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Will health insurance premiums of primary school students be covered by kết quả bóng đá trực tiếp State of Vietnam?

Under kết quả bóng đá trực tiếp provisions of Article 4 ofDecree No. 146/2018/ND-CPas amended by Article 1 ofDecree No. 75/2023/ND-CP, kết quả bóng đá trực tiếp regulations are as follows:

Group of health insurance policyholders whose premiums are supported by kết quả bóng đá trực tiếp state budget

1. Members in near-poor households, as defined according to kết quả bóng đá trực tiếp near-poor household criteria for kết quả bóng đá trực tiếp period 2022-2025 prescribed in Decree No. 07/2021/ND-CP and subsequent amendments or replacements thereto;

2. Members of multidimensional-poverty family households falling into kết quả bóng đá trực tiếp cases specified in point a, clause 9, Article 3 hereof.

3. Pupils and students.

4. Members in households working in agriculture, forestry, fishery, and salt production who have kết quả bóng đá trực tiếp average standard of living, as defined according to kết quả bóng đá trực tiếp average household criteria for kết quả bóng đá trực tiếp period 2022-2025 prescribed in Decree No. 07/2021/ND-CP and subsequent amendments or replacements thereto;

Thus, health insurance premiums of primary school students willbe covered by kết quả bóng đá trực tiếp State of Vietnam.

Will health insurance premiums of primary school students be covered by kết quả bóng đá trực tiếp State of Vietnam? (Image from kết quả bóng đá trực tiếp Internet)

What is kết quả bóng đá trực tiếp health insurance premium for primary school students?

Under Article 7 ofDecree No. 146/2018/ND-CP, kết quả bóng đá trực tiếp regulations are as follows:

Health insurance premium and health insurance premium paymentresponsibilities

1. Monthly health insurance premium shall be subject to kết quả bóng đá trực tiếp following regulations:

a) kết quả bóng đá trực tiếp premium shall be equal to 4.5% of kết quả bóng đá trực tiếp employee’s monthly pay with respect to those policyholders specified in clause 1, Article 1 of this Decree.

- Employees on sick leaves from at least 14 days per a month in accordance with laws on social insurance shall not be required to pay health insurance premiums and shall be entitled to health insurance benefits;

- With respect to employees that are detained, held in custody or suspended from work for investigations, consideration of judgement whether they have committed violations against laws, kết quả bóng đá trực tiếp monthly premium shall be defined as 4.5% of 50% of each employee's monthly pay. In case where a competent authority makes its judgement that none of violations has been committed, kết quả bóng đá trực tiếp employee shall be required to pay health insurance premiums in proportion to kết quả bóng đá trực tiếp accrued pay amount that he/she has received;

b) kết quả bóng đá trực tiếp premium shall be equal to 4.5% of kết quả bóng đá trực tiếp retirement pension and incapacity benefit with respect to those policyholders specified in clause 1, Article 2 of this Decree;

c) kết quả bóng đá trực tiếp premium shall be equal to 4.5% of kết quả bóng đá trực tiếp monthly pay that an employee receives before his/her pregnancy and parental leave with respect to those policyholders specified in clause 5, Article 2 of this Decree;

d) kết quả bóng đá trực tiếp premium shall be equal to 4.5% of kết quả bóng đá trực tiếp unemployment benefit with respect to those policyholders specified in clause 6, Article 2 of this Decree;

dd) kết quả bóng đá trực tiếp premium shall be equal to 4.5% of kết quả bóng đá trực tiếp statutory pay rate rate with respect to those policyholders other than kết quả bóng đá trực tiếp abovementioned;

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Under Article 8 ofDecree No. 146/2018/ND-CP, kết quả bóng đá trực tiếp regulations are as follows:

State budget’s support rate

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c) kết quả bóng đá trực tiếp state budget’s support shall be paid for at least 30% of kết quả bóng đá trực tiếp health insurancepremiumwith respect to those policyholders referred to in clause 3 and 4, Article 4 hereof.

2. In case where a policyholder falls into multiple beneficiaries of kết quả bóng đá trực tiếp state budget’s health insurance premium support as prescribed in clause 1 of this Article, kết quả bóng đá trực tiếp state budget’s support for kết quả bóng đá trực tiếp policyholder entitled to kết quả bóng đá trực tiếp highest support rate shall be applied.

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Therefore, kết quả bóng đá trực tiếp health insurance premium for primary school students is 4.5% of kết quả bóng đá trực tiếp statutory pay rate for other individuals.

Under Article 3 ofDecree No. 73/2024/ND-CP, kết quả bóng đá trực tiếp statutory pay rate for teachers as public employees in public service providers is VND 2,340,000/month.

Additionally, primary school students are entitled to a minimum support rate of 30% of health insurance premiums.

Annual health insurance premium= 4.5% x 2,340,000 x 12 x up to 70%

Thus, kết quả bóng đá trực tiếp annual health insurance premium for primary school students (12 months) is a maximum of VND 884,520.

When are primary school students in Vietnam entitled to 100% health insurance benefits?

Under clause 1, Article 14 ofDecree No. 146/2018/ND-CPas amended by point d, clause 1, Article 183 ofDecree 131/2021/ND-CP, kết quả bóng đá trực tiếp health insurance benefit levels for cases specified in Article 22 of kết quả bóng đá trực tiếpLaw No. 25/2008/QH12 bóng đáas amended by clause 15, Article 1 of kết quả bóng đá trực tiếpLaw No. 46/2014/QH13 dated June 13, 2014, amendmentsis as follows:

Health insurance benefit levels for cases specified in clause 1 and clause 7, Article 22 of kết quả bóng đá trực tiếp Law on Health Insurance

1. Participants in health insurance when undergoing medical examination and treatment as stipulated in Articles 26, 27, and 28 of kết quả bóng đá trực tiếp Law on Health Insurance; clauses 4 and 5, Article 22 of kết quả bóng đá trực tiếp Law on Health Insurance shall have eligible expenses covered by kết quả bóng đá trực tiếp health insurance fund as follows:

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c) 100% of medical costs at kết quả bóng đá trực tiếp commune level;

d) 100% of medical costs if kết quả bóng đá trực tiếp cost per visit is less than 15% of kết quả bóng đá trực tiếp statutory pay rate;

dd) 100% of medical costs if kết quả bóng đá trực tiếp insured has participated in health insurance for 5 consecutive years or more and their co-payment costs in a year exceed 6 months of kết quả bóng đá trực tiếp statutory pay rate, except for cases of self-referred medical examination and treatment;

e) 95% of medical costs for individuals specified in clause 1, Article 2; clauses 12, 18, and 19, Article 3; and clauses 1, 2, and 5, Article 4 of this Decree;

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Thus, primary school students are entitled to 100% health insurance benefits when incurring medical costs at kết quả bóng đá trực tiếp commune level; per-visit medical costs below 15% of kết quả bóng đá trực tiếp statutory pay rate.

Additionally, medical costs are also covered at 100% if kết quả bóng đá trực tiếp insured has participated in health insurance for 5 consecutive years or more and their co-payment costs in a year exceed 6 months of kết quả bóng đá trực tiếp statutory pay rate, except for self-referred cases.