FEDERAL INFORMATION

Oh. I ' m going to take care of the insurance. What?

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The Health Insurance Act of 14 Month 11 the year 2008 and the Amendment Law, which complements some of the provisions of the Health Insurance Law of June 13, 2014;

UN Base, 105/20. 14 /ND-CP November 15, 2014 of the Government rules the details and guidelines for certain provisions of the Law. B Medical delusion. ()

Base of Protocol 63 /2012/NĐ-CP 31st Month 8 the year 2012 Government of the Government regulation of the functions, duties, powers, and organizational structure of the Ministry of Health;

Base of Protocol 215 /2013/ND-CP December 23, 2013 of the Government stipulated the functions, duties, powers, and organizational structure of the Ministry of Finance;

Minister of Health, Minister of Finance issued the Implementation Guidelines of the Ministry of Health health insurance .

Chapter I

PARTICIPANT, MODES OF PLAY AND

LIABILITY FOR HEALTH INSURANCE

What? 1. The Subject to Health Insurance

Under the regulation at Article 12 amendments, the addition of the Health Insurance Law; Articles 15, 21, 25 and Article 26 amendments, the addition of the Ordinary Ordinances of the Public Privileges and Article 1 Decree No. 105 /2014/ND-CP, the medical insurance participant (later abbreviated as BHYT) includes:

1. The team led by workers and employers, including:

a) The labourers work on a non-determinable labor contract, the labor contract has a term of up to three months or more; the business manager, the public career unit, and the executive manager who cooperate wages; cadres, public, the official (the following the general being the worker) works at the agency, the organization, the following business:

-The state agency, the people's armed unit.

-Political organization, political-social organization, social political organization-profession, social organization, social organization-profession, other social organization;

-Industrial and public affairs unit.

-Businesses are in the established economic components, operating under the Corporate Law, Investment Law;

-Agency, foreign organization, international organization operating on the territory of Vietnam;

-Cooperative, Co-operation cooperative, operating under the Law of Cooperation;

-The individual business, cooperative organization, other organization and individual employers are employed by the labor contract.

b) The active person is not in charge of the commune, the ward, the town according to the rule of law.

2. The group led by the Social Insurance organization, including:

a) The beneficiary of the pension, the allowance of labor and labor.

b) The person who is enjoying a monthly social insurance allowance due to a labor accident, occupational illness or disease in the category of long-term treatment; people aged 80 years or older are in the monthly allowance;

c) The township officer, the ward, the town has retired from enjoying a monthly social insurance grant;

d) The person who is enjoying the unemployment allowance;

The Rubber Worker is currently enjoying the monthly allowance under Decision No. 206 /CP on 30 May 1979 of the Government Council (now the Government) on policy towards newly released workers, which has poor health to stop.

3. The group due to a closed state budget, including:

a) Chief, professional soldier, corporal officer, military officer, officer, chief officer, officer, officer, chief officer, technical officer, engineer, officer, officer, officer, soldier, soldier, soldier. There is a deadline in the citizen's public; who works as a salary factor to the military; students who are primarily entitled to the regime, the policy according to the regime, the policy for students in military, public schools.

b) The township officer, the ward, the town has retired from enjoying the monthly allowance from the state budget;

c) The person who has stopped the pension allowance is enjoying a monthly allowance from the state budget;

d) People with the revolution, veterans, including:

-The man with the decree of the revolution in the Ordinances of the Ordinances of the Revolution.

-The veteran of the war fought on 30 April 1975, before the Six-Article Five Decree. 150 /2006/NĐ-CP December 12, 2006, the Government rules out the details and instructions for the execution of a number of French veterans.

-The person directly involved in anti-American resistance but has not yet enjoyed the Party and State policy under Decision No. 290 /2005/QĐ-TTg 08/11/2005 by the Prime Minister on the regime, policy on some direct subjects joined the anti-American resistance to save water but has not yet enjoyed the Party and State policy and the number decision. 188 /2007/QĐ-TTg The Prime Minister ' s June 06/2007 supplement the revised decision. 290 /2005/QĐ-TTg;

-Officer, the People 's Public Security soldier who participated in the anti-American resistance has under 20 years of work in the People' s Public Security who quit, discharged locally by Decision No. 53 /2010/QĐ-TTg On 20 August 2010, Prime Minister of the Government of the United States, on 20 August 2010, the citizens of the People's Security Council engaged in anti-American resistance, with less than 20 years of work in the People's Public Security.

-The servicemen who joined the anti-American resistance to save water has under 20 years of military service, have served, discharged locally by Decision No. 142 /2008/QĐ-TTg October 27, 2008, of the Prime Minister ' s Day on October 27, 2008, the regime's implementation of the anti-American resistance to the United States Army, which has under 20 years of military service, has served, discharged locally and decided the number. 38 /2010/QĐ-TTg June 6, 2010 by the Prime Minister on the amendment, added Decision No. 142 /2008/QĐ-TTg;

-Participant of the War of the Fatherland, which worked as an international duty in the Cu-pu-chia, which helped you Laos after 30 April 1975, discharged, discharged, stopped following the number decision. 62 /2011/QĐ-TTg On September 9, 2011, Prime Minister of the Government of the Government of the United States, on the subject of the war to protect the Fatherland, to serve as an international duty in the United Kingdom, to help you Laos after 30 April 1975.

-Youth in order. 170 /2008/QĐ-TTg December 18, 2008 of the Prime Minister on the BHYT regime and burial allowance for youths in the era of the anti-French resistance and numerical decision. 40 /2011/QĐ-TTg July 27, 2011, Prime Minister of the Prime Minister rules on the regime for the youth of the conflict that has completed its mission in the resistance.

The delegate of the National Assembly, the assembly of the people of the people,

e) Children under 6 years of age (including the entire children residing on the site, including children who are the relatives of the regulatory subject at this point of this, do not distinguish permanent passports);

g) The person of the monthly social protection allowance performed by regulation at the International Protocol. 136 /2013/NĐ-CP October 21, 2013, of the Government Regulating Social Assistance to Social Security, Protocol No. 1 06 /2011/NĐ-CP On January 14, 2011, the Government rules out the details and guidelines that enforce certain laws of the Law of the Age and Decree Numbers. 28 /2012/NĐ-CP April 10, 2012 of the Government Regulation and guidelines enforce certain provisions of the Law of Disabled Persons;

h) People of the poor family; ethnic minorities are living in the region with economic-difficult socioeconomic conditions; people who are living in the region with economic-social conditions are particularly difficult; people are living in the island, the island states. decision of the Government, the Decision of the Prime Minister and the Decision of the Minister, the National Committee;

i) The body of the person who has the work of the revolution is the father, the mother, the wife, or the husband, the son of the martyr; and the one who has a child;

n) The body of the person who has the public with the revolution, except for the specified objects at this point of paragraph, includes:

-Father, mother, wife, wife, or husband, aged six to under 18 or from age 18 or older, if they continue to study or suffer from severe disabilities, particularly severe disabilities of the subjects: Revolutionary actions January 1, 1945; the activist. Revolution from January 1, 1945 to the August Revolt of August 1945; Hero of the People's Armed Forces, Hero of the Labour Party during the resistance; wounded soldiers, the patients who declined the labor capacity from 61% or more; the active resistance worker was infected. Chemical toxicity in decline of labor capacity from 61% or more;

-A 6-year-old human-born child who is infected with an antimized chemical intoxication, malformations, as a result of an inefficient chemical toxin in the living or impaired self-efficacy in the organism.

l) The body of the objects stipulated at the point a 3 This Article (except for the child, adopted under 6 years old);

And he sacrificed his body according to the law of the law.

n) The foreigners studying in Vietnam are granted a scholarship from the budget of the State of Vietnam;

o) The person who serves the public with the revolution, including:

-The man who served the Vietnamese mother lived in the family;

-The wounded soldier, the patient declining the ability to labor from 81% to live in the family;

-The man who serves the resistance to the resistance is infected by the toxicologist who has reduced labor capacity from 81% to living in the family.

