Circular 02/2017/TT-BYT maximum price bracket medical examination covered by health insurance

• Official number: 02/2017/TT-BYT
• Legislation Type: Circular
• Organization: The Ministry of Health
• Signer: Pham Le Tuan
• Issued Date: 15/03/2017

MINISTRY OF HEALTH --------	THE SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ----------------
No. 02/2017/TT-BYT	Hanoi, March 15, 2017

CIRCULAR

ON MAXIMUM PRICE BRACKET FOR MEDICAL EXAMINATION AND TREATMENT SERVICES NOT COVERED BY HEALTH INSURANCE IN STATE-OWNED HEALTH FACILITIES AND GUIDANCE ON APPLICATION OF PRICES AND PAYMENT FOR MEDICAL EXAMINATION AND TREATMENT SERVICES IN SOME CASES

Pursuant to the Law on medical examination and treatment No. 40/2009/QH12 dated November 23, 2009;

Pursuant to the Law on prices No. 12/2012/QH13 dated June 20, 2012;

Pursuant to the Law on organizing the local government No. 77/2015/QH13 dated June 19, 2015;

Pursuant to the Government’s Decree No. 85/2012/ND-CP dated October 15, 2012 on operational and financial regulations applicable to public medical providers and prices of medical examination and treatment services by public health facilities.

Pursuant to the Government’s Decree No. 16/2015/ND-CP dated February 14, 2015 providing for autonomy mechanism of public service providers.

Pursuant to the Government’s Decree No. 63/2012/ND-CP dated August 31, 2012 defining functions, tasks, powers and organizational structure of the Ministry of Health.

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The Minister of Health promulgates a Circular on maximum price bracket for medical examination and treatment services not covered by health insurance in state-owned health facilities and guidance for application of prices and payment for medical examination and treatment services in some cases.

Article 1. Scope and regulated entities

1. Scope

This Circular deals with maximum price bracket for medical examination and treatment services (hereinafter referred to as “medical services”) not covered by health insurance in state-owned health facilities and guidance for application of prices and payment for medical services in some cases.

2. Regulated entities

State-owned health facilities; uninsured patients; patients having health insurance card but receiving medical examination and treatment or using medical services not covered by health insurance; other relevant organizations and individuals.

3. For insured patients receiving medical examination and treatment as prescribed in the Law on Health Insurance, the prices of medical services covered by health insurance shall be applied as prescribed in the Joint Circular No. 37/2015/TTLT-BYT-BTC dated October 29, 2015 of the Ministry of Health and Ministry of Finance on unifying prices of medical services covered by health insurance among hospitals of the same level across the country.

4. This Circular does not apply to medical services in the following cases:

a) A public health service provider contributes and raises capital under joint venture or association agreements as prescribed in the Government’s Decree No. 85/2012/ND-CP dated October 15, 2012 and applies service prices in a manner that compensates for expenses and ensures accumulated earnings.

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c) A health facility make public-private partnership investment as prescribed in the Government’s Decree No. 15/2015/ND-CP dated February 14, 2015 on investment in the form of public-private partnership.

Article 2. Maximum price bracket for medical examination and treatment service

1. The maximum price bracket for medical services includes:

a) The maximum price bracket for medical examination services, which is provided in Appendix I enclosed herewith;

b) The maximum price bracket for in-patient services, which is provided in the Appendix II enclosed herewith;

c) The maximum price bracket for technical and testing services, which is provided in the Appendix III enclosed herewith;

2. The maximum price bracket prescribed in this Circular includes the following expenses:

a) Direct expenses:

- Expenses for medicines, perfusion, chemicals, medical consumables and replacements in service of medical services. Regarding some medicines, perfusion, chemicals, medical consumables and replacements that are yet to be included in the prices of medical services provided in Appendix II and Appendix III enclosed herewith, and blood and blood components, payment shall be made according to the actual amount used for patients and purchase price in accordance with regulations of law.

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- Expenses for maintenance of equipment and purchase of instruments;

b) Salaries expenses:

- Salary under grades, ranks, titles, allowances and contributions in accordance with the State regulations applied to public service providers; except for the expenditures mentioned in Clause 3 of this Article;

- Standing allowances, surgical and/or medical procedure allowances (hereinafter referred to as “special allowances”) prescribed in the Government’s Decision No. 73/2011/QD-TTg dated December 28, 2011.

