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Circular 85/2016/ttlt-Byt-Btc-Bqp: Guide The Implementation Of Health Insurance For Military Personnel And People Working On Cipher

Original Language Title: Thông tư liên tịch 85/2016/TTLT-BQP-BYT-BTC: Hướng dẫn thực hiện bảo hiểm y tế đối với quân nhân và người làm công tác cơ yếu

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CIRCULAR Guide make health insurance for military personnel and people working the muscle weakness------------according to the law on medical insurance on November 14, 2008 and the law amending and supplementing some articles of the law on medical insurance on June 13, 2014;
Pursuant to Decree No. 70/2015/ND-CP of September 2015 the Government detailing and guiding the implementation of some articles of the law on medical insurance for the people's army, the police and the people who do the work of weak muscle;
Pursuant to Decree No. 35/2013/NĐ-CP dated April 22, 2013 of the Government functions, tasks, powers and organizational structure of the Department of Defense;
Pursuant to Decree No. 63/2012/ND-CP on August 31, 2012 of the Government functions, tasks, powers and organizational structure of the Ministry of health;
Pursuant to Decree No. 215/2013/ND-CP on December 23, 2013 of government functions, tasks, powers and organizational structure of the Ministry of finance, the Minister of Defense, Minister of health, the Minister of Finance issued a circular Guide make health insurance for military personnel and people who do the work of weak muscle.
Chapter I GENERAL PROVISIONS article 1. Scope 1. This circular guides the implementation of medical insurance for the objects specified in paragraphs 1 and 3 article 2 of Decree No. 70/2015/ND-CP on September 1, 2015 the Government detailing and guiding the implementation of some articles of the law on health insurance for military , Public security and people's working body (hereinafter referred to as the Decree No. 70/2015/ND-CP).
2. for the object specified in clause 3 2 of this circular a) estimating cost of health insurance premiums due to the ministries, local use body follow the provisions in paragraphs 2 and 3 article 5 of Decree 70/2015/ND-CP;
b) level, level back, change card, health insurance card recovery; allocation, management, use of health insurance funds, social security due to the implementation as defined in articles 7, 8, 9, item 2 article 20 of Decree 70/2015/ND-CP and this circular.
Article 2. The object insured health participants health insurance provisions in the clause 1 and 3 article 2 of Decree No. 70/2015/ND-CP applies in this circular includes: 1. professional military personnel, officers and non-commissioned officers, soldiers are active.
2. Who do the work as paid body for military personnel are present in the body;
3. Who do the work as paid body for military personnel are working in the ministries, local use of weak muscle.
4. The student body entitled to living expenses from the State budget according to the policy regime as for military students.
Article 3. Estimating, method of closing, the closing liability and settlement funding closes medical insurance 1. The base path specified in article 3 of Decree 70/2015/ND-CP on September 1, 2015, the Government's Defense Ministry, the central authorities and the local use of the working body estimating cost of health insurance premiums for objects in an administration sent financial bodies of the same level of synthesis process of authority under the provisions of The State budget law and the law on the Guide text.
2. The Ministry of national defense have reduced responsibility except the expense of drugs, bandages, medical supplies, chemicals and the costs for the hospital bed ensuring military sector as stipulated in Decree No. 123/2003/ND-CP of September 22, 2003 and Decree 65/2009/ND-CP of 31 July 2009 amending supplements Decree No. 123/2003/ND-CP stipulates the physical standards for military logistics in the five correspond with numbers join health insurance according to the roadmap prescribed in article 3 of Decree 70/2015/ND-CP. 3. The management, use and cost of health insurance premiums due to the State budget to ensure implementation of provisions of the law on the State budget, the health insurance Law and guidance documents.
4. Subject to the provisions in article 2 of this circular in an paid during the maternity allowance childbirth or adopter or ailing voucher due to illness in the category of diseases need longer treatment by the Ministry of Health issued under the provisions of the law on social insurance, the social insurance fund for medical insurance premiums based on the salary, allowances, of the object before the maternity or sickness.
5. The object prescribed in article 2 of this circular was sent to study or work in foreign countries do not pay health insurance; that time is calculated as the time involved medical insurance until the day a decision is the return of the bodies, the Organization of elections.
6. Each year, social security, the Ministry of defence has the responsibility to report income filed health insurance of the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular with the social insurance of Vietnam.
Chapter II article 4 health insurance CARD. Order and procedure of granting medical insurance card for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular 1. Health insurance cards are issued in the case has not yet been granted or convert participants from other group health insurance to or expired health insurance cards use is made in accordance with article 7 of Decree 70/2015/ND-CP DATED. 2. The record level of medical insurance cards include: a) the declarations provided and change the information of participants in social insurance, individual health insurance for participants first health insurance;
b) list of objects specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular (attached electronic data list of participants health insurance) because of county-level divisions and equivalent;
c) Declaration Form provided and change the information of participants of social insurance, health insurance, the list of participants for health insurance and other forms of health insurance card issued by the social insurance of Vietnam issued after United with social insurance Ministry of defence to ensure conformity with the management of objects.
3. The order and procedures of healthcare insurance cards include: a) the fourth quarter of each year, subject to the provisions in paragraphs 1, 2 and paragraph 4 Article 2 to this circular joined first health insurance set up the declaration provided and change the information of participants of social insurance, health insurance stipulated in art. 2 this direct management unit;
b) within 5 working days of receipt of a valid declaration, the direct management of the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular check the legality and accuracy, General, make a list of the objects that participate in the unit's medical insurance and have suggested text sent to the single personnel agency level and equivalent Regiment. The case of the Declaration is invalid, unit direct management guidelines complete object declarations as prescribed;
c) within 5 working days from the date of the proposed text of the management unit directly attached to the list of participants health insurance and a valid declaration of the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular, and regiment level units have equivalent text proposal sent to the single personnel agency County-level divisions and equivalent;

d) within 5 working days of receipt of the text of the proposal and the regiment level units equivalent to enclose a list of the objects that participate in health insurance and a valid declaration of the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular and division-level units, equivalent to the aggregate list of reported human-level agency directly under the Ministry of defence to manage, host declarations participate in health insurance, at the same time, submit grant proposal writing health insurance card enclosed with the list and send electronic data file social insurance Ministry of Defense;
DD) within 10 working days from the date of application specified in clause 2 of this social insurance, the Ministry of defence to grant medical insurance card and switch on the unit for health insurance participants; case-level tags, social insurance Ministry of Defense must have text send unit and reason;
e) records the health insurance card be sent directly or through the post to force social insurance Ministry of Defense.
