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VIETNAM SOCIAL SECURITY
HO CHI MINH CITY SOCIAL SECURITY HO CHI MINH CITY
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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No.1953/BHXH-CD
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Ho Chi Minh City, October 03, 2018
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To: Medical facilities
in Ho Chi Minh City
Below are guidelines from
the Ho Chi Minh City Social Security on issuance of letters of confirmation of
eligibility to receive social insurance benefits (hereinafter referred to as
“confirmation letter”) which is specified in Circular No.56/2017/TT-BYT dated
December 29, 2017 of the Ministry of Health on enforcement of the Law on Social
Insurance and the Law on Occupational Safety and Health for medicine:
1. Issuance of
confirmation letters:
Previously, blank
confirmation letters are issued by social insurance authorities to medical
facilities which are then given to their patients as proof of eligibility for
insurance benefits. However, Circular No.56/2017/TT-BYT, which comes into force
from March 01, 2018, does not specify the responsibility for issuance of
confirmation letters by social insurance authorities. Pursuant to Article 2
Article 28 of the Circular, the blank confirmation letters issued before the
effective date of the Circular No. 56/2017/TT-BYT may be used until the end of
December 31, 2018. As for that reason, blank confirmation letters granted by
social insurance authorities to medical facilities are still valid until the
end of December 31, 2018.
At the moment, social
insurance authorities have 12,000 confirmation letter forms No. 1 and 13,000
confirmation letter forms No. 2. Therefore, HCMC Social Security still provides
medical facilities with blank confirmation letters on demand until December 31,
2018 as long as they are still available. If blank confirmation letters are not
available before December 31, 2018, medical facilities shall print out their
own confirmation letters according to the specimen provided in Appendix 7 issued
together with Circular No.56/2017/TT-BYT and take responsibility for their
issuance as regulated.
2. Return of confirmation
letters granted before December 31, 2018:
Medical facilities must
return all blank confirmation letters to the social insurance authorities
(including both used and unused confirmation letters) from January 01, 2019
to December 31, 2019. From January 01, 2019, employees using confirmation
letter forms that are issued by social insurance authorities shall not be
eligible to receive social insurance benefits.
3. In addition to
regulations in Circular No.56/2017/TT-BYT and Document No.1460/SYT-NVY dated
March 13, 2018 of the Ho Chi Minh City Health Department, medical facilities
shall follow these instructions:
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- Issuance of
confirmation letters must comply with the forms and instructions provided in
Appendix 7 issued together with Circular No.56/2017/TT-BYT.
- Medical facilities must
use the correct confirmation letter forms, clearly provide all information
required in the confirmation letter in Vietnamese using one single color ink,
do not erase any information in the confirmation letter (same information for 2
copies); timely grant the confirmation letter to the employee coming to the
medical facility for health examination (or accompany with his/her children) or
after the inpatient treatment end and such employee is discharged from the
hospital; the issuance date must be the day on which the employee taking
medical examination, and the confirmation letter must not be issued
retroactively or in advance. The confirmation letter must not be granted to the
employee not receiving medical examination and treatment (fraudulent
confirmation letter).
- Only one confirmation
may be issued each doctor visit.
In cases
the patient needs to rest for more than 30 days or beyond the leave period
specified in the granted confirmation letter, the patient must undergo a
follow-up examination.
- The confirmation letter
must bear signature and full name of the physician who works at the medical
facility and is authorized to sign the confirmation letter by the head of such
medical facility; Director or Deputy Director or Heads of departments,
divisions or medical centers of such facility must sign and seal the confirmation
letter and provide their full names as authorized on behalf of the Director
under a written authorization and take legal responsibility for accuracy and
truthfulness of the issued confirmation letter.
- In case the head of the
medical facility (or another person authorized by the head of the medical
facility) who has the right to sign and seal the confirmation letter is also
the examining physician, he/she shall only sign and seal as the head of the
medical facility, not as the physician and specify the issuance date of the
confirmation letter.
- When issuing a
confirmation letter to a patient receiving long-term treatment, the physician
is required to specify the full name of such patient and disease code as
specified in the list of diseases requiring long-term treatment issued by the
Ministry of Health.
- All re-issued
confirmation letters (including the following documents: discharge notes, birth
certificates, confirmation of maternity leave and confirmation of poor
postpartum health) must bear the reissuance seal; any revisions to the
certificate must bear the seal of the medical facility (the seal registered
with the social insurance authority).
- Social insurance
authorities shall reject confirmation letters and other documents issued against
regulations in Circular No.56/2017/TT-BYT, in which case, the medical facility
shall pay compensation for the employee.
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+ If the medical facility
is a juridical person: The seal shall be registered with the social insurance
authority according to the seal specified in Appendix 8 issued together with
Circular No.56/2017/TT-BYT.
+ If the medical facility
is not a juridical person: The seal of the medical facility and the signature
on confirmation letters shall be registered with the social insurance authority
according to regulations in Appendix 8 issued together with Circular
No.56/2017/TT-BYT.
- If there is any change
to the seal or the authorized to sign the confirmation letter, a written
notification must be sent to the social insurance authority of province where
the head office of such medical facility is located within 5 working days from
the day on which such change is made. The medical facility using digital
signature must comply with provisions of the law on digital signature.
- The written
authorization for signing and sealing confirmation letters must include all
information required and must be sent to the social insurance authority of
province where the head office of the medical facility is located.
Medical facilities are
required to proactively prepare a plan for printing out the confirmation letter
according to their actual conditions and grant such confirmation letter under
the aforementioned guidance./.
DIRECTOR
Phan Van Men