3. The salaries expenses prescribed in Clause 1 of this Article shall not include expenditures covered by state budget as prescribed in the following documents:

a) Government’s Decree No. 64/2009/ND-CP dated July 30, 2009 on benefits for health officials and public employees working in extremely disadvantaged areas;

b) Government’s Decree No. 116/2010/ND-CP dated December 24, 2010 on benefits for on officials, public employees and paid armed forces’ personnel working in extremely disadvantaged areas;

c) Government’s Decree No. 46/2009/QD-TTg dated March 31, 2009 on special allowances for officials and public employees working in Friendship Hospital, Thong Nhat Hospital, Da Nang C Hospital affiliated to the Ministry of Health, Central Health Protection Divisions 1, 2, 2B, 3 and 5, Department A11 of 108 Hospital and Department A11 of Military Institute of Traditional Medicine (herein after referred to as “Decision No. 46/2009/QD-TTg”) and the Prime Minister’ Decision No. 20/2015/QD-TTg dated June 18, 2015 on amendments to some articles of the Decision No. 46/2009/QD-TTg;

d) Point a, Clause 8, Article 6 of Government’s Decree No. 204/2004/ND-CP dated December 14, 2004 on salaries paid to officials, public employees and armed forces’ personnel and Government’s Decree No. 76/2009/ND-CP dated September 15, 2009 on amendments to some articles of the Decree No. 204/2004/ND-CP.

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1. The competent authorities prescribed in Clauses 2 and 3 of this Article shall decide prices of medical services applied to health facilities under their management, which shall not exceed the maximum price bracket for medical services prescribed in this Circular.

2. The Provincial People's Council shall decide prices of medical services applied to by health facilities under the management of local governments and decide or apply prices of medical services to some cases according to the following principles:

a) Hospitals with patient beds, provincial health centers licensed to provide medical services; graded district-level health centers licensed to provide disease prevention and medical treatment and examination services apply the prices applied to hospitals of similar level;

b) Ungraded health facilities apply the prices applied to grade IV hospitals;

c) Family clinics, medical clinics of entities, organizations and schools apply the prices applied to health stations of communes.

3. The Minister of Health shall decide prices of medical services applied to health facilities affiliated to the Ministry of Health and special grade and grade I hospitals affiliated to Ministries, ministerial authorities and Governmental authorities. The health facilities affiliated to the remaining Ministries, ministerial authorities and Governmental authorities shall apply prices of medical services as follows:

a) Health stations of entities and organizations, civil-military health stations and civil-military medical clinics shall apply prices of medical services applied to health stations of communes.

b) Civil-military medical infirmaries shall apply prices of medical services applied to local polyclinics.

c) Grade II, II, IV hospitals (including civil-military hospitals) shall apply service prices applied to local health facilities of the same level.

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4. The health facilities affiliated to Ministries, ministerial authorities and Governmental authorities provide technical services that are yet to be included in local prices of medical services, they shall formulate a pricing plan and report it to the Ministry of Health.

5. New technical services prescribed in Clauses 1 and 2, Article 69 of the Law on Medical Examination and Treatment and other remaining technical services for which the maximum price bracket is yet to be stipulated: (except the services ranked as equivalent in technique and provision expenses by the Ministry of Health)

a) The health facilities that set and propose prices to competent authorities prescribed in Article 3 of this Circular shall temporarily decide prices;

b) Every 6 months (on June 30 and December 31), entities and local governments shall submit a consolidated report to the Ministry of Health for consideration and adjustment of maximum price bracket after the Ministry of Finance’s approval.

c) Procedures and documentation of pricing plan are mentioned in the Law on Prices.

Article 4. Guidance on application of prices of medical examination

1. Direct expenses necessary for the determination of prices of medical examination prescribed in Point a, Clause 2, Article 2 of this Circular include:

a) Expenses for gloves, caps, masks, clothing, sheets, pillows, mattresses, mats, cloths for medical staff, patients; stationery such as paper, pens, books, printing ink, stamp pad ink, pins, specialized prints and other stationery; common medical consumables such as cotton, bandages, alcohol, gauze, pumps, needles, saltwater and other medical consumables in service of medical examination;

b) Expenses for electricity, water, waste treatment; laundry, steam, drying, washing, cloth sterilization, medical instruments; expenses for hygiene, environmental hygiene assurance, examination area disinfection and infection control;

