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Circular 40/1998/ttlt-Bgddt-Byt: About The Guide To Health Insurance For Students

Original Language Title: Thông tư liên tịch 40/1998/TTLT-BGDĐT-BYT: Về việc hướng dẫn bảo hiểm y tế học sinh

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CIRCULAR regarding medical insurance guide students _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ general health insurance, student health insurance in particular is a social policy of the party and the State, brings humanity and community, not for business purposes. After more than 3 years implementation circular No. 14/TT-LB on 19/9/1994 of the Ministry of education and training – health, medical insurance (HEALTH INSURANCE) the student has obtained some initial results, confirms the correct direction and the need of HEALTH INSURANCE in protecting, caring health education for students the orientation of the party and State for socialization education ưưưưưưưư-medical. Pursuant to Decree No. 299/dated 15/8/1992 of the Government issued the Charter of HEALTH INSURANCE and resolution No. 37/CP dated 20 June 1996 of the Government on the strategic orientation of care work and protect the people's health, to fix the problem no longer fit, after the agreement of the Ministry of Finance No. 2607/TC-HCSN on July 17, in in 1998, the Ministry of education and training and implementation guide health health insurance for students on nationwide as follows: i. PARTICIPANTS HEALTH INSURANCE STUDENTS: all students, students from primary schools and over enrolled in the national class, school type, Charter , people-founded the Center for continuing education can participate in student HEALTH INSURANCE. Except for the cases subject to preferential social policies of the State, has been the State of HEALTH INSURANCE card.
II. The SCOPE of HEALTH INSURANCE, STUDENT RIGHTS and RESPONSIBILITIES of STUDENTS JOIN MEDICAL INSURANCE COVERAGE: 1. HEALTH INSURANCE students contents include: care sure original (CSSKBĐ) health in schools, health clinics and mortality.
a. the content CSSKBĐ in medical school:-managed student health and disease precaution instructions, specific school: + keeping personal hygiene, nutrition, hygiene and environmental sanitation;
+ Prevention of disease;
+ Measures, curing some common symptoms and diseases (bird droppings runs, stomach pain, eye pain, headaches);
+ Curved spinal disorder prevention;
+ Oral hygiene, protect eyesight (avoid myopia);
+ Social prevention, social vices (drugs, HIV/AIDS, school, etc.);
+ Prevention of traffic accidents, accidents;
+ Periodic health check on the time of the first year class 1, the end of each level and the top of the course of the universities, professional.
-Perform first aid to accident, sudden illness;
-Hygienic eating at school for students, students.
b. examination: Be patient in the clinical facility (known collectively as the hospital) was registered on the votes of HEALTH INSURANCE clinics. In case of emergency was examination at any one hospital.
-Outpatient clinics: in case of accident and emergency but not hospitalization.
-Outpatient clinics: include the following: + the examination, diagnosis and treatment.
+ Tests, x-ray imaging, probe function.
+ Drugs in the category according to the regulations of the Ministry of health.
+ Blood, fluids.
+ The tricks, surgery.
+ Use supplies, medical equipment and hospital bed.
c. in case of sickness, accidents resulting in death was the subsidy money buried.
2. The rights of students to participate in HEALTH INSURANCE: a. card and HEALTH INSURANCE clinics votes according to the template specified by the Ministry of health.
b. the care, protection and health education in schools.
c. payment of HEALTH INSURANCE agency Was the cost of outpatient clinics and inpatient as defined in point b of section 1, part II of this circular, when to see a doctor in the hospital:-signed on the examination of HEALTH INSURANCE voucher students.
-The hospital as the paper moved to Institute suit online technical expertise of Ministry of health regulations.
-Any of the State hospital in case of emergency.
