Công văn 3100/BYT-BH thanh toán chi phí khám chữa bệnh BHYT liên quan đến COVID-19
|Cơ quan ban hành:||Bộ Y tế||Số công báo:||Đang cập nhật|
|Số hiệu:||3100/BYT-BH||Ngày đăng công báo:||Đang cập nhật|
|Loại văn bản:||Công văn||Người ký:||Trần Văn Thuấn|
|Ngày ban hành:||20/04/2021||Ngày hết hiệu lực:||Đang cập nhật|
|Áp dụng:||Đã biết||Tình trạng hiệu lực:||Đã biết|
|Lĩnh vực:||Y tế-Sức khỏe , Bảo hiểm , COVID-19|
THE MINISTRY OF HEALTH
THE SOCIALIST REPUBLIC OF VIETNAM
Hanoi, April 20, 2021
- The Vietnam Social Security;
Pursuant to the Law on Health Insurance and its guiding documents;
Pursuant to Point a, Clause 7, Article 1 of the Government’s Resolution No. 16/NQ-CP dated February 08, 2021 prescribing the expenses for quarantine, medical examination and treatment and some specific regulations in COVID-19 pandemic prevention and control;
The Ministry of Health provides the temporary guidance on the payment of health insurance-covered medical care costs for health insurance card holders during the concentrated quarantine period and for a number of other cases during the COVID-19 pandemic as follows:
1. Payment of medical care costs for health insurance card holders who are in the period of concentrated quarantine and have to seek medical care services at health insurance-covered medical care providers:
1.1. The state budget shall cover the medical care costs incurred by COVID-19, including: costs for medical examination, patient bed, technical services, drugs, blood, intravenous fluids, etc. according to the Ministry of Health’s guidance;
1.2. The health insurance fund shall cover the medical care costs for other diseases within the same scope of benefits and with the same levels of health insurance benefits as the cases of seeking medical care services at the right treatment line, except the costs specified at Point 1.1 of this Clause;
1.3. Health insurance card holders shall pay their own costs and the ones outside the scope of health insurance benefits (if any) in accordance with the law on health insurance.
2. In case a health insurance-covered medical care provider has to organize the concentrated quarantine under a decision of a competent authority or is assigned by a competent authority the task of medical service provision for persons with suspected or confirmed COVID-19, the Department of Health shall coordinate with the Social Security of the province or centrally run city in:
2.1. Guiding the applicant for health insurance-covered primary care services at such medical care provider to receive primary care services at another health insurance-covered medical care provider in the province or city;
2.2. Guiding the medical care provider to transfer medical service line in conformity with the pandemic situation.
The cases mentioned in this Clause shall be defined as health insurance-covered medical care at the right line.
3. For a patient who has been prescribed, dispensed drugs, provided with medical supplies and treated by a medical care provider, and given a paper of appointment for re-examination or medical examination number, medical report book for the appointment for re-examination (hereinafter collectively referred to as the paper of appointment for re-examination), but due to the pandemic, the patient cannot go to such establishment for re-examination:
3.1. The medical care provider that has prescribed, dispensed drugs and provided with medical supplies, treatment and issued the paper of appointment for re-examination shall be responsible for:
a) Informing and guiding the patient to choose an appropriate medical care provider for re-examination, provision of drugs, medical supplies and treatment.
b) Guiding the medical care provider where the patient is being in the quarantine or another medical care provider to re-examine, provide drugs, medical supplies and treatment for the patient; transfer drugs or coordinate with pharmaceutical companies in transferring transfer drugs and medical supplies to another medical care provider for re-examination, provision of drugs, medical supplies and treatment to the patient in case such medical care provider does not have drugs and medical supplies for medical examination and treatment of diseases requiring re-examination according to the paper of appointment.
Click download to see the full text