4. the health insurance card Issued by a number of cases: a) object from the unit have not made health insurance according to the roadmap prescribed in article 3 of Decree 70/2015/ND-CP was assigned, transferred to the unit is implementing health insurance: immediately after receipt, personal guide unit Declaration , make a list of the health insurance card, report-level divisions and equivalent to social insurance Ministry of Defense. In the list of health insurance card unit must clearly decide things, transferred the object of effect execution. Health insurance card has shelf life from the date of the decision, the thing transferred objects have enforceable;
b) where conversion from participants in other group health insurance subject to the provisions of article 2 to this circular: immediately after reception, the unit guide declare, setting a list of health insurance card, report-level divisions and equivalent to sum transfer of social insurance, the Ministry of defence attached to the old social security card (if available) to recover. The new health insurance card has shelf life from the date of the decision, recruitment maneuver of authority have enforceable;
c) other special cases by the Director of social insurance Department of Defense guidelines.
5. The Director of the social insurance regulation Department of defense term used by social insurance card the Defense level but must not exceed 24 months.
6. Army medical units to manage the health insurance card of the object.
Article 5. Again, change the health insurance card for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular 1. Health insurance card in case of loss.
2. Change the health insurance card in accordance with paragraph 1 article 19 health insurance Law amendments, supplements and the following provisions: a) to change the subject from the lower officers, soldiers turning to professional personnel officer; from the student body moved into the working muscle weakness or the officer, professional soldier;
b) health insurance participants are assigned to work in the area of economic and social conditions difficult, especially difficult or island Township, district of the island and vice versa.
3. The record level again, changing a health insurance card) card case: motion card of health insurance participants;
b): single card change case suggest change the participant's card of health insurance and the health insurance card;
c) suggested text and the list again, change the health insurance card by county-level divisions and equivalent set send social insurance Ministry of Defense.
4. the order granting leave, medical insurance card change made under the provisions of article 4 paragraph 3 of this circular. Within 7 working days from the date of application specified in clause 3 of this article, the social insurance Ministry of Defense to level again, change the health insurance card; the case of not granting leave, social insurance card, change the Defense Department must respond in writing and stating the reason. Time again, health insurance card, change the subject to join health insurance when the doctor visit, the cure performed as specified in clause 5 article 15 of Decree 70/2015/ND-CP and enjoy full health insurance benefits.
5. Charge level again, change the health insurance card a) proposed audience level again, change the health insurance card to file charges in the case by personally lose cards or punctured, crushed, broken. Fee level again, the card is made according to the regulations of the Ministry of finance;
b) individuals or units filed the charge level again, change the health insurance card for financial management unit directly. Monthly, financial reporting, General unit amount charge level again, change the health insurance card to the superior finance directly to the financial agency-level Ministry of Defense;
c) annually, around the same time settlement currency, health insurance, social security, the Ministry of defence made settlement charges again, change the card with the financial agency-level Ministry of Defense.
Chapter III SCOPE of health INSURANCE, PAY the DOCTOR, cure SOME CASES and SHIPPING COSTS article 6. The scope of health insurance for the object specified in article 2 of this circular 1. The doctor, cure, rehabilitation, UPS and child birth.
2. Shipping costs according to the provisions in clause 5 article 11 of Decree 70/2015/ND-CP. 3. Do not apply the rules on billing rate limit to a number of drugs, chemicals, medical supplies and medical engineering services as defined by the Minister of health for the costs specified in paragraph 1 of this article.
4. The cost of medical examination and treatment outside enjoy health insurance include: drugs, chemicals, medical supplies are allowed to circulate in Vietnam and the medical techniques are approved by the authority.
Article 7. The payment of the cost of hospital treatment provided in item 2 article 10 of Decree 70/2015/ND-CP 1. The Foundation examination and treatment of group health insurance subject to the provisions in article 2 of this circular to pay the doctor, healing beyond enjoying medical insurance for this audience when: a true healing, medical examination) regulations in articles 26, 27 and 28 of the health insurance Law was revised and additional consultation or treatment in emergency cases;
b) Smoking, chemicals have to be licensed in Vietnam, medical supplies are available in the category of license use, technical medical category must be approved by the authority;
c) technical services Price must be approved by the authority; the price of drugs, chemicals, medical supplies as a result of winning bid made in accordance with the law on tender procurement of drugs, chemicals, medical supplies;
d) use of drugs, chemicals, medical supplies, medical engineering services in addition to listing the payment of medical insurance must be judgments or the head of the base doctor, cure (or authorized person) sign the approval and stored in the record.
2. where the examination of the healing fund groups specified in article 2 of this circular are not enough, then the State budget continues to ensure the content of this genus.
3. The base doctor, healing the settlement cost content in the paragraph 1 and 2 of this Article (if available) with the social insurance, social security, the Ministry of defence. Social insurance General Vietnam part costs in clause 2 of this report the Finance Ministry for additional funding from the State budget.