d. In the case of examination not true defined in point c, section 2, part II of this circular will be HEALTH INSURANCE agency pay examination fees at the Institute rates online technical expertise, as appropriate.
e. INSURANCE and pension spending authority Was interred in case of risk of death.
g. HEALTH INSURANCE agency non-payment in the following cases:-The disease has been the State budget covered: the treatment of leprosy; use the medication treatment of tuberculosis, malaria, schizophrenia, epilepsy; family planning services;
And rabies; examination, diagnosis and treatment of HIV/AIDS, gonorrhea, syphilis;
-Preventive vaccinations, nursing, health resorts;
-Orthopedics and cosmetic, make prosthetics, eye, dentures, eyeglasses, hearing aids, artificial crystals, artificial joints, and artificial heart valves;
-Congenital diseases and birth defects;
-Accident of war and natural disasters;
-Suicide, intentionally causing injury, addiction to narcotics, violation of the law.
3. The responsibility of the student to join HEALTH INSURANCE: a. close the full HEALTH INSURANCE, on time as specified.
b. implement seriously the instruction of medical school officials.
c. When sickness and accidents are treated in hospitals, or HEALTH INSURANCE card must present a valid photo ID and HEALTH INSURANCE patients votes in 48 hours time since admission.
III. RIGHTS and RESPONSIBILITIES of the ORGANIZATIONS MAKE STUDENT medical insurance: 1. Schools: a. the main responsibility for protecting, care health education for students in the school district in time about school leadership.
b. each school or cluster of medical school layout according to regulations and ensure the conditions for the school health activities by function, duty regulations of the Minister of education and training – health on Medical Affairs school.
c. the school has responsibility: advocacy organisation, make registration, Declaration, collect money to close student HEALTH INSURANCE and use the right purpose, effective funding source of HEALTH INSURANCE students leave the school under the provisions of this circular.
2. The Hospital: a. perform clinical agency contracts with HEALTH INSURANCE right for students to join the STUDENT HEALTH PLAN, ensure reasonable safety, healing according to the regulations of the Ministry of health.
b. implementation of the recording and provide the relevant documents to the examination of HEALTH INSURANCE to students as the basis of the financial settlement.
c. check cards and HEALTH INSURANCE clinics votes, discovered the violation and abuse of the use of the card, the INSURANCE examination and votes, promptly notify the INSURANCE authority to resolve.
d. The same hospital INSURANCE agency contracting responsibilities, advance funding and periodic settlement costs prescribed examination and clinical contract has been signed. The hospital is responsible for the management, use of this source of revenue under the current rules of the State.
3. Health Insurance Agency: a. the contracted responsibility with the school to collect students ' HEALTH INSURANCE organization.
b. contracting procedures with the hospital to ensure the reception and examination and treatment for students taking HEALTH INSURANCE are convenient, reasonable.
c. issuers of cards and HEALTH INSURANCE clinics votes for students. The cost of print and distribute the card, the vote by the Agency's management cost of HEALTH INSURANCE.
d. check, assessment and student HEALTH INSURANCE regimes in hospitals, protect legitimate rights for students taking HEALTH INSURANCE; refused to pay subsidies of HEALTH INSURANCE for the case of examination not true according to the provisions of this circular.
e. INSURANCE Agency would release cards and HEALTH INSURANCE clinics votes for the SOCIAL INSURANCE agency that students are responsible for the advance funding and payment of the prescribed fee. The payment is made according to the method:-to pay for examination according to the signed contract.
-Pay through the payment of most online outside the assigned areas of management.
-Pay directly for HEALTH INSURANCE patients in other cases.

