05/03/2024 15:27

Is hemodialysis covered by insurance vtv5 trực tiếp bóng đá hôm nay Vietnam?

Is hemodialysis covered by vtv5 trực tiếp bóng đá hôm naysurance vtv5 trực tiếp bóng đá hôm nay Vietnam?

Is hemodialysis covered by insurance vtv5 trực tiếp bóng đá hôm nay Vietnam? What are the benefit levels of health insurance vtv5 trực tiếp bóng đá hôm nay Vietnam vtv5 trực tiếp bóng đá hôm nay 2024? Ms. Thu Tra (Soc Trang).

Hello, the Lawnet would like to answer as follows:

1. Is hemodialysis covered by insurance vtv5 trực tiếp bóng đá hôm nay Vietnam?

According to Article 1 ofCircular 35/2016/TT-BYT, the list of medical technical services within the scope of insurance payments for health insurance participants include:

- The lists of technical qualifications related to medical examination and treatment issued together with theCircular 43/2013/TT-BYT(amended byCircular 21/2017/TT-BYT);

- The lists of classification of surgery and procedures issued together with theCircular No.50/2014/TT-BYTpromulgated by the Minister of Health;

- Medical services that have been approved to be provided vtv5 trực tiếp bóng đá hôm nay medical facilities by the Minister of Health but have not been prescribed vtv5 trực tiếp bóng đá hôm nay theCircular 43/2013/TT-BYTor theCircular 50/2014/TT-BYT, Circular 21/2017/TT-BYT.

- Lists of certain medical services with the specific coverage, coinsurance percentages or payout limits issued together withCircular 35/2016/TT-BYTinclude:

+ The list No.1 including medical services with specific coverage, coinsurance percentages and payout limits;

+ The list No.2 including medical services with specific coverage;

+ The list No.3 including medical services not covered by health insurance.

Hemodialysis technical services include: Emergency hemodialysis, Adsorption hemodialysis with resin dialyzers and Ultrafiltration hemodialysis (Offline Hemodiafiltration: HDF ON - LINE) are vtv5 trực tiếp bóng đá hôm nay list 1 and list 2 ofCircular 35/2016/TT-BYT, therefore, patients will be covered by the health insurance fund for medical examination and treatment costs covered by health insurance within the scope of benefits received when receiving dialysis according to these technical services.

Currently, Appendix III, issued withCircular No. 22/2023/TT-BYT, stipulates that the cost of continuous dialysis, excluding the dialyzer, wire set, and dialysate, is 2,248,000 VND.

2. Benefit levels of health insurance vtv5 trực tiếp bóng đá hôm nay Vietnam 2024

According to Article 22 of theLaw No. 25/2008/QH12 bóng đá (Law No. 46/2014/QH13 dated June 13, 2014, amendments), the benefit levels of the insured receiving medical examination and treatment vtv5 trực tiếp bóng đá hôm nay accordance with the regulations vtv5 trực tiếp bóng đá hôm nay Articles 26, 27 and 28 of theLaw No. 25/2008/QH12 bóng đáwhose medical examination and treatment expenditures are covered by the health insurance fund shall be:

- Total medical examination and treatment expenditures with regard to the insured prescribed vtv5 trực tiếp bóng đá hôm nay points a, d, e, g, h and i Clause 3 Article 12 ofLaw No. 25/2008/QH12 bóng đá (Law No. 46/2014/QH13 dated June 13, 2014, amendments). The costs of the non-covered medical services of the insured prescribed vtv5 trực tiếp bóng đá hôm nay point a Clause 3 Article 12 ofLaw No. 25/2008/QH12 bóng đá (Law No. 46/2014/QH13 dated June 13, 2014, amendments) shall be paid by the health insurance budget used for medical examination and treatment of these insured persons; if this budget is insufficient, the State budget shall be vtv5 trực tiếp bóng đá hôm nay charge.

- Total medical examination and treatment expenditures with regard to any medical examination and treatment at commune hospitals whose cost is lower than the cost prescribed by the Government.

- Total medical examination and treatment expenditures with regard to the at least 5-year-insured whose medical examination and treatment expenditures exceed the total amount of the base salaries vtv5 trực tiếp bóng đá hôm nay 6 months, except for the insured who go to the hospitals different from the registered hospitals;

- 95% of the medial examination and treatment expenditures with regard to the insured prescribed vtv5 trực tiếp bóng đá hôm nay point a Clause 2, point k Clause 3 and point a Clause 4 Article 12 ofLaw No. 25/2008/QH12 bóng đá (Law No. 46/2014/QH13 dated June 13, 2014, amendments);

- 80 % of the medial examination and treatment expenditures with regard to other insured persons;

- vtv5 trực tiếp bóng đá hôm nay case an insured person belongs to different groups of the insured, (s)he shall be provided with the highest health insurance benefits.

3. Out-of-network health insurance benefits vtv5 trực tiếp bóng đá hôm nay Vietnam vtv5 trực tiếp bóng đá hôm nay 2024

Pursuant to Article 22 of theLaw No. 25/2008/QH12 bóng đá (Law No. 46/2014/QH13 dated June 13, 2014, amendments), vtv5 trực tiếp bóng đá hôm nay case any card holder goes to a hospital different from the registered hospital except for the insured prescribed above, his or her costs shall be covered by the health insurance fund according to the benefit levels as prescribe as follows:

- 40% of the inpatient treatment expenditures at the central hospitals.

- 10% of the inpatient treatment expenditures at the provincial hospitals.

- 100% of the medical examination and treatment expenditures at the district hospitals.

* Note: Off-line health insurance benefits according to Article 22 of theLaw No. 25/2008/QH12 bóng đá (Law No. 46/2014/QH13 dated June 13, 2014, amendments) will not apply to ethnic minorities and people from poor households participating vtv5 trực tiếp bóng đá hôm nay health insurance who are living vtv5 trực tiếp bóng đá hôm nay areas with difficult socio-economic conditions or areas with extremely difficult socio-economic conditions; health insurance participants living vtv5 trực tiếp bóng đá hôm nay island communes and island districts go for medical examination and treatment at the wrong level.

Do Minh Hieu
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