Article 8. Extract transfer funds and pay the cost of medical examination and treatment in army medical unit, health bodies 1. Extract transfer funds and pay the cost of medical examination and treatment in army medical units of the medical Agency, the Ministry of Defense management

a) Hang you, based on the number of medical insurance card was issued and the number of currency of respective health insurance of the object specified in the paragraph 1, 2 and 4 2 of this circular, the social insurance Department of Defense announcements and the transfer of funds for financial institutions-level Ministry of Defense by 10% of the total number of medical insurance income subject to decentralization of funding to the level the regiment and the equivalent used for the medical examination and treatment of this subject in army medical unit, health agencies. Army medical units, medical bodies and regiment level units coordinated with the equivalent bodies of the same level of financial planning of use of funds, the report approved by the unit heads;
b) ensure funding and use the doctor, cure at the army medical unit, health agencies are as follows: the content of the genus examinations, cure the disease in army medical units, medical bodies, including: Smoking, cotton tape, chemicals, medical supplies are in the category of medical insurance payment; the cost of the medical engineering services and consultation in rehabilitation, healing health insurance was approved by the authorized catalog and the price paid;
The Chairman of the military-level and equivalent construction Regiment, the Chairman of the superior army medical approval of drug use at the online army medical unit, health agencies and organizations make the supply of medicines, bandages, medical supplies, chemicals within the scope of the expertise in the form of tender , offer competition to stores directly to the army medical unit, health agency administered. The case level, the regiment and the equivalent does not guarantee the continued supply of medicines, bandages, chemicals, consumables, the army medical unit and division level or equivalent level directly under the Ministry of national defense made this content;
Every military unit, medical, General agencies and reporting the cost of health insurance funding according to the form prescribed by the Vietnam social insurance;
c) method of payment, settlement: every, army medical unit, Agency health policy base track examinations, medications, treatment, statistics, daily professional activities the use of drugs and surgery, procedures at the unit to General and reporting the cost of health insurance funding according to the form prescribed medical troop regimental-level units and equivalent;
Every financial unit, the agency coordinated with military organs at the same level check, verify, confirm the content of the settlement cost of medical examination and treatment as defined in point b of this Paragraph; General, founded the settlement reports with superior financial agencies directly to financial institutions granted directly to social insurance settlement the Ministry of defence;
Funds used for medical examination and treatment in army medical units, medical bodies in States not yet spent be moved to later use. The case of the genus too target funding was announced, the part exceeding this target units cannot be determined with the social insurance authorities from the health insurance fund;
Every year, the unit is not in use most of the funds allocated to unit heads report reporting to superiors, to report to the social insurance Ministry of Defense; This outlay was converted to use in the following year. The case of the genus too target funding was announced, then the part too, subdivisions, the Defense must do justification sent to Army Medical Directorate General, reports the Ministry of defence to consider additional grants from the budget. The case of the genus too much due to the unusual situation of disease, sickness, accidents, disease of the object prescribed in article 2 of this circular, the unit shall make the report immediately to timely complement from the State budget, not to lack of smoking;
d) medical practitioners, healing at the army medical unit, health authorities must be granted a certificate of practice under the provisions of the law; the case of the treatment goes beyond professional ability, then move the patient to the place of registration, initial healing items on medical insurance card (except emergency cases to be moved to any medical facility, convenient cure for).
2. Extract and transfer payment funding examinations, cure at the health agency, the unit for the object specified in clause 3 2 of this circular a) Hang you, based on the number of medical insurance card was issued and the currency of the respective health insurance the object prescribed in article 2 paragraph 3 of this circular Social insurance, the issuer Announces health insurance card and transfer the funds to the finance ministries, agencies, local branches by 10% of the total number of medical insurance income subject to the funding allocated to health authorities, direct unit of health management objects to use for the examination , healing of this object in the Agency, the health unit. Health Agency, direct unit of health management objects hosted, in cooperation with financial institutions planning to use the same level of funding, the report approved by the unit heads;
b) genus content examination and treatment of diseases at the health agency, the unit includes: drugs, bandages, chemicals, medical supplies are in the category of medical insurance payment; the cost of the medical engineering services and consultation in rehabilitation, healing health insurance was approved by the authorized catalog and the price paid;
c) method of payment, settlement: every, medical agencies, direct unit of health management object to base the books track examinations, medications, treatment, statistics, daily professional activities the use of drugs and surgery, procedures at the unit to General and reporting the cost of health insurance funding according to the form prescribed financial institutions transfer the same level;
Every financial unit, the agency coordinated with the same level of health authorities to check, verify, confirm the content of the settlement cost of medical examination and treatment as defined in point b of this Paragraph; General, created the report to financial authorities for settlement with the social insurance;
Funds used for medical examination and treatment in health units, agencies in the States not yet spent be moved to later use. The case, so the funding targets be notified then the genus of this unit targets beyond not finalizing with the social insurance authorities from the health insurance fund.
Every year, the unit is not in use most of the funds allocated to unit heads report reporting to superiors, to report to the social insurance; This outlay was converted to use in the following year.
Article 9. Payment of shipping costs prescribed in clause 5 article 11 of Decree 70/2015/ND-CP 1. Conditions of payment and payment procedure, record shipping costs to comply with the provisions of points a and c, Paragraph 5 article 11 of Decree 70/2015/ND-CP DATED. 2. The level of payment of transport costs within the health insurance fund a) case using means of transport of the base doctor, cure the health insurance fund shall pay the cost of transportation, both the PM goes on and on to the base doctor, cure rates by 0.2 litres of petrol/km as measured by actual distance between two campuses consultation , healing and the price of gasoline at the time of use. If more than one user to be transported on a vehicle, the payment level also counted only as for the transportation of a person;
b) where not used vehicles of the base doctor, cure the health insurance fund shall pay the cost of shipping one way (way) for the patient according to the level by 0.2 liter gasoline/calculated according to the actual distance between the two campuses, the cure and the price of gasoline at the time of patient transportation;
c) shipping costs specified in the point a and b Account for this non-payment for the patient's escort transit (if any);

d) level affect shipping costs specified in the point a and b of this Clause apply to transport by road or rail. The case of carriage by means of the ship was converted from knots to kilometers; shipping by air is applied as for roads;
every), the social insurance agency paid the cost of transportation for the medical facility, healing the same period cost settlement examinations, cure health insurance.