4. The group is supported by state budgets, including:

a) A man of the household of the poor;

b) Students, students who are attending educational institutions in the national education system;

c) The household of the family made agriculture, forestry, fishing, and other countries living on average.

5. The group joined health insurance in household -How? include:

a) All those with the name in the household book, except for the specified object at the 1, 2, 3, and Section 4, and the one who made the declaration aberration;

b) All persons with names in the temporary book, except for the specified object at the 1, 2, 3 and Clap 4 This Article;

For example, the B family had five people named in the household name, of which one of them had a pension, and one was a civil service; in addition, there were 1 local people in the other area to register for a temporary registration. The number of people involved in BHYT by household B was 04.

What? 2. The method of closing health insurance on some subjects

1. For the person who is enjoying the pension, the labor loss allowance, the monthly social insurance allowance provided by the state budget for regulation at Clause 2 and Point 3 Article 1 This Privacy: Every month, the Social Insurance organization performs BHYT for your partner. This is from a source of pension funding, social insurance benefits, a state budget.

2. For the person who is fair to the prescribed revolution at the point of d, the body of the person is fair to the prescribed revolution at point i and Point k, who serves the person with the prescribed revolution at the point o and the person of the monthly social protection allowance. I don't know.

a) Every quarterly, the Social Insurance organization aggregable BHYT card number has issued and the number of BHYT funds for these objects (Appendix 01), sent the Labor-Trade and Social Agency jointly granted to transfer the corresponding funding from the source of preferable policy. with the person with the public with the revolution, the source of social protection policy into the BHYT fund;

b) As long as December 31, the Social Insurance organization is chaired, in coordination with the Labor-Trade and Social Agency and the same level that the payment is done, transferring funds to the BHYT fund of that year.

3. For the specified object at points b, point d (except for the person with the revolution), the points e, h and point m 3 Article 1 This message and the poor family of the household are regulated at Point 4 Article 1 This message is supported by the state budget. It ' s a 100% substandard of regulation at Point A and point b A Article 3 Decree No. 3. 105 /2014/ND-CP:

Quarterly, the Social Insurance organization aggregable BHYT card numbers have issued and the amount closed, supported (Annex 2), sent the Finance Agency to transfer funding into the BHYT fund as specified at Clause 7 This.

4. For the object of being a sub-poor family of subsistence in Point A 4 (except for the object supported 100% of the BHYT level) and the household of the family as agriculture, forestry, fishing and matches have a median standard of life in the country. Point of paragraph 4 Article 1 This message:

a) A three-month term, 6 months or 12 months, the representative of the household directly paying BHYT the part of the responsibility must be closed to the Social Insurance organization or the BHYT collection agent at the township level;

b) A three-month term, 6 months or 12 months, the Social Insurance organization aggregable BHYT card number issued, the object's proceeds and the amount of state budget supported (Annex 2), sent the Finance agency to transfer funds to the prescribed BHYT fund at the site. This is 7.

5. For students, students are studying at the educational institution of the national education system stipulated at the point b Article 4 Article 1 This message:

a) The income education facility is part of the responsibility of the student ' s closure, the 6-month student or a year once filed into the BHYT fund;

b) The state budget expense portion supports a portion of the execution of BHYT as follows:

-For students, students who are studying at a local-administered educational institution, the local budget supports, does not distinguish the student ' s permanent residence, students: The 6-month term, the Social Insurance organization aggregable BHYT card numbers have been developed. The number of proceeds from the student, the student and the amount of state budget supports (the Annex 2), sends the Finance Agency to transfer the funding to the BHYT fund as specified at Clause 7;

-For students, students are studying at the institution of education due to the ministry, the central body of management is due to the central budget that supports: A six-month term, the Social Insurance organization aggregated BHYT card numbers, the proceeds of students, students and numbers. State budget supports (Appendix 02), sent Vietnam Social Insurance to sum up, sending the Ministry of Finance to transfer funding into the BHYT fund.

c) For students, students in various subjects stipulate at Clause 3 and Point A 4 Article 1 This message is attending the institution of education due to the ministry, the Central Authority manages to participate in BHYT by regulation at paragraph 8 This and export. A BHYT card for educational base when listing the BHYT participant list, avoiding the BHYT card level.

6. For the group of subjects to join the BHYT in accordance with the prescribed family at Clause 5 This Privacy: A 3-month period, 6 months or 12 months, the direct household agent pays BHYT for the Social Insurance organization or the BHYT University.

7. The Base Finance Agency rules on the local budget management hierarchy and object aggregation board, state budget budget closed, closed support for BHYT led by the Social Insurance organization, which is responsible for transferring funds to the BHYT fund each quarter. One time; the year of December 31, the year of the year had to be done with the transfer of funds to the BHYT fund of that year.

8. The case of a co-subject of various BHYT participants rules at Article 1 This message is to close the BHYT in accordance with the first object that the person is identified in order of the specified objects at Article 1.

What? 3. Identistive the amount closed, support closed to some subjects when the State regulates the health insurance shutdown, the base salary.

1. For the specified object group at paragraph 3 This article and subject to a poor family of marginal household rules at the point a 4 Article 1 This message is supported by the state budget 100% closed:

The amount of state budget is closed, which supports 100% of the closed levels determined by the BHYT closure and the base salary corresponds to the shelf life on the BHYT card. When the State regulates the BHYT shutdown, which regulates the base salary, the amount of state budget is closed, support is adjusted since the date of the adoption of the new BHYT, the new base salary.

2. For the state-budget object group that supports a portion of the regulatory closure of BHYT at paragraph 4 Article 1 This message:

The BHYT participant is a three-month, six-month or 12-month period, the number of participants ' contributions and the support of the state budget determined by the BHYT closure and the base salary at the time of the BHYT closure. When the State regulates the BHYT closure, adjusted to the base salary the participants and the state budget did not have to close the arbiter due to regulation of the BHYT closure, the base salary for the rest of the time that the participants had closed BHYT.

For example 2: Mr. M of the poor household closed BHYT for 2015. At the time of January 2015, the closing rate was 4.5%, the base salary was 1,150,000; assuming that from May 2015, the State adjusted the base salary to 1,200,000; the payment of Mr M and the support of the state budget determined as follows:

-The case of Mr. M performed six months once in January and July, the amount closed, the first 6 months of the year at a rate of 4.5% and a base salary of 1,150,000 per month (Mr. M and the state budget did not have to add the difference. adjust the base salary for the period of May 2 and 6). The amount closed, the 6-month-end support was calculated according to a 4.5% closure and a base salary of $1,200,000 per month.

-The case Mr. M played once for all year in January the amount closed, support was calculated according to a rating of BHYT 4.5% and a base salary of $1,150,000 per month (Mr. M and the state budget did not have to close the gap due to basic salary adjustments). from May to December 2015).

3. For the group of subjects to join the BHYT in accordance with the prescribed family at paragraph 5 Article 1 This message:

BHYT participants are 3 months, 6 months or 12 months the amount of the proceeds determined by the gradual closure from the second member onwards in accordance with the regulation at Point 1 Article 2 Protocol No. 2. 105 /2014/ND-CP And the base salary at the time of the BHYT. When the State regulates the BHYT closure, adjusting the base salary the participant does not have to close the difference due to regulation of the BHYT closure, the base salary for the remaining time has closed the BHYT.

