Headlines 12/09/2019 15:00 CH

Instructions about assessment and payment of insured medical costs already in force

Mộng Thơ

Vietnam’s Social Security introduced Official Dispatch No. 3238/BHXH-CSYT regarding implementation of Circular No. 09/2019/TT-BYT on review and assessment of conditions for signing contracts for provision of primary health care services and several cases of direct repayment of insured medical costs.

This document prescribes that, in order to provide bases for review, assessment and repayment of insured medical costs, provincial social security services may request: 

- Healthcare establishments to provide documents on transfer of pathology specimens or patients to other healthcare establishments, including copies of agreements in principle with service providers;

- Uploading of the list of medical services encoded according to clause 4 of Article 3 in Circular No. 09/2019/TT-BYT on the Health Insurance Review and Assessment Information Portal.

If healthcare establishments do not provide agreements in principle or provide ones containing contents inconsistent with those specified in clause 2 of Article 3 in the Circular No. 09/2019/TT-BYT social security services will not have adequate grounds for refunding medical costs incurred from transferred subclinical services.

For more details, please read the Official Dispatch No. 3238/BHXH-CSYT dated September 6, 2019.


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