3. Shipping costs outside of the range specified in item 2 of this a) shipping costs outside of the range specified in item 2 of this due to the State budget guarantees include: transportation costs from the place of work, work, study or residence to the place of registration, initial healing; from the place of examination, the ultimate healing of workplace, work, study or reside; the cost for the escort; the part costs exceed the level entitled specified in point d;
b) payment records are: form of payment shipping costs outside health insurance payment of individuals certified by the unit, a photocopy of the paper out of the Senate and the Bill, from the original shipping cost;
c) order payment: personal file specified in point b of this Clause for the financial management unit directly to the submission to the finance unit.
Within 10 working days, the financial agency-level and equivalent Regiment, no case-level financial organs, the regiment and the equivalent of the financial agency-level and equivalent Division must consider and pay shipping costs outside of the medical insurance payment for the object specified in the paragraph 1 2, and paragraph 4 Article 2 to this circular and annual settlement according to the current mode; financial agency subdivisions of ministries, sectors, localities have used body must consider and pay shipping costs outside of the medical insurance payment for the object specified in clause 3 2 of this circular and annual settlement according to the current mode.
4. Each year, the Department of finance the Department of Defense, in coordination with DOD Army Medical Department, agency-level financial departments, industry, provinces, and cities under central Government estimating the expense of the case prescribed in clause 3 of this same time estimating the budget of military industry health, Ministry of finance report to ensure implementation and settlement under the provisions of the law on the State budget and other documents guiding the implementation.
Article 10. Pay hospital, clinic of the object prescribed in article 2 of this circular 1. The object prescribed in article 2 of this circular when going inpatient at the base hospital, military or medical healing ministries, organized local nutrition care as prescribed by the Ministry of health be affected food mode of the hospital, the clinic at the rate specified in Decree No. 123/2003/ND-CP of September 22, 2003 prescribed physical standard logistics for military personnel in five and Decree 65/2009/ND-CP of 31 July 2009 amending and supplementing Decree No. 123/2003/ND-CP of December 22, 2003; Decree No. 13/2013/ND-CP dated 25 January 2013 prescribed physical standard of logistics of the submarine force of the campaign and the Decree No. 32/2013/ND-CP dated 16 April 2013 detailing and guiding the implementation of some articles of the law on Basic policy regime for people with weak muscles work and due to defense budget guarantees for the respect objects managed by the Defense Department, government body; the budget of the ministries, local warrant for objects managed by the Ministry, local branches.
2. patient base, army medical cure is responsible for ensuring standards, diet clinic, the clinic directly for the sick person and monthly settlement with financial institutions at the same level. The patient must pay the basic food for the base doctor, healing. The diet of the hospital, the clinic was sure true enough standard, quantitative, not granting money for sick people.
3. in case of inpatient treatment in medical establishments, healing beyond the military is guaranteed money eating pathology variances according to the actual number of days of treatment. Agency financial management unit, the object prescribed in article 2 of this circular are responsible for payment for the object and monthly settlement with financial institutions. The billing records, settlement is a photo paper discharge of unit heads direct management certificate object ensuring eating pathology consultation, healing facility where treatment for the object.
Chapter IV ORGANIZATION of examinations, TREATMENT and management, USE, PAY the DOCTOR, cure health insurance article 11. Registration, initial healing and patient transit, cure health insurance registration, healing the original medical insurance and transit consultation, healing health insurance in the health establishments for the object specified in article 2 of this circular to follow the provisions in circular No. 46/2016/TT-BQP April 2016 of The Minister of Defense regulations online consultation, technical expertise; registration and transfer of online consultations, healing for the objects of management and circular 40/2015/TT-BYT on November 16 in 2015 of the Minister of health regulations on registration, healing the original medical insurance and transit consultation, healing health insurance.
Article 12. Method of payment 1. Method of payment the cost of medical examination and treatment for health insurance the object prescribed in article 2 of this circular in the base doctor, cure health insurance follow the provisions in paragraphs 1 and 2 Article 18 Decree No. 70/2015/ND-CP and articles 10, 11 and 12 circular No. 41/2014/TTLT-BYT-BTC dated November 24, 2014 of the Y health, the Ministry of finance guidelines for health insurance (hereinafter referred to as the circular number 41/2014/TTLT-BYT-BTC).
2. The base doctor, cure health insurance made payments under intend capacity prescribed in article 10 circular No. 41/2014/TTLT-BYT-BTC, the costs outside of the health insurance fund (if any) of the groups specified in article 2 of this circular are not calculated in the total cost of medical examination , healing to do the determining capacity charge fixed Fund of the base doctor, cure this medical insurance.
3. The base doctor, cure health insurance apply Paragraph 6 article 11 circular No. 41/2014/TTLT-BYT-BTC, the cost of examinations, cure (except costs outside of the health insurance fund pays) of the groups specified in article 2 of this circular shall be calculated on the total payment level examination healing, health insurance of the objects involved other medical insurance in medical establishments.
Article 13. Direct payment of medical expenses, medical insurance cure 1. Direct payment of medical expenses, medical insurance healing done according to article 19 of Decree 70/2015/ND-CP DATED. 2. The level of direct payments in accordance with point b paragraph 4 Article 19 of Decree 70/2015/ND-CP made under the provisions of point b paragraph 3 article 16 Circular No. 41/2014/TTLT-BYT-BTC.