For example 3: The case of the 04 family of Mr B families in e.g. 1 at Clause 5 This Smart, which has a need to close BHYT once for the year, the amount of BHYT closed is as follows (the state case regulating the base salary is as example 2 at clause). These two things:

-First person: 1,150,000 x 4.5% x 12 months = 621,000 copper.

-Second person: 621,000 bronze x 70% = 434,700.

-Third person: 621,000 bronze x 60% = 372,600 copper.

-Fourth person: 621,000 bronze x 50% = 310,500.

Chapter II

LIST OF PARTICIPATING OBJECTS,

MEDICAL INSURANCE CARD

What? 4. The responsibility for a list of medical insurance

1. The employer set up a BHYT participant list of the specified object at Clause 1 This Privacy, sending the Social Insurance organization.

2. The Social People ' s Committee sets up the BHYT participation list of the specified objects at Clause 2, 3, 4, and Clause 5 This Article 1 according to the household, except for the specified object at points a, l and point n 3, point b 4 Article 1 This message, send. District social insurance, namely:

a) In 2015, the Social People ' s Committee created the BHYT participation list on the site and sent 1 list of the slowest district social insurance list as of October 1, 2015;

b) Since 2016, every month the People 's Committee of the Social People' s Social Committee increased, reducing the subject to BHYT on the site and sending 1 list of the district-level Social Insurance to adjust the BHYT card level on the site.

3. Education and training facilities, vocational training facilities responsible for the BHYT participation list of subjects made by the Ministry of Education and Training, Ministry of Labor-Trade and Social Affairs under regulation at point n and Point 3 and point b 4 Article 1 Information (2). This is, by the time, the slog social insurance organization is 31 October every year.

4. The Social Insurance Organization receives a BHYT participation list by regulation at Clause 2 and Clause 3 This, which is responsible for presiding, coordinating with the agencies, the control object management unit prior to the BHYT card level.

5. The listing of the BHYT participation list on subjects provided by the Ministry of Defence and the Ministry of Public Security at Point A 1 Article 1; Point a, Points l (except children under 6) and Point 3 Article 1; point b Article 4 Article 1 This message performs according to the document. It's a separate rule.

For example, 4: The under-6 is the military officer of the military, which is subject to regulation at the point of E 3 Article 1. According to the stipulation at the b point clause 1 Article 17 amendments, the addition of the BHYT Law, the grandson of Q is given a list of the BHYT participation list to provide BHYT cards, a local budget that ensures the BHYT source.

6. BHYT participants list is set by the Vietnamese Social Insurance.

What? 5. Health Insurance Card

1. The BHYT card template issued by the Social Insurance of Vietnam following the unification of the Ministry of Health. The BHYT card reflects some of the following information:

a) The BHYT card code: The BHYT card number must unify according to the number of individual names with the authority granted by the state authority. In case the state agency has an unlicensed jurisdiction, Vietnam Social Insurance rules the number for the participant BHYT to ensure that each participant BHYT has a unique BHYT card number;

b) The number of participants ' BHYT levels pursues to regulation at Article 22 amendments, the addition of the BHYT Law and Article 4 Digital Protocol. 105 /2014/ND-CP;

c) The shelf life on the current execution card specified in paragraph 3 Article 16 revision, the addition of the BHYT Law; the shelf life on the BHYT card of some of the objects is as follows:

-For the unemployment allowance beneficiary, the shelf life on the BHYT card corresponding to the deadline to be granted an unemployment grant in the decision to enjoy the unemployment allowance of the state agency has jurisdiction;

-For children under the age of 6, the shelf life on the BHYT card since birth date to a child ' s day is 72 months old. Where a 72-month-old child is eligible for admission, the shelf life on the BHYT card until 30 September of that year;

-For the ethnic minority who are living in the region with economic-difficult socioeconomic conditions; people who are living in the region with economic-social conditions are particularly difficult; people are living in the island commune, island districts: The shelf life on the BHYT card. from 1 January to 31 December of that year or December 31 of the last year on the BHYT card (case of a multi-year BHYT card use);

-To the poor family of the poor family, the family of the poor family is supported by the state budget 100% closed: The shelf life on the BHYT card from 1 January to 31 December of that year. In case, the Social Insurance organization received a list of subjects participating in the BHYT accompanied by the decision to approve the list of poor family holders, holders of the impoverished family of the state authority who have jurisdiction after 1 January, when the deadline is due. using writing on the BHYT card from this Decision date valid;

-For the poor family of the impoverished family budget supported by a portion of the state-based budget and household holders as agriculture, forestry, fishing and matchmaking have an average life level: The shelf life on the BHYT card from the date of the participant. The filing of BHYT in accordance with the deadline to be approved by the decision to approve the list of people of the household of the poor and the household of the family as agriculture, forestry, fishing, and matches have the average life of the body. The state has jurisdiction; the case for the first BHYT is the shelf life on the BHYT card after 30 days from the date of the participant filing. The money is BHYT;

-For students, students, the shelf life on the BHYT card from 01 January to December 31 of that year; for students in the first class and students of the first year of shelf life use on the BHYT card from date of admission or expiration date of the card. BHYT was first issued to 31 December the following year; for 12th-grade students and students at the end of the shelf life on the BHYT card from 1 January to the end of the month ending that year;

-For other BHYT participants, the shelf life is on the BHYT card provided by the Vietnam Social Insurance.

d) Since 1 January 2016, the BHYT card issued to participants must show continuous participation time prior to the month, a maximum of 60 months, except for the specified object at points a, d, e, g, h, and point per Article 3 Article 1. The continuous duration of BHYT is the use time on the BHYT card next to the expiration date of the previous card usage; the maximum disruption case is no more than 3 months;

Workers who are sent to study or work abroad, the time to participate in the BHYT continuously includes the time of study or work abroad until the date of the decision to return to the office of the agency, the organization sent;

Workers traveling abroad, in the 60-day period since the date of entry into the country if participating in the BHYT, the time of continuous participation of BHYT consists of the entire time of labour abroad and time since the return of water to the time of participation. BHYT;

Workers during the period as the procedure for the unemployment allowance under the provisions of the employment law if not participating in BHYT follow other groups, the time that the BHYT participation period repeatedly includes the time as the procedure for the loss of the unemployment allowance. By the rules of employment law.

For example, 5: Mr. M has continuous participation time of BHYT from December 21, 2013 to December 31, 2015; the time for BHYT to continue to write on the BHYT card has a shelf life from 1 January 2016 as follows: " The time of participation is continuous to 31 December 2015: 24 October 2015. ".

For example, 6: Mr. V has continuous participation time of BHYT until 31 December 2015 is 70 months; the time of BHYT participation is continuous on the BHYT card with a shelf life from 1 January 2016 as follows: "The time of participation is continuous until 31 December 2015: over 60 months".

For example 7: Mrs K worked at a business and had a BHYT closed on 1 January 2013, and on May 5, 2015, the contract terminated. Ms. K submitted the unemployment allowance on April 4, 2015 (for a period of 3 months); the authority authorities issued a decision to grant unemployment allowance on 20 April 2015 (for a 20-day period); the Social Insurance organization received the decision on 26 April 2015. They were able to pay the workers ' unemployment benefits from 1 May 2015 (for a period of 3 months). In this case, the duration of the BHYT participation period continued on 30 April 2015 for 28 months.