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2. Determine the number of medical visits and prices of medical examination in some specific cases:

a) In case a patient receives medical examination at a health facility and is then provided with inpatient treatment for professional requirements, it shall be determined as a medical visit.

b) On the same medical visit to the same health facility (possibly on the same day or due to objective conditions or professional requirements, the patient is yet to fully undergo the medical examination on the first day, and has to receive medical examination on the next day), after receiving medical examination at one speciality, he/she needs further medical examination at another speciality, from the second medical visit onwards, only 30% of prices of a medical visit shall be applied and the maximum payment for medical examination must not double the prices applied to a medical visit.

c) In case the patient goes to a health facility to receive medical examination and treatment and has received medical examination and medicines and provided with medicines for home treatment at home, but he/she then sees abnormal signs, returns to the health facility for further medical examination right on that day and continues to receive medical examination, such visit shall be the second visit onwards on a day. The payment shall be made according to Point b of this Clause;

d) In case the health facility provides specialized clinics at clinical departments, the patient registers medical examination services at outpatient department and receives medical examination at specialized clinic of the clinical department, it shall be determined as medical examination received at outpatient department. The determination of expenses and number of medical visits payment shall be made according to Point b of this Clause;

dd) In case the patient receives medical examination and treatment at clinical departments and does not register medical examination services at outpatient department, payment for medical examination shall not be made.

e) In case the patient receives medical examination at emergency department, not at outpatient department, and if the treatment duration is under 4 hours (including hospital discharge, referral, death), the patient shall only pay for medical examination, medicines, technical services and shall not pay for inpatient treatment.

g) Clinics of the Board for Protection and Care of the Health of provincial-level officials, which are not affiliated to Provincial General Hospital shall apply prices of medical examination of grade II hospitals within their province.

Article 5. Guidance for application of prices of inpatient services

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a) Expenses for gloves for medical examination, gloves for injection, infusion and care, caps, masks, clothing, blankets, sheets, pillows, mattresses, mosquito-nets, mats, cloths for medical staff and patients; stationery such as paper, pens, books, printing ink, stamp pad ink, pins, specialized prints and other stationery; common medical consumables such as cotton, bandages, alcohol, gauze, pumps, common needles for single use, less than or equal to 10ml, saltwater and other consumables in service of daily medical care and treatment;

b) Expenses for electricity, water, waste treatment; laundry, steam, drying, washing, cloth sterilization, medical instruments; expenses for hygiene, environmental hygiene assurance, patient room disinfection and infection control;

c) Expenses for maintenance and purchase of equipment, instruments and tools, such as air conditioners, computers, printers, dehumidifiers, fans, automatic check-up systems, desks, chairs, beds, cabinets, lights, kits and tools in service of medical care and treatment.

2. The duration of an inpatient treatment shall be determined as prescribed in the Circular No. 28/2014/TT-BYT dated July 14, 2014. To be specific:

a) Duration of an inpatient treatment = (date of chischarge - date of admission) + 1

b) In case the patient is admitted to the hospital the day before and is discharged the next day (from 4 hours to under 24 hours), it shall be determined as 1 day;

c) In case the patient receives medical examination at two departments on the same day, it shall be determined as 1/2 day. In case the patient receives medical examination at 3 or more departments on the same day, prices of inpatient services on that day shall be determined as an arithmetic mean of payment for inpatient services at the department where the patient receives treatment in over 4 hours with the highest price and the department where the patient receives treatment in over 4 hours with the lowest price.

3. Prices of surgical, burn treatment services shall be applied within 10 days after surgery. From the 11th day onwards after surgery, prices of inpatient services for endocrinology prescribed in Section 3, Appendix II enclosed herewith and decided by a competent authority shall be applied.

4. Prices of inpatient services shall be charged on 01 patient/01 bed. In case of 02 patients/01 bed or 03 patients or more, only a maximum of 50% or 30% of the prices of the inpatient service decided by the competent authority shall be collected respectively.