3. direct payment in the event of an emergency a) the object prescribed in article 2 of this circular are paying the entire cost of medical examination and treatment in the emergency phase. Part of the cost of the health insurance fund payments made under paragraph 1 and 2 of this Article, the difference to the level of payments specified in clause 2 of this due to the State budget guarantees;
b) part payment difference to the level of payments specified in clause 2 of this do the following:

Payment profile: A photo of the unit the papers specified in clause 2 article 19 of Decree 70/2015/ND-CP, Board of direct payments consultation fees, cure health insurance form C78-HD issued Circular No. 178/2012/TT-BTC dated 27 October 2012 of the Ministry of finance accounting guidelines applied to Vietnam due to social insurance the social insurance agency where direct payment and dispatch the proposal of direct management unit;
Order payment: set personal records as defined in point b of this Paragraph, submit to direct management unit to forward medical Bureau of the Ministry of defence for the object specified in the paragraph 1, 2 and 4 2 of this circular; switch back to the ministries, local use of weak muscles for the object specified in clause 3 2 of this circular.
During the 40 days from the date of receiving the application payment suggestion the section valid disparity, Army Medical Department of the Ministry of defence or the Ministry, local branches have used body must complete the evaluation and payment of part of the price difference for sick people. Cases not settled are answered in writing and stating the reason.
Article 14. Cost assessment examinations, cure health insurance at the base hospital, cure health insurance 1. Grounds for medical cost assessment and treatment of health insurance in the base doctor, cure health insurance: a) listing and reviews the medical engineering services done at the base hospital, healing is the approval authority;
b) category of drugs, chemicals, medical supplies used at the base hospital, healing due to medical treatment facility established pursuant to the authority; the price of drugs, chemicals, medical supplies are made by the decision to approve results of annual bidding authority.
2. where the use of drugs, medical supplies, technical services also list health insurance payment, subject to the provisions of article 2 to this circular are the health insurance fund only pays when the base doctor, cure it make the right specified in Clause 1 7 of this circular.
3. data base to share information on multiple inspection database online of the Vietnam social insurance, social security, the Ministry of defence in coordination with the social insurance assessment done for the case costs extraordinary signs or great cost in the base hospital , healing all over the country.
4. social insurance agency assess health insurance according to the provisions of article 29 of the medical insurance Law amendments and additions and the text direction of the Ministry of health and social insurance in Vietnam.
Article 15. General, cost analysis, healing of the object prescribed in article 2 of this circular 1. The aggregate costs of examination and treatment of the subject matter specified in article 2 of this circular are analyzed independently of the objects involved other health insurance according to the principle: a) based on the health insurance card number registration, early cure and the extent of this audience group to separate medical fund , healing;
b analysis of private cost) to the extent the payment of the health insurance fund pays and the cost beyond the scope of the health insurance fund pays to fund balance;
c) every, general medical examination costs settlement, healing along with the settlement period of the other objects;
d) figures the total cost in the range of the health insurance fund and out of range of the health insurance fund to be charged to the Fund, a private group of this object.
2. General costs form the doctor, cure a) using the prescribed form as for the objects involved other medical insurance but the schedule details consistent with the subject's rights specified in article 2 of this circular and the speaking part accounting for the health insurance fund of the object specified in the paragraph 1 2 and 4, article 2 to this circular with the social insurance and the Ministry of Defense of the object specified in clause 3 2 of this circular to provincial social insurance;
b) social insurance Vietnam information technology applications to specific instructions using the form consistent with realistic costs of examination and treatment of group objects.
Article 16. Advance, payment, settlement costs of examination and treatment of health insurance and settlement currency, the health insurance fund to the social insurance of Vietnam 1. Social insurance Ministry of Defense funding transfer examinations, cure for social insurance in Vietnam to pay consultation fees, cure health insurance of the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular when hospital treatment in medical establishments healing, health insurance is not contracted doctor, cure health insurance with the social insurance Department of Defense implemented as specified in point c paragraph 3 Article 18 Decree 70/2015/ND-CP, specifically the following: a) based on the route specified in article 3 of the Decree 70/2015/ND-CP and actually make health insurance of the objects specified in the Clause 1, 2 and paragraph 4 Article 2 to this circular, the first quarter of the time made health insurance, social security, the Department of Defense transferred 35% the rest of the Medical Foundation, the healing of groups according to the number of the card registration, initial cure for social insurance after Vietnam have made content stipulated in art. Article 21 Conference No. 70/2015/ND-CP;
b) next time, when the notice of most previous quarter online cost of social insurance, social insurance, Ministry of Vietnam defense move full consultation cost, cure most precious glands before and after the quarter of funds transfers by 80% of the cost of the doctor, cure most online the previous quarter;
c) Vietnam social insurance is responsible for the advance payments and the cost of medical examination and treatment of objects in the base doctor, cure contracted doctor, healing with the social insurance.
2. After the completion of the year-settlement figures, Vietnam social insurance and social insurance Ministry of Defense spending and the number of calculations already advance to transfer enough of the doctor, cure health insurance during the year.
3. Every year, the social insurance Department of defense financial planning of incomes and expenses of health insurance (including costs within and outside the medical coverage) of the objects specified in paragraphs 1, 2 and paragraph 4 Article 2 to this circular process approved by the Defense Minister and the Vietnam social insurance report.
Within 15 days of receiving the decision handed the Prime Minister's estimation, the social insurance Department of Defense completed the delivery of income estimation, health insurance for the units make and send a message to social insurance in Vietnam.
4. social insurance, social security, the Vietnam Committee for the object specified in clause 3 2 of this circular.
Article 17. Use the Foundation examinations, cure health insurance as defined in paragraph 2 and 3 article 21 of Decree 70/2015/ND-CP 1. Case consultation, healing Fund has a few more consultations, smaller healing of currency: after Vietnam social insurance appraisal, settlement of base funding for health insurance for medical examination and treatment have not used up during the year, the social insurance Department of Defense presiding Army Medical Department, in cooperation with the Finance Bureau, the Defense Department plans to use the building, the Minister of Defense approved to carry the following expenses: a) the consultation support, healing for the object specified in the paragraph 1, 2 and 4 2 of this circular;
b) medical equipment Purchase matching capacity, qualifications of medical personnel and patient base class, healing for the base doctor, cure health insurance of the Ministry of defence;

c) Buy transport the patient to the medical facility, health units.