2. The level of the BHYT card for the person who donated the body part to the rule of law performs as follows:

a) The medical facility where the body of the body is responsible for stating "the body part of the body" on the paper.

b) The Social Insurance organization base of paper rules at this point a BHYT card for the person who donated body parts and informed the Social People's Committee where the person resides;

c) The shelf life on the BHYT card from the date of the person who donated the body parts to the institute.

Chapter III

PATHOLOGY, MEDICAL INSURANCE.

What? 6. The basis of the disease, healing, registration of the disease, cure and transfer of the disease exam, cure health insurance

1. The basis of the disease, the treatment of BHYT is the prescribed medical facility of the Patient Examination Law, which is contracted to contract the disease, cure BHYT with the Social Insurance organization.

2. Register the medical exam, cure the original BHYT and transfer the medical examination route, cure BHYT with the provisions of the Minister of Health.

What? 7. The contract to examine the disease, cure health insurance

1. General Principles:

a) The Social Insurance Organization is responsible for contracting the medical facility. The contract for the disease, the treatment of BHYT, is set up by the prescribed form at the Appendix 03 attached to this message. Depending on the conditions of the medical facility, the Social Insurance organization and the unionary medical facility supplement the content in the contract but not contrary to the regulation of the BHYT law;

b) The duration of the validity of the contract by the fiscal year, from 1 January to 31 December of that year; for the first signed contract counts from the date of the signing to 31 December of that year;

c) The expense of the examination, treatment for the case of BHYT participants to the medical examination, cured the disease before 1 January but the hospital since 1 January is as follows:

-The medical facility case continues to sign the medical treatment, treating the disease, treating the disease next year;

-The medical facility does not continue to sign medical treatment, treating the disease at the expense of the disease, treating the disease the previous year.

2. Profile of the medical examination, cure for BHYT:

a) For the first contract medical facility:

-The deed to the medical facility's contract;

-Medical facility's operational license;

-The decision to rank the hospital of the competent authority (if any); for the basis of the disease, it is required to have the decision-making technical professional route decision.

b) For the annual contracting medical facility:

In addition to the function function, the scope of the expertise, the hospital class is granted the authority to approve (if any).

3. The procedure to sign the medical examination, cure BHYT:

a) For the first contract medical facility:

-The medical facility sends 1 sets of prescribed files at Point 2 This Article to the Social Insurance organization by the hierarchy of the Social Insurance of Vietnam;

-In a 30-day period, since the date of a valid date of receiving a valid record (on the record of the public sign), the Social Insurance organization must perform the review and sign of the contract; the case does not agree to sign the medical exam, cure the disease. Answer and specify why.

b) For the medical facility to sign the disease, cure for the disease annually: The Medical Facility and the Social Insurance organization completed the signing of the BHYT contract the following year before December 31.

4. Contract for medical examination, treatment of BHYT at the Social Health Station and the medical facility of the agency, unit, school:

a) To the Medical Station:

-The Social Insurance Organization signs a contract with a district hospital or a district health center that has not yet separated the district hospital or other medical facilities approved by the Department of Health for the examination, the initial treatment at the Medical Station for the participant BHYT.

-Within the scope of the disease fund, the treatment is delivered, the district hospital or the district health center or medical facility approved by the Health Department responsible for the provision of medication, chemicals, medical supplies to the medical station and the cost payment of the use of the hospital bed (if any) and Medical engineering services are performed by the Medical Station within a professional range; monitoring, monitoring, and aggregations for payment to the Social Insurance organization.

-The total cost of the disease, healing at the minimum health care station by 10% and a maximum of no more than 20% of the medical examination fund, treating outpatient patients on the number BHYT card registers the disease, the initial treatment at the Medical Station is determined by regulation at Point. This is the fourth Article 11.

-Time for the disease to monitor and treatment at the Social Medical Station is no more than 3 days; for the Health Medical Station of the region with economic conditions-difficult social conditions, particularly difficult conditions, the islet, the island district is no more than 05 days.

b) For the medical facility of the agency, unit, school (except for the agency, unit, school is granted the initial health care funding under the regulation at Point b and c A 1 Article 6 of the number). 105 /2014/ND-CP):

The agency, the unit, the medical facility management school contracted directly to the Social Insurance organization and was responsible for the provision of drugs, chemicals, medical supplies, medical engineering services to ensure a request for medical treatment, medical treatment. The agency, the unit, the medical facility that manages the medical facility at the same time that the medical station does not perform the supply of drugs, chemicals, medical supplies, medical engineering services to ensure the requirements of the disease, cure diseases, the Social Insurance organization, sign the collusion contract. through the district hospital or the district health center.

5. For the Regional General Clinic of the District Hospital or District Medical Center: perform as for the faculties of the district hospital or the District Medical Center. The basis for specialization, the medical services table, the treatment is approved by the authority, the Social Insurance organization, and the district hospital or the most unified district medical center in the medical examination contract, treating the disease at the Regional General Clinic.

What? 8. The procedure to examine the disease, cure health insurance

1. The person who joins BHYT when visiting the disease, treating the disease must show a BHYT card with a photo; the BHYT card case has not yet been shown to have a proof of a proof of the identity of the person.

2. Children under the age of 6 to examine the disease, healing only the BHYT card appearance. The non-BHYT card process is still entitled to the BHYT participant ' s rights but must have a birth certificate or birth certificate; the case should be treated soon after birth without birth certificate, the health facility chief and father or father. The child or guardian of the child signs the confirmation of a medical record as a prescribed payment base at Section 2 of this Article 13 and is responsible for this validation.

3. The participant of BHYT during the time of waiting for the card, exchange the BHYT card when visiting the disease, cure the need to issue a card-level paper, exchange the BHYT card due to the Social Insurance organization where the card reissued the card, exchange cards, and a proof of ID. Your father.

4. The person who donated the body department to the medical examination, the treatment must be published in paragraph 1 or Clause 2 or Clause 3 This. The case must be treated soon after the donation without a BHYT card still enjoys the rights of the participant BHYT; the head of health facilities where the body of body parts and the patient or the patient ' s relatives confirm the medical records to make the bar base. accounting by Regulation 3 This Article 13 and is responsible for this validation.

5. The case of transferring the disease, healing, the participant BHYT must publish regulatory papers at Clause 1 or Clause 2 or Clause 3 This and the transfer paper under the provisions of the Minister of Health.

6. The emergency case, the participants of BHYT are visited, treated the disease at any medical facility and had to publish regulatory papers at Clause 1 or Clause 2 or Clause 3 This before the hospital. At the end of the emergency phase, the person is given a medical facility to the department, another treatment room at the facility to continue tracking, treating or transferring the disease route, treating the disease as the case of the disease, treating the disease correctly.

For the medical facility that does not have the contract to examine the disease, cure BHYT, when the person is out of hospital, the medical facility is responsible for providing patients with the condition to confirm the condition of pathology, valid testimonies related to the cost of examination, healing for people. It ' s an epidemic of payments with the Social Insurance organization under regulations at Articles 14, 15, and Article 16 of this Privacy.

7. BHYT participants arrive at a doctor's appointment at a medical facility on the air through a medical facility registering the disease, an initial treatment must be published in Clause 1 or Clause 2 or Clause 3 This and revisit paper. Each examination paper is only valid for use once in the time of the appointment. Based on condition and specialist requirements when the patient revisits, the doctor decides to resume his appointment to the sick.

8. The participants of BHYT visit the disease, cure the disease but not in the state of emergency during the time of work; work in the study; study focused on training forms, training programs, shelters were discovered, healing early at the facility. The medical specialty of the same technical specialty line or equivalent to the clinic registration facility, the initial treatment on the BHYT card must publish regulatory papers at Clause 1 or Clause 2 or Clause 3 This and one of the following papers (major or later). A copy of the paper, the decision to go to school, the proof of registration.

