medicine, is consistent with the actual conditions of the facility and organization of the facility and organization of the disease, the local disease, the effective development of human resources, facilities, equipment, the scope of expertise and the quality of the disease. Healing.

4. The organization, directing the implementation of the regulations at this Notice for the facilities of the disease, cure the disease of the management.

What? 14. The responsibility of the Provincial Social Insurance, the central city

1. The organization contracted the disease, treating health insurance with the facilities of the disease, which had qualified for the disease, the initial treatment under the approved medical department list.

2. Coordinate with the Health Department that guides the health insurance participant to register or change the site of the medical examination, the initial treatment at the facilities of the disease, the treatment of the provincial capital, the central city of orthology in accordance with the regulation at this level.

3. Guide to the examination, cure health insurance for the person with a prescribed health insurance card at paragraph 6 Article 11 This message.

What? 15. The responsibility of Health of the Ministry, Industry

1. Department of Defense Ministry of Defense, Department of Health-Ministry of Public Security:

a) Directed by, instructs the facilities to explore, cure the Ministry of Defense, the Department of Public Security qualified for the examination, the initial treatment registered with the local Department of Health;

b) The implementation of the implementation of the implementation of the exam registration, the initial treatment, and the organization of the disease, cure the health insurance for the examination facility, the defense of the Ministry of Defense, the Ministry of Public Security.

2. Health of the Ministry, Other Industry:

a) directing the facilities of the disease, healing of the Ministry, which is eligible for the organization to examine the disease, the initial treatment registered with the local Health Service;

b) The implementation guide performs the registration of the pathology, the initial treatment, and the organization of the examination, the treatment of the prescribed health insurance.

What? 16. The responsibility of the examination facilities, healing

1. Make an examination of the disease, cure the disease, transfer the line between the facilities of the disease, cure the disease and guarantee the right to the person to participate in the prescribed health insurance.

2. The operating condition base of the unit, the head of the medical examination facility, curing the person responsible for confirming the recipient of the person being moved to within or out of the administrative hours in time.

Chapter VI

EXECUTION CLAUSE

What? 17.

1. This message has been in effect since 1 January 2016.

2. Digital News 37 /2014/TT-BYT November 17, 2014 The Minister of Health guidelines for the registration of the disease, the initial treatment, and the transfer of the disease, treating the health insurance.

What? 18. The transition clause

The health insurance participant registered the autopsy, the initial treatment at the basis of the medical insurance card prior to this date was effective, and it continues to be discovered, the initial treatment at that facility until a change in the place of the clinic. The initial treatment is done in this message.

What? 19. The reference clause

The case where the text that is shown in this message is replaced or modified, supplemable, the written application has been replaced or the text has been modified, added.

In the course of the organization, if it is difficult to get involved with the agency, the organization, the individual reflects on the Ministry of Health for consideration, resolve.