2. in case the Foundation examination and treatment of patients, healing limbs larger number collect: after Vietnam social insurance appraisal part-settlement costs in the regulation of social insurance, the Ministry of National Defense General chi sources analysis goes beyond consultation, healing Fund as follows: a) case costs within the health insurance payment was beyond medical fund healing, then the Vietnam social insurance fund exceeds the compensation of costs; the part costs outside health insurance payments by the Vietnam social insurance General, reported the Ministry of finance;
a) case costs within the health insurance payments have not exceeded the funds but the total cost of the Fund beyond the General examination, cure social insurance General Vietnam, reports the Ministry of finance to be granted additional;
c) after being granted authority to approve partial funding additional costs beyond the Fund of social insurance, the Ministry of defence made additional transfer of funds on the basis of examination and treatment prescribed.
3. social insurance for Vietnam, the social insurance organizations implement this for the object specified in clause 3 2 of this circular.
Chapter V CONTRACT DOCTOR, cure health insurance BETWEEN the military ESTABLISHMENTS and SOCIAL INSURANCE ORGANIZATIONS Article 18. Military base involved examinations, cure health insurance 1. Conditions of participation the doctor, cure health insurance: a) Army medical facility operating license under the provisions of the law on the examination and treatment;
b) medical practitioners, healing must have a certificate of practice under the provisions of the law on the examination and treatment;
c) When taking examinations, cure health insurance for other objects not subject to due his unit managed to be heads-level Ministry of Defense agreed in writing on the basis of the regulations of the Defense Ministry.
2. Bureau of the Army Medical Department of Defense presided, in cooperation with relevant agencies to organize the evaluation and the recommendations to the Department of Defense acknowledged the army medical facility eligible to participate in consultations, healing, medical insurance message for social insurance Ministry of Defense and the Department of health of the province of , central cities.
Article 19. Contract doctor, cure health insurance 1. General principles: a consultation basis), healing is health insurance medical facility under the provisions of the Act examination and treatment has concluded the contract, with social insurance institutions;
b) responsibilities of the social insurance agency in the contracted doctor, cure health insurance: social insurance Ministry of Defense has contracted responsibility examinations, cure health insurance with the army medical facility; Social insurance in the province have contracted responsibility examinations, cure health insurance with army medical facilities and other health institutions to make the payment of the examination and treatment of health insurance for the object specified in article 2 of this circular and the medical insurance participants in other subjects;
c) the responsibility of the military base in the contracted doctor, cure health insurance: The military hospital by the Director of the hospital directly contracted doctor, cure health insurance with the social insurance agency; the military base left by the heads of county-level divisions and equivalent or over in charge of the military establishments which contracted doctor, cure health insurance with the social insurance agency;
d) consultation contract, cure health insurance are established by model by the Ministry of health, the Ministry of Finance stated in Appendix No. 3 attached to circular No. 41/2014/TTLT-BYT-BTC. Depending on the condition of the military base, the Ministry of national defense, social security, social insurance, the unified army medical facility and additional content in the contract but not contrary to the provisions of the law on health insurance;
DD) effect of duration of the contract under the financial year from January 1 to December 31 of that year; with respect to the first contract is calculated from the date of signing to the date of December 31 of that year. The special cases covered by the Director of the Department of Defense regulation;
e) medical expenses, of healing for participants health insurance treatment, cure before January 1 but released since January 1, then do the following: where the health facilities continue to contract for medical examination and treatment, the consultation fees charged to the following year, healing.
Medical case not continue consultation contract, healing, then charged to the cost of medical examination and treatment years ago.
2. The record contract for the doctor, cure health insurance: a) The text of recommendation signed by the hospital or facility management unit to send Army Medical Department of Defense social security or social insurance;
b) permits operation of army medical facility;
c) decided the base class examinations, cure of the authority;
d) with respect to the basis of the annual contract: additional functions and tasks, the range of expertise, the hospital, the clinic was the approval authority (if any).
3. Procedure of contract for medical examination and treatment for health insurance: a) for military base first contract: military base sent the 1st records prescribed in clause 2 of this social insurance to the Department of Defense or the social insurance agencies according to the hierarchy of social insurance in Vietnam. Within a period of 30 days from the date of receipt of a valid application (by date written on the check mark to), the social insurance agency is done the review of records and signed; the case did not agree to sign the contract, then the cure must have text answers and stating the reason;
b) Army medical establishments contracted doctor, cure health insurance annually: the basis of army medical and social insurance agency completed the contract for health insurance next year before 31 December of the previous year.
Chapter VI RESPONSIBILITY of agencies, units, ORGANIZATIONS and INDIVIDUALS in the IMPLEMENTATION of health insurance article 20. The responsibilities of the social insurance of Vietnam 1. Steer, instruct the social insurance Department of Defense implementation mode, the health insurance policy for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular suits organizes payroll and operating characteristics of Defense, weak muscles.
2. social insurance steering the implementation of medical insurance for the object specified in clause 3 2 of this circular.
3. Directs the implementation of social insurance contract for medical examination and treatment for health insurance with medical institutions in and outside the military to organize consultations, healing and ensure benefits for the objects specified in article 2 of this circular; advance funding, expertise, guidance created a synthetic form, analyze costs, guarantee correct source of payment, settlement costs, medical insurance and healing evaluation direct payment (if any).
4. social insurance in the direction of presiding, in cooperation with the Department of health to create favorable conditions for the participants health insurance due to social insurance Ministry of Defence issued the card registration, initial healing at the medical facility on the area of management.
5. Priority to ensuring the necessary conditions of the equipment, support and training in information technology for the Department of Defense, social security and social insurance in the province to manage the object prescribed in article 2 of this circular join medical insurance; management of currency, health insurance; the assessment, payment, settlement costs of examination and treatment of health insurance and the private accounting of medical insurance funds of the object prescribed in article 2 of this circular.