9. The medical facility, the Social Insurance organization is not regulated by the addition of administrative procedures in the examination, the treatment of BHYT, in addition to regulatory procedures at this. In case of medical facilities, the Social Insurance organization needs to take a BHYT, a hospital paper, paper-related papers, medical treatment, the treatment of the sick person to serve as a manager, not to ask for a patient to take or spend. pay for this expense.

What? 9. Health Insurance Monitoring

1. The Social Insurance Organization performs the monitoring of BHYT and is responsible for the regulatory results under the rule of the BHYT law.

2. BHYT monitoring content, including:

a) Check out the examination procedures, cure BHYT by regulation at this Article 8;

b) Check, evaluate the treatment of treatment, use of drugs, chemicals, medical supplies, medical engineering services belonging to the BHYT participant and the actual hospital date of the disease;

c) Check, assess the cost of the examination, cure BHYT:

-The payment of payment for the sick and the cost tables of the disease, for the treatment of outpatient, boarding, and ensuring the correct reflection of the expenses and sets in accordance with the prescribed pattern;

-Check the cost of the medical facility.

d) Coordinated with the medical staff at the medical facility addressing the examination of the disease procedure, the treatment of BHYT, on the rights, the responsibility of the participant BHYT; direct contact with the person in the department, the treatment room for the solution, dissembling legal policy. The BHYT rules.

3. The monitoring of BHYT is carried out simultaneously or done after the person who is out of hospital and assures exactly, publicly, transparent. The results of the monitoring were established as text and informed the medical facility.

4. The BHYT examiner content must ensure unity between the health facility and the Social Insurance organization. The ununified case must clear the opinions of the parties and report the upper secondary authority to resolve.

5. Vietnam Social Security Guide to the specific content, process of monitoring BHYT after the unification of the Ministry of Health.

Chapter IV

PAYMENT OF MEDICAL TREATMENT, MEDICAL TREATMENT

HEALTHCARE BETWEEN THE SOCIAL INSURANCE AGENCY AND THE HEALTH FACILITY

What? 10. Payment by definition

1. General Principles:

a) Payment by a valuation is the payment at the specified fee according to the service range for a registered card head at the service supply base.

medical for a certain period of time (later called a charge);

b) The total settlement fund is paid as the amount according to the registration of the registered BHYT card and the fee has been specified;

c) The active medical facility that uses a funding source has been identified in the year to provide medical services to the sick person with a BHYT card and is not able to collect any of the costs within the range of the patient ' s rights to have a BHYT card. The Social Insurance organization is responsible for monitoring, ensuring the right to the sick person with a BHYT card.

2. Define the probability fund:

a) The yield fund is given to the annual health facility by the charge of the patient (x) with the total number of BHYT cards registered for the disease, the initial BHYT treatment for the year and is adjusted according to the prescribed k coefficient at this D-Point;

b) The charge is determined by the technical professional line, by the total cost of the examination, the treatment of BHYT according to the technical professional route the previous year divided (:) for the total number of BHYT cards registered for the disease, the initial healing of the same technical route the previous year;

c) The total cost of finding the disease, treating BHYT according to the previous year ' s technical professional route is the cost of finding the disease, the treatment of the person with a BHYT card issued by the local Social Insurance organization, registration of the disease, the initial treatment at the front-line medical facilities. That, including: costs at medical facilities and technical expertise in and out of the province, the cost of the disease, cure the disease at the other medical facility where the person is initially registered, minus the expenses specified at this point of charge;

d) The system k is the adjusted coefficient system due to the cost of disease, healing, and other related factors of the following year compared to the previous year. The system k applied in 2015 was 1.10; from 2016 adjusted in accordance with the previous year ' s drug group and medical services index of the year adjacent to the General Directorate of Public Statistics;

Cost of transportation, artificial renal run, human body transplant, heart surgery, cardiovascular intervention, cancer treatment, hemophilia, and the cost portion of the patient's payments do not count on total planning funds;

e) The yield set for the medical facility does not exceed the examination fund, the treatment of this facility by regulation at Point a or point b 4 Article 11 This is minus (-) to go the external portion of the probability of being born in the year. In particular, the Provincial Social Insurance reports the Vietnam Social Insurance review, which regulates, but the adjustment fee does not exceed the general level of general spending by technical expertise across the country by the Vietnam Social Insurance. And the annual announcement.

3. Follow, adjust the probability fund:

When there is a change in the number of BHYT cards registered at the medical facility, the Provincial Social Insurance has the responsibility to inform the medical facility the BHYT card number and the total valuation is used. In case of the cost of discovery, the treatment changes due to changes in the price structure of the disease, cure, new health service application, new drug, and other related factors or function changes, the medical facility ' s mission, the two sides agree to redefine. charge and adjust the yield fund accordingly.

4. Use of a format fund:

a) The probability fund is used to pay the cost of discovery, treating the disease according to the person with a BHYT card registered to examine the disease, cure the disease at that facility, including the cost of the disease, cure the disease at the Medical Station, at other medical facilities and direct payment. according to the regulations at Articles 14, 15, and Article 16 of this. The Social Insurance organization is responsible for timely notice of the medical facility those costs that arise at other medical facilities and subtract the delivery of the facilities to that health facility.

b) The probability of an end-of-the-end-of-the-end health care facility is left to the source of the career unit. The maximum number of connections is left to a maximum of no more than 20% of the probability fund, the rest transferred to the pathology fund, the province ' s general illness for management, use. If the settlement fund includes both the cost of the disease, the treatment at the township, the unit is contracted to examine the disease, treating the disease at the medical stations, which is responsible for a partial return to the health care stations according to the number of registered cards at each Medical Station.

c) The event of a deficiency fund deficiency:

-Due to the objective cause such as increasing the frequency of discovery, healing, new technical application has a large cost, the Social Insurance organization considers and payments a minimum of 60% of the cost of the outfund;

-Due to the improbable cause of the outbreak of disease, the incidence of people with severe illness, the high cost of which is too high for the initial projected, the Provincial Social Insurance is unified with the Department of Health review, the additional payment for the medical facility. In the event of the clinic, the province's healing is not enough to supplement the Social Insurance Report of Vietnam.

5. The medical facility is responsible for monitoring, aggreging the cost of the disease, the treatment of cases with a BHYT card that does not register the disease, the initial treatment at the facility; the cost of addition to the specified capacity at Point 2 This Article to pay with the conservation organization. Social life.

What? 11. Pay the service price

1. Payment on the service price is the method of payment based on the cost of drugs, chemicals, supplies, medical devices, medical engineering services used for the sick person at the medical facility.

2. The service price payment is applied in the following circumstances:

a) The medical facility has not adopted the method of payment by definition;

b) The person with a BHYT card does not register to examine the disease, the initial treatment at that medical facility;

c) Some diseases, groups of diseases, medical engineering services do not take into account the performance fund of the medical facility that applies the method of payment under the regulatory rate at Point 2 Article 10 This Information.

3. Payment Facility: The cost of medical engineering is calculated according to the price of the medical examination, the cure is approved by the authority; the cost of medication, chemicals, medical supplies is calculated at the purchase price but does not exceed the bid price; the cost of it. Blood, blood work, at the cost of the Ministry of Health.