IV. LEVEL of STUDENT health INSURANCE PREMIUMS and the CONTENT USING STUDENT health insurance FUND: 1. INSURANCE and closing fees Frame is determined by the level as follows:-elementary school students, middle school students: 15,000-25,000 Dong Dong-from/1 student/1 year.



-High school student, college student, student, College, professional and vocational high school.



-From 30,000 VND-40,000 VND/1 student/1 year.


Based on the social economic situation of the local, Chairman, central cities decided to close specific level on the basis of frame rates specified above, ensure the principle of collecting enough, safe enough, and the career development of HEALTH INSURANCE Fund.
2. medical insurance: is currency lodging on 1 or 2 times a year (12 months) at the appropriate time according to local regulations.
For elementary and MIDDLE SCHOOL students, student HEALTH INSURANCE due to the parents submitted to the school's HEALTH INSURANCE organization of the currency.
For students, high school students, universities, colleges, and TECHNOLOGY-services by students, students submitted to the school's HEALTH INSURANCE organization of the currency.
3. student HEALTH INSURANCE Fund was formed in the city, HEALTH INSURANCE agencies centrally and distributed, use the following: a. 65% of the HEALTH INSURANCE Fund in order to collect health insurance province, central cities are used as follows:-60% spent on treatment and funeral fees support 1.000.000 VND/1 case.
-4% for the management of the SOCIAL INSURANCE Agency in the city.
-1% of Vietnam HEALTH INSURANCE filing. Where: + 0.8% to form the reserve fund.
+ 0.2% for the management of the SOCIAL INSURANCE Agency in Vietnam.
b 35% of income to HEALTH INSURANCE. The school management and use according to the following:-30%: pay allowances for medical officers of schools, buying drugs, medical instruments usually to first-aid and health for students in medical school.
-5% for individuals, the unit participated in advocacy and implementation for joint currency lodging WORLDWIDE COVERAGE (including educational-training level, districts, townships and equivalent).
The school is responsible for the management, use and part of this funding settlement with state regulators granted on such an account, the cost of the State budget. After the settlement is approved to send a HEALTH INSURANCE Agency of the place card.
c. treatment of HEALTH INSURANCE Fund is a separate accounting, after a year of work if the balance is 80% into the reserve fund, 20% purchase HEALTH INSURANCE for high school students too hard.
In case of insufficient income and have used up reserve fund, SOCIAL INSURANCE agency reports contact the Department of education and training, health and finance to verify it, then the conclusion, PPC, central cities look to resolve, not to going bad take the affordability of HEALTH INSURANCE Fund students at the same time planning to please adjust the level of student HEALTH INSURANCE at closing to ensure Fund safety.
V. RELEASE PRINTING CARDS and STUDENT HEALTH INSURANCE PATIENTS VOTES:-the card of HEALTH INSURANCE clinics and votes for the students to be released according to the model of unity in the country as defined in article 2 of decision 819/BYT-QĐ on 20/9/1994 of the Minister of health.
-Examination of HEALTH INSURANCE Voucher worth of use within the time limit indicated on the voucher and corresponding to the closed amount of HEALTH INSURANCE.
-HEALTH INSURANCE Card helps get the right people are HEALTH INSURANCE have a maximum shelf life of 5 years, in case the student has been granted a valid photo ID is not necessarily the HEALTH INSURANCE card.
VI. IMPLEMENTATION: 1. medical insurance the level of coordination with the education-training agencies promote advocacy work, explanation of the General HEALTH INSURANCE, student health insurance, in particular in the schools especially for the parents of students.
2. Educational-training, health authorities at the same level and the health insurance agencies collaborated to build, maintain and develop the medical school, good content deployment operations of the medical school.
3. provincial health insurance agency, central cities build health insurance scheme students report to the Director of the Department of health, the Director of the Department of education-training review and the Chairman of the central cities, approval and implementation locally when the project is approved.
4. The Department of public health directed the hospital owned serves good patient HEALTH INSURANCE card students when to outpatient clinics and inpatient.
5. The school is responsible for tracking, payment of HEALTH INSURANCE funding part of the student to leave the school, reports the financial institutions Council approval.
6. the educational-training, medical and health insurance bodies of the same level to coordinate the Organization of interdisciplinary conference to organize implementation of HEALTH INSURANCE student, guest and proposed measures to promote the work of student HEALTH INSURANCE for each stage.
This circular effect since enforcement and replacing circular No. 14/TTLB on 19/9/1994 of the Ministry of education and training – health, the timeframes were previously left to the provisions of this circular are repealed. In the process of implementation, if there are problems, the local unit, timely reflection on the Ministry of education and training and the Department of health to study and solve.