6. level, manuals, settlement funding health insurance management for the object specified in article 2 of this circular for Department of Defense social security as defined in article 22 of Decree 70/2015/ND-CP. Advance funding and consultation costs settlement, cure health insurance with the social insurance to perform examinations, cure health insurance for objects specified in article 2 of this circular.
Article 21. The responsibilities of the Health Department of the province, the city of 1. Hosted, in collaboration with the popular social security, direction, guidance medical facility administered perform examinations, cure and treatment for transit with objects defined in article 2 of this circular.
2. In coordination with the social insurance contract guide consultations, healing health insurance with the qualified medical doctor, cure on health insurance.
Article 22. The responsibility of the Army Medical Department of the Ministry of defence 1. Chaired, coordinated research, staff proposed the policy mode, program planning and implementation method of medical insurance for the object specified in article 2 of this circular line with the development of the law on health insurance and require the military construction in the new situation.
2. Coordinate proposed measures to strengthen the military base to meet the conditions of patients, healing for the object specified in article 2 of this circular and the participants other health insurance.
3. Proposed class divide, technical expertise for Army medical facility in the Department of Defense approved Defense Minister.
4. Approving the list of technical services performed at the military base of the Defense Ministry under the authority. Hosted, in cooperation with the relevant bodies to propose to the Ministry of defence operational licensing examinations, cure for the base doctor, healing, certificate of practice examinations, cure for medical practitioners, healing by the Defense Department, according to the provisions of the law.
5. the Chairman, in collaboration with relevant agencies to organize the evaluation and the recommendations to the Department of Defense acknowledged the army medical facility eligible to participate in consultations, healing, medical insurance message for social insurance Ministry of Defense and the Department of health of the province, central cities; steer, guide the military base contracts and implementation contract doctor, cure health insurance.
6. the Chairman, in collaboration with the social insurance Department of Defense and related agencies divide instructions treat the objects specified in paragraphs 1, 2 and paragraph 4 Article 2 to this circular registration, initial cure at the military base, medical industry the ministries of health, have the doctor, cure health insurance tailored to the particularities of the army and the capacity of the base doctor, healing.
7. the Chairman, in collaboration with relevant agencies, inspectors test the implementation mode of medical insurance policy in their bodies, the unit, the base doctor, cure the Ministry of Defense.
8. Coordinate advocacy mode, the health insurance policy in the Department of Defense.
Article 23. The responsibilities of the Finance Bureau, the Ministry of defence 1. Coordination Bureau of the Army Medical Department of defense research, staff proposed the policy mode, program planning and implementation method of medical insurance for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular.
2. Guide the unit construction plan health insurance budget for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular with the Finance Bureau for submission to the Minister of national defence for approval.
3. full, timely Transfer of funds the health insurance premiums for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular from the State budget of the subdivisions of Ministry of Defense; implementation of the settlement with the Ministry of Finance according to the current rules.
4. Arrange the defense budget guarantee for the content of the genus does not belong to the source of funding for health insurance for medical examination and treatment specified in this circular and guide the unit directly under the Ministry of National Defense General, billing, settlement.
5. In collaboration with the social insurance Department of Defense military establishments guide consultations, healing, health insurance agencies, the Unit manages the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular about the procedure, valid vouchers in payment settlement costs, examinations, cure according to the mode of health insurance from the health insurance fund and the State budget specified in this circular, the exchange of information between the two bodies after the conclusion of settlement currency, health insurance subject to the provisions in clause 1 2, and paragraph 4 Article 2 to this circular to the Manager, using the State budget and fund health insurance closely, true rule of law.
6. Inspection, testing its management, using the State budget of the medical insurance premiums for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular and the expense of the doctor cure health insurance agencies, units, medical facility, the healing Ministry of Defense.
7. Coordinate advocacy mode, the health insurance policy in the Department of Defense.
Article 24. The responsibilities of the social insurance Ministry of defence 1. Host Guide, deployment, management implementation mode of medical insurance policy in the Department of Defense; to sum up, reviews the management, make health insurance work in the Defense Ministry.
2. Hosted, managed, the settlement currency of the medical insurance fund for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular with the units of the Ministry of Defense.
3. Host management, use of health insurance funds for medical examination and treatment provisions of article 21 of Decree 70/2015/ND-CP; plans to use the funding provided for in clause 2 article 21 of Decree 70/2015/ND-CP; allocation and funding manual medical insurance management prescribed in article 22 of Decree 70/2015/ND-CP; direct payment of medical expenses, the cure for the object specified in the paragraph 1, 2 and paragraph 4 Article 2 to this circular as prescribed in article 19 of Decree 70/2015/ND-CP. 4. In collaboration with the Department of Defense military Bureau, the Finance Bureau of the Ministry of defence, Chief of research, suggested the regime, policies, programs, plans and implementation organization method of medical insurance for the objects specified in paragraphs 1, 2 and 4 Article 2 to this circular.
5. Contracted doctor, cure health insurance with army medical facility for treatment, cure for the objects specified in paragraphs 1, 2 and 4 Article 2 to this circular and the participants other health insurance due to social insurance Ministry of Defense released the card; advance funding, evaluation, payment, settlement costs of examination and treatment of health insurance for the military base doctor, cure health insurance under point a paragraph 3 to article 18 Decree No. 70/2015/ND-CP; advance funding examinations, cure health insurance with the Vietnam social insurance as defined in point c of paragraph 3 to article 18 Decree No. 70/2015/ND-CP of the payment, settlement costs, consultation, healing of the objects specified in paragraphs 1, 2 and paragraph 4 Article 2 to this circular hospital the cure, the doctor, healing with the social insurance of Vietnam.