4. The Health Clinic, which cure BHYT of being used at the medical facility to register the disease, cure BHYT was originally determined by regulation at Clause 1 Article 17 This message, the scope of use is as follows:

a) For the medical facility that performs the disease, healing outpatient and boarding:

-90% for medical examination, treatment at the facility; medical examination, medical treatment for patients who visit the disease, cure the disease at other medical facilities and transportation costs (if any);

-The remaining 10% to adjust, add in accordance with Article 5 of Article 5.

b) For the medical facility that only performs the disease, healing outpatient:

-45% for medical examination, medical treatment at the facility; medical examination, medical treatment for patients who visit the disease, treat outpatient at other medical facilities and transportation costs (if any);

-5% to adjust, add to the prescribed medical facility at Section 5 This Article;

-The remaining 50 percent, the Social Insurance organization used to pay the cost of the disease, heal the patient.

c) The Social Insurance Organization is responsible for the payment of the cost of the examination, the treatment of the person with the BHYT card at other medical facilities and subtracted to the cost of the medical facility that is used on the person's BHYT card.

5. The case of the cost of the examination, the treatment of overtaking the total hospital examination, the treatment used, the Social Insurance organization regulates as follows:

a) The adjustment, supplements from 10% of the medical examination fund, cure the remaining disease to the facility performing the disease, healing outpatient and boarding;

b) The adjustment, supplements from 5% of the examination fund, the remaining treatment for the facility only performs disease, healing outpatient;

c) The case after the adjustment that remains missing, the Provincial Social Insurance is responsible for reviewing the additional payment within the scope of the disease fund, healing locally; if the local fund is not enough to adjust, the Vietnam Social Insurance report views it. Take care of it.

6. The total payment for cases to the examination, healing (except for examination of the disease, the initial treatment) does not exceed the cost of the actual average according to the extent of the rights to the benefit of an inpatient treatment and a medical, medical treatment. Outpatient foreign affairs of cases are transferred to the previous year (x) with the number of visits, treatment of the year and the nucleus (x) with the system k.

Every year, the first year's drug group and health services index of the year adjacent to the General Directorate of Public Statistics, the Social Insurance organization announced, regulates the total payment level for medical facilities.

Case of cost of births due to changes in the price structure of the clinic, healing, application of new health services, new drugs and other related factors or functional changes, the task of the medical facility under the decision of a competent grant, the cost of birth. This is organized by the Insurance Social Insurance and is calculated at the total cost of the year as a base that determines the average cost of the next year.

The case of medical facilities using a total cost of funds is paid not to be paid by the BHYT fund.

What? 12.

1. Payment in case of illness or disease group is a complete payment according to the cost of the examination, the pre-determined treatment for each case according to the diagnosis.

2. The basis of classification, which determines the diagnosis for each case of disease or the disease group that is carried out by the Ministry of Health regulation.

3. Cost the package of each disease or disease group based on the value of the disease service, cure the present disease.

4. The Ministry of Health guidelines perform the payment pilot in case of illness or group of diseases.

What? 13. Medical insurance payments in some cases.

1. Pay the cost of transporting people from the district to the upper line with the regulatory object at d, e, g, h, and Point A 3 Article 1 This is in the case of an emergency or while the boarding treatment must transfer the treatment route, cure it. The following:

a) The case for the sick use of the medical facility, the BHYT fund payments the cost of transportation, both the way and back to that medical facility, which is equal to 0.2 liters of gasoline per kilometer in terms of the actual distance between the two medical facilities and the gas price at the time. The point of use. If more than one person is able to be transported on a vehicle, the payment level is only calculated as for transporting a person. The medical facility receives the recipient of the patient ' s confirmation on the basis of the medical facility to move the patient; in addition to administration, there must be a doctor's signature.

b) The case of the sick person does not use the means of transportation of the medical facility, the BHYT fund paid a one-dimensional transportation cost (dimension) to the person who is 0.2 litres of gasoline/km in terms of the actual distance between the two medical facilities and the gasoline price at home. It's time to move the sick to the upper line. The medical facility assigned the route to the responsibility of payment before this expense directly to the person, then payment with the BHYT fund.

2. Pay for medical examination, cure for children under 6 to examine the disease, cure of the BHYT card process:

a) The medical facility responsible for the synthesis of a list of children under the age of 6 has been discovered, treated with a certificate of birth certificate or birth certificate; the case must be treated immediately after birth without birth certificate, the head of medical facility and father. Or the child 's mother or guardian of the child' s body is confirmed to be in a hospital filing as a prescribed payment at the provisions of this Article 2 Article 8.

b) Social Insurance based on a list of children who have been discovered, treated by a medical facility, has a responsibility to test, verify the granting of the BHYT card to children. The unlicensed case is the card-grade guide, then minus the cost of the examination, which is treated to the medical facility used by the medical facility on the child ' s BHYT card. The case of child identification has been issued unless the cost of funding is used by the medical facility where the child registers the disease, the initial treatment.

3. Pay the cost of an examination, cure for the person who donated the body part of the body to the treatment after a donation without a BHYT card:

a) The medical facility where the human body department is responsible for aggreging the number of people who have donated and the cost of the disease, cure the disease according to each person of the month, to the Social Insurance organization to have contracted with the medical facility in payment of costs. exploring the disease, treating BHYT;

b) The Social Insurance organization based on the number of people who have donated the body part of the body has been discovered, cured by the medical facility transferred to the responsible employment of the BHYT card-level procedure and subtracted to the cost of the medical facility listed on the card. Your BHYT.

4. Pay for the cost of discovery, cure for medical engineering services provided by the staff of the line of medical facilities on the line-only program, the supporting projects, enhancing the expertise of expertise to the under-prescribed line of the Minister of Health:

a) The case of medical engineering services that has been granted authority to approve the price, the BHYT fund payment under the price has been approved;

b) The case of unapproved medical engineering services the BHYT fund trades at the service price of the technical transfer facility that has been granted approval by the authority. The medical facility receives a technical transfer responsible for informing the Provincial Social Insurance of the engineering services implemented under the program, the project, and the competent authorities that approve the technical portfolio and the medical services price to do the opportunity. It is done when receiving this medical technique and the BHYT payment.

5. The case of overloaded medical facility, which has the organization to examine the disease, cure BHYT on the day of rest, the feast day must inform the organization of the Social Insurance to supplement the examination contract, cure the disease prior to the execution. The person with the BHYT card comes to the pathology, treating the BHYT fund payment in the range of rights and the BHYT level. The medical facility is responsible for the assurance of manpower, specialized conditions, which must publicly pay the costs that the person must pay beyond the scope of the BHYT participant and must notify the sick; the sick must pay the part. cost outside of the range of rights and the BHYT level (if available).

Chapter V.

DIRECT PAYMENT OF THE COST OF DISCOVERY, HEALING BETWEEN SOCIAL INSURANCE AND THE PERSON INVOLVED IN HEALTH INSURANCE.

What? 14. Direct payment of medical examination, medical treatment

Cases of direct payment of the cost of the disease, treating the disease prescribed at paragraph 2 Article 31 modification, the addition of the BHYT Law includes:

1. Find a disease, cure the disease at a medical facility that does not have an examination contract, cure BHYT.

2. Exploring, cure for the wrong procedure, cure BHYT by regulation at this Article 8.

What? 15. Payment recommended.

1. The proposed payment of the cost of the disease, the treatment of BHYT by the Vietnamese Social Insurance.

2. The procedures, the papers are prescribed at this Article 8.

3. Paper out.

4. The main form of valid certificates (drug purchase bills, bill collection bills, and related testimonies).

What? 16. Direct Payment

1. The sick person or patient of the patient is responsible for filing a prescribed profile at Article 15 of this Privacy for the Social Insurance granting the district residence.