6. the Chairman, in collaboration with the Bureau of the Army Medical Department of Defense guidelines regulate the objects specified in paragraphs 1, 2 and paragraph 4 Article 2 to this circular registration, initial cure at the military facility, medical facility outside of the Defense Department has examinations, cure health insurance tailored to the particularities of the army , the condition of the unit and the capacity of the base doctor, healing.
7. Periodically or irregularly performs checks using the Foundation examination and treatment in the army medical units and establishments of health agencies.
8. the Chairman, in collaboration with the relevant Agency inspectors collect the health insurance for the objects specified in paragraphs 1, 2 and paragraph 4 Article 2 to this circular as prescribed by law.
9. Provide information on the basis of consultations, healing and health insurance guide health insurance participants choose the base registration examination, initial healing.
10. Coordinate inspections, inspection of medical insurance agencies, units, the base doctor, healing; resolve bottlenecks in implementation.
11. Chaired, coordinated propaganda dissemination, guide and implement policy, laws for health insurance in the Ministry of defence.
12. Each year, the chairmanship, the organization coordinating the professional training of health insurance for people who work in the health insurance agencies, units of the Ministry of Defense.
Article 25. The responsibility of the base doctor, cure health insurance 1. Consultation organization, cure for the object specified in article 2 of this circular.
2. Ensure adequate medical insurance benefits for the object specified in article 2 of this circular; the correct treatment of transit regulations.
3. Make the purchase of drugs, chemicals, medical supplies in accordance with the provisions of the law.
4. Provide medical records, relevant documentation to examinations, treatment and pay the doctor, cure health insurance of the objects specified in article 2 of this circular as required by the social insurance agency and the competent State bodies.
5. General, cost analysis, payment, settlement costs of examination and treatment for health insurance of the objects specified in article 2 of this circular under common rules and under the provisions of this circular; tight management, perfectly separated between consultation, healing Fund for health insurance of the object prescribed in article 2 of this circular with consultation, healing Fund health coverage of other subjects and the State budget in accordance with the regulations.
Article 26. The responsibilities of the unit of the Ministry of Defense, ministries, local management of the object prescribed in article 2 of this circular 1. Advocacy, policy, common law on medical insurance for objects under management.
2. Annually, the Agency, and regiment level units equivalent to back up guide the object prescribed in article 2 of this circular set declarations provided and change the information of participants in social insurance, medical insurance to ensure accuracy in accordance with the content guidelines, responsible before the law on the establishment of a list of recommended levels of health insurance card the unit and store the object's declaration in the unit.
3. Implementing the regulation on mode, the health insurance policy for the object specified in article 2 of this circular; on the management of the object and collect health insurance; health insurance card; managing the health insurance funds are tight, using the right delivery purposes; make the estimating, billing, settlement reports revenues, timely, properly regulated.
4. To coordinate closely, often with the Army Medical Department of the Ministry of defence, the Ministry of national defense, social security, the Department of health, social security, the province, the central cities to ensure the best health care for the object specified in article 2 of this circular.
5. Recommendations to the Minister of defence and the State bodies are competent to handle violations of the health insurance legislation affect the legitimate rights and interests of the object prescribed in article 2 of this circular.
6. Heads-level Ministry of Defense is responsible for implementing the provisions in point c of paragraph 1 Article 18 of this circular to ensure the security, safety and do not affect the task's units.
Article 27. The responsibility of the object prescribed in article 2 of this circular 1. Master the rules of medical insurance policy for the object specified in article 2 of this circular.
2. the full implementation of the provisions of the Declaration and is responsible before the law for the accuracy of the information to the health insurance card; accepted regulations on managing the health insurance card in the unit and when going to the doctor, healing.
3. Preserve health insurance cards, not erased, corrected, do not let others borrow the health insurance card; use the health insurance card.
4. Observance of the regulations and guidelines of the social insurance agency, the base doctor, cure disease when treatment, cure, make process, procedure for hospital treatment.
5. The report, reflects the timeliness with authority about the implementation of the regime, the health insurance policies of medical establishments, medical insurance, the healing of social insurance bodies for themselves.
Chapter VII ENFORCEMENT PROVISIONS Article 28. Transitional provisions 1. For the unit of the Ministry of Defense when switching modes of examination and treatment for health insurance under the roadmap prescribed in article 3 of Decree 70/2015/ND-CP must organize the inventory of drugs, chemicals, medical supplies not used up, reports up the Army Medical Directorate of army medical and social insurance Ministry of Defense to deal with.
2. in case the object prescribed in article 2 of this circular to the inpatient treatment before 1 January 2016 but released after January 1, 2016, only be paid according to the interests and level of health insurance specified in this circular time from January 1, 2016 until discharge.
3. for contract doctor, cure health insurance was signed prior to the date of this circular are effective, the social insurance agency and the medical establishment agreement amended and supplemented in accordance with the provisions of this circular.
Article 29. Terms of reference The reference text in this circular as amended, supplemented or replaced by other text, then the reference content also be adjusted according to the revised text, supplements or replaces that text.
Article 30. Effect 1. This circular has effect from 6 August 2016. The modes, policies in this circular is applicable from January 1, 2016.
2. The following text is most effective from the date of this circular are enforceable and correspond with the roadmap to join health insurance as defined in article 3 of Decree 70/2015/ND-CP: a) decision No 105/2008/QD-BQP on July 11, 2008 by the Minister of national defence about the payment of the cost of medical examination treatment for military personnel, employees of national defence when the doctor, cure in a population health basis;
b) Articles 6 and 7 circular No. 08/2014/TTLT-BYT-BTC-BQP on Feb. 14, 2014 of the Ministry of defence, the Ministry of finance, the Ministry of health guidelines made some physical standards of logistics and medical care for the people who do the work of weak muscle; Article 9 circular No. 116/2015/TT-BQP October 2015 the Defense Minister's regulation standard logistics material for the student body.
In the process if there are obstacles, agencies, units, the base doctor, cure health insurance a timely reflection on the Ministry of defence, the Ministry of health, the Ministry of finance to study the resolution.