2. The district-level Social Insurance Organization is responsible:

a) Continue the filing of the patient's payment or the patient's client's payment and set up the record receipt. The files are incomplete, and the requirements are sufficient;

b) In the 40-day period, since the date of receiving enough payday payment must complete the monitoring of BHYT and payment of the cost of the disease, cure the disease directly. The non-payment case must respond in writing and specify the reason;

c) The sum of the money paid the cost of the disease, treating the sick and subtracted from the cost of the medical facility where the person with the BHYT card registers the disease, the initial treatment.

3. BHYT payment level:

a) The case of the person who is sick to the disease, healing at the medical facility has a contract to examine the disease, cure BHYT: payment within the scope of the rights and the BHYT level by regulation;

b) The case of people who are sick to the pathology, healing at the medical facility does not have the contract to examine the disease, cure BHYT: payment according to actual costs within the range of rights and BHYT levels but maximum does not exceed the stipulation rate at appendix 04 issued. Come on.

Chapter VI

MANAGEMENT AND USE OF HEALTH INSURANCE FUNDS

Article 17. Using a medical clinic, treating health insurance by regulation at Clause 1 Article 6 of the number of people 105 /2014/ND-CP

1. Deliver the disease fund, cure BHYT for medical facilities that register the disease, cure the original BHYT:

The base of the total examination, the treatment of BHYT on the provincial table is determined by regulation at paragraph 1 Article 6 of the number. 105 /2014/ND-CP, Provincial social insurance is responsible for the allocation of funds for medical facilities registered to the examination, initial healing, and the following:

The discovery fund, which cure BHYT for the medical facility to register the disease, cure the initial disease	=	Total medical examination, BHYT treatment on provincial territory	-	The total number of health care extracts initially on the provincial capital.	x	The total number of BHYT cards registered the disease, initial healing at the medical facility.
		BHYT Card Total for the year

In it:

-The total hospital examination, the treatment of BHYT on the site is determined by regulation at Clause 1 Article 6 of the number 105 /2014/ND-CP (90% of the money closed BHYT on the provincial table for disease, healing).

-The total number of initial health care extracts on the provincial table is determined by regulation at paragraph 2.

2. Transfer the funding to educational institutions of the national education system and the agencies, organizations, businesses that have all the initial health care conditions under the regulation at Article 18 of this Smart:

a) For the basis of preschool education:

-The amount left for preschool education consists of two: equals 5% of total BHYT funds count on the total number of children under the age of 6 who are attending the facility and 1% of the total monthly BHYT proceeds of the closed base for the Social Insurance organization in accordance with regulations. This one.

In the first month of the school year or the course, the Social Insurance organization is responsible for transferring the number of money above to preschool institutions.

Example 8: Early Childhood Education Facility B has the primary health care conditions for children, in 2015 there are 100 children under the age of 6 attending school. Assuming that the BHYT closed is 4.5%, the base salary is 1,150,000, the amount of the Social Insurance organization quoted to the school is 3,105,000:

5% x (100 children x 4.5% x 1,150,000 v/month x 12 months)

In addition, the Social Insurance organization also has to extract the basis for preschool B by 1% of the total base BHYT of the facility for the Social Insurance organization by example 10 at this point c.

b) For the other educational basis:

-The amount of money left for the education institution consists of two: by 7% of the total BHYT fund total on the total number of students, students are attending the education facility with BHYT (including students, students participating in BHYT under another group of subjects) and 1% of the total amount. The monthly BHYT is closed to the Social Insurance organization by regulation at this point.

-In the first month of the academic year or the course, the Social Insurance organization is responsible for transferring the amount raised above for educational institutions.

For example, the University of K has the primary healthcare conditions for students; the 2015 -2016 academic year, which has 5,000 students, including: 100 children in the poor, 100 are the relatives of the military force, 100 of whom are relatives of the public with the revolution. And 4,700 I belong to other subjects. Assuming the BHYT closing of the unified subjects was 4.5%, the base salary was 1,150,000; the amount of the Social Insurance organization quoted for the School was 217,350,000:

7% x (5,000 students x 4.5% x 1,150,000 copper/June 12 months)

In addition, the Social Insurance organization also has to extract the University of K with 1% of the school's total BHYT's proceeds to the Social Insurance organization by example 10 at this point.

c) For the initial health care funding for subjects due to the agency, organization, enterprise management:

-The rating for agencies, organizations, businesses with a 1% total of total BHYT-based money (which does not include the agency BHYT) of the agency, organization, businesses close to the Social Insurance organization.

-Every month, after receiving the BHYT of its agency, the organization, the business, the Social Insurance organization is responsible for the amount of money listed above the agency, the organization, the business.

For example, 10: Enterprise A has a body health organization (without a contract to examine the disease, cure BHYT) to make a deposit in BHYT, a total of 105 million copper, of which: 100 million is the amount that must submit to a regulatory level, 5 million is interest. Slow down. The Social Insurance organization after receiving this money was responsible for the certification of the A-sum business of 1,000,000 (1% x 100,000,000).

What? 18. Conditions, organizational scales; genus content; management and payment of the initial health care costs at educational institutions, agencies, organizations, businesses, and other institutions.

1. Educational, agency, organization, business organization (except for educational institutions, agencies, organizations, businesses with a medical organization that has a contract to examine the disease, cure BHYT) is granted funding from the medical examination fund, cure BHYT for initial health care to the patients. object due to the basis of education, agency, organization, business management when there is sufficient following the following conditions:

a) There is at least one person who is in charge or/or a contract or contract contract for a period of 3 months or more, the minimum level is the medical center;

b) There is a medical room or a private working room for the execution of an emergency, initial execution for subjects due to educational, agency, organization, management, when suffering from injury accidents, common illnesses during the study period, working at the facility. Education, agency, organization, business.

2. First Health Care Content:

a) Purchasing Medicines, medical supplies serving an emergency, initial treatment for children, students, students, agencies, organizations, businesses, businesses, and conventional illnesses during school, work at the institution of education. exercise, agency, organization, business;

b) The procurement, repair of the conventional medical equipment site serving early health care at the institution of education, agency, organization, business; and more.

c) The purchase of the stationing office, the document cabinet serving the management of child health records, students, students, labourers;

d) Procurement of books, materials, tools serving propaganda activities, teaching, foreign education on care, health counseling, reproductive health and family planning at the institution of education, agency, organization, business;

Other expenses to perform early health care at educational institutions, agencies, organizations, businesses.

3. Management and payment of funds:

a) The institution of education, agency, organization, business is granted funding from the medical examination fund, the treatment of BHYT that is responsible for use for the initial health care work for subjects due to education, agency, organization, management business, which is not used in the business. You know, in other purposes.

b) The initial health care expenditures stipulate at paragraph 2 This is calculated, the problem is as follows:

-For the public education establishment that performs the accounting of the initial health care expenditures at the cost of performing medical work at the facility and the decision with the degree management unit on the current regulation;

-For an external educational institution that performs the accounting of the initial health care expenditures at the expense of the public external education facility and the decision with the upper-level unit (if any);

-For business, the economic organization makes its own accounting open to reflect the reception of funding, the use of funding, which does not aggregate into the cost of the business of the business;

-For the agency, the other unit performs the accounting of the initial health care expenditures at the cost of performing the medical work of the agency, unit and decision with the agency, the upper management unit (if any) or the financial institution under the current regulation.

c) The institution of education, agency, organization, business is granted the initial health care funding under the regulation at this Article not to decide with the Social Insurance organization but is responsible for reporting on the use of funding as the organization of Social Insurance, The state agency has the authority to ask.

d) The amount of funding allocated to the end of the year is not yet used, which is shifted to next year to continue to use.

What? 19. Chi support for the Social People ' s Committee to implement a list of health insurance participants on the site.

1. Cost of support for the Social People's Committee to implement the BHYT participation list on the site is arranged from the annual machine management of the Vietnam Social Insurance.

2. The amount of funding costs is based on the number of people on the BHYT participation list issued by the Social People ' s Commission (for the increased list, defaced by the number of people increased and the number of people decreased) and the level of expenditure issued by Vietnam Social Insurance. The year on the basis of the expected approval rating was approved by the Prime Minister; in 2015 it was 1,500 per person.

3. Transfer the cost of support for the Social People ' s Committee to implement the BHYT participation list on the site:

a) For 2015: The latest to the end of March, the District Social Insurance has a temporary responsibility for a minimum of 50% of the amount of funding supported by the stipulation rate at Clause 2 This and the total population of the Social People's Committee at the time of the support. The remaining number is granted enough after receiving the BHYT participation list by regulation at Point 4 Article 4.

b) Since 2016, the district-level Social Insurance makes a transfer of funding support to the Social People's Committee after receiving a list of increases, reducing the subject of BHYT participation by regulation at Point 4 Article 4 This Privacy.

Example 11:

-In 2015: The population of the N population had 6,000 people, the number of Social Insurance granted to the commune granted a population of 4,500,000 (50% by 6,000 x 6,000 people). The remaining money was granted enough after receiving the BHYT participation list at the Point of Section 4 Article 4.

-2016: The commune sent an increase in the report, reducing the object, which increased 30 people, down 10. Assuming the list of the BHYT participation list applied in 2016 was $2,000 per person; the amount of support for the commune was $80,000:

(30 increase + 10 people down) x 2,000

c) The transfer of the cost of the support is done in accordance with the transfer payment method or the direct-to-cash spend.

4. The Social People ' s Committee is granted a budget of the BHYT participation list that does not have to decide with the social budget but must open its own accounting to reflect the funding reception, using the funding.

Chapter VII.

EXECUTION CLAUSE

What? 20. The transition clause

1. In 2015, the Social Insurance organization implemented a BHYT card level for object groups on the basis of a BHYT participant list of objects due to the agency, the organization, the object management unit moved to. Upon receiving the 2015 BHYT participation list of the Social People's Committee, the Social Insurance organization has a controlling responsibility, ensuring that the card level is correct.

2. For the participant BHYT who suffers from traffic accidents:

a) The cases in the pre-treatment institute before January 1, 2015, but released on January 1, 2015, and the case of a traffic accident into the treatment institute since January 1, 2015, which was funded by the BHYT fund, treated the disease within the same level. The rule of regulation;

b) The case of a traffic accident is due to a violation of the person ' s traffic, which has been funded by the BHYT fund, treated by regulatory regime and released before January 1, 2015, and not reimbursable. Hey, this is for BHYT.

3. The case of patients with a medical facility specifies the use of a regulatory engineering service at Decision No. 36 /2005/QĐ-BYT October 31, 2005, of the Minister of Health on the issuing of the Board of High Technical Services, large cost, BHYT fund payment within the range but does not exceed 40 months of the base salary for a single use of that technical service until the Ministry of Health issued it. category, rate and payment conditions for medical engineering services belonging to the scope of the BHYT participant (except for the specified case at Point 1 Article 4 Decree No. 4). 105 /2014/NĐ-CP).

4. For the medical examination contracts, the treatment of BHYT was signed before the date of this Privacy effective, the Social Insurance organization and the revised medical facility, which complements the regulatory fit in this Privacy.

What? 21.

1. This message was in effect from 1 February 2015; the regulations at the same date were made from 1 January 2015.

2. The following documents and regulations run out of effect since this Private Day is in effect:

a) Digital federated 09 /2009/TTLT-BYT-BTC August 14, 2009 of the Ministry of Health-Ministry of Finance guidelines for the implementation of health insurance and Digital Federal Information 24 /2014/TTLT-BYT-BTC July 14, 2014 of the Ministry of Health-the Ministry of Finance amended, adding some of the provisions of the Digital Federal Information 09 /2009/TTLT-BYT-BTC August 14, 2009, of the Ministry of Health-the Ministry of Finance guidelines for medical insurance;

b) Digital federated 39 /2011/TTLT-BYT-BTC November 11, 2011 of the Ministry of Health-The Ministry of Finance directed the procedure to pay the costs of the disease, treating patients with health insurance participants in traffic accidents;

c) The following provision at Clause 2 Section II 14 /2007/TT-BTC 08/3/2007 of the Ministry of Finance instructed to use the funding of performing medical work in schools: " For the funding of funds left from the Fund for the Voluntary Health Insurance Examination of the student audience, students: Educational institutions are responsible for the benefit of the health care. management, use and accounting with the social insurance agency under the current regulation ".

What? 22. Organization to execute

1. Vietnam Social Insurance has a responsibility:

a) the BHYT card template board, a reissued paper template, BHYT card exchange and new level process, resupply, recovery, cache, BHYT card exchange after having the uniform opinion of the Ministry of Health;

b) The declaration pattern of the first BHYT participant and guide to the BHYT participant in declaration when the BHYT card level;

c) The average annual drug group and health service index of the previous year by the General Directorate of Public Statistics, timely notice to the Social Insurance of the provinces, cities to carry out the cost adjustment associated with the examination, cure BHYT for medical facilities;

d) Command the Social Insurance of the provinces, the city in coordination with the Health Department, the Finance Department, the facilities of the disease, the treatment of BHYT on the site, the borders of the border and the relevant authorities in accordance with the competent authority. I ' m going to die

The Social Insurance executive (if available) to the Social People's Committee on the list, management of the BHYT participation list on a family's household;

e) Guide to Social Insurance of the provinces, the city of evidence from the cost of the disease and the cost of the sick to determine the amount of money that the same cost is in the year to issue a certificate of non-payment in the year for the person who has time to participate in BHYT for five years. There are more and more money at the expense of the clinic, treating the disease in the year larger than 6 months, except for the self-discovery, the non-linear disease stipulated at Section 1 Article 22, the addition of the BHYT Law.

For example, 12: On May 1, 2015, Mr. A had a 60-month-continuous BHYT participation period and had the money at the expense of the cost of the disease, treating the capital from 1 January 2015 to 1 May 2015 as 7 million (greater than 6 months). From May 1, 2015 to the end of December 31, 2015, Mr. A was funded by the BHYT Foundation 100% of the cost of the disease, treating the disease within the BHYT benefit range.

2. The Health Department is responsible:

a) The Chair, in collaboration with the popular Provincial Social Insurance, directed the organizational medical facility to perform the disease, cure the local BHYT participant in accordance with the regulation at the BHYT Law, the Amendment Law supplements certain things of the BHYT Law, the Digital Protocol. 105 /2014/ND-CP and this message;

b) Host, in collaboration with the Department of Health and Social Security is related at the border of the border to organize the disease, healing, and transfer of technical expertise to facilitate the participant BHYT.

3. The basis of the disease, the treatment of BHYT is responsible:

a) to promote the application of information technology in disease management, healing. The medical facilities that already have or are building management software are in collaboration with the Social Insurance organization to unify statistical standards under the management requirements of the disease, healing; facilities that have no management software, research, software applications, and software. Vietnamese social insurance is implemented, advancing to unify a general management software program;

b) Host, in collaboration with the organization Social Insurance organization, which applies management programs, controls the cost of the examination, healing.

In the course of execution if there is an entangrium, the offer reflects promptly on the Ministry of Health and the Ministry of Finance for the study of the ./.