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a) Special grade hospitals, grade I or II hospitals have established an intensive care unit, poison control unit or center, intensive care - poison control unit, and such units and centers are eligible to be operated as prescribed in the Decision No. 01/2008/QD-BYT dated January 21, 2008.

b) The entity is yet to establish an intensive care unit, but the emergency department has some intensive treatment beds and postoperative beds after special or grade I surgeries and these beds shall satisfy requirements for intensive care beds prescribed in the abovementioned Decision No. 01/2008/QD-BYT of the Ministry of Health.

c) When the patient is on these beds with conditions that require care, treatment and supervision according to the regulation on emergency treatment, intensive care and poison control. The remaining cases shall apply the prices of intensive care inpatient services provided in the service No. 02, Appendix II of this Circular and decided by the competent authority.

6. Application of inpatient emergency treatment services:

a) Clinical departments with intensive care beds therein (for example, pediatric department has children intensive care beds, neonatal departments, intensive care departments for preterm newborns) shall apply the prices of intensive care inpatient services provided in the service No. 02, Appendix II of this Circular and decided by the competent authority.

b) In case the patient receiving medical examination at emergency department does not register medical examination at outpatient department: if the treatment duration is 04 hours or more, the patient shall only pay for inpatient treatment, medicines and technical services and shall not pay for medical examination.

7. In case the health facility adds extra patient beds besides the planned ones, the corresponding prices of inpatient services decided by the competent authority shall be applied.

8. In case the patient lies on a stretcher or an extra bed, prices of inpatient services for 02 patients/01 bed according to each speciality decided by the competent authority shall be applied.

9. In case a hospital is graded III, IV or ungraded, but is eligible for a special surgery performance approved by a competent authority, the highest prices of surgical inpatient services applied to the health facility providing such services shall be applied.

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10. In case a surgery is classified as different classes (except pediatric speciality) prescribed in the Circular No. 50/2014/TT-BYT dated December 26, 2014, prices of surgical or burn inpatient services shall be applied according to the surgery of the lowest class.

11. In case surgeries are classified as equivalent to a surgery prescribed in this Circular but are classified as different classes according to each speciality prescribed in the Circular No. 50/2014/TT-BYT, prices of surgical or burn inpatient services shall be applied according to the classification of that surgery.

12. In case a surgery is yet to be classified as prescribed in the Circular No. 50/2014/TT-BYT, prices of inpatient services after the surgery class IV applied to the hospital of corresponding grade shall be applied.

13. Prices of inpatient services by departments affiliated to hospitals of traditional medicine and hospitals of nursing and rehabilitation shall be applied as follows:

a) Intensive care beds: comply with Clause 5 of this Article;

b) Emergency beds: comply with Clause 6 of this Article;

c) Beds at cancer or pediatric department: apply prices of inpatient services for endocrinology class I applied to the hospital of corresponding grade (specified in Point 3.1 of Appendix II)

d) Endocrinologic beds of the remaining departments: apply prices of inpatient services for endocrinology class II (specified in Point 3.2 of Appendix II), for the patients with spinal cord injury, cerebrovascular accident and traumatic brain injury, apply prices of inpatient services for endocrinology class III (specified in Point 3.3 of Appendix II) applied to the hospital of corresponding grade, for the remaining diseases.

14. In case of inter-speciality cases: apply prices of the speciality of the lowest level in the departments corresponding to hospital class.

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1. Prices of technical services shall include expenses for medicines, chemicals, medical consumables and replacements for provision of services except some special cases with specific notes. Hospitals must not charge patients for the expenses that have been included in prices of services.

2. Prices of surgeries or medical procedures shall not include expenses for blood or blood components if used. If used, payment shall be made as prescribed in the Circular No. 33/TT-BYT dated October 27, 2014.

3. Service prices shall be applied according to the following principles:

a) For specific services the maximum prices of which are provided in Appendixes enclosed herewith, prices of each service decided by the competent authority shall be applied.

b) For technical services the maximum prices of which are yet to be provided in Appendixes enclosed herewith and ranked as equivalent in technique and provision expenses, prices of services ranked as equivalent in technique and provision expenses by the Ministry of Health shall be applied.

c) For surgeries and medical procedures the maximum prices of which are provided in Appendixes enclosed herewith and ranked as equivalent in technique and provision expenses, prices of each surgery and medical procedures in section “other remaining surgeries and medical procedures” of each speciality provided in Appendix III enclosed herewith shall be applied.

4. Expenses for anesthesia: Because some services may require anesthesia or no anesthesia, expenses for anesthesia of the services enclosed with this Circular are as follows:

a) Maximum prices of surgeries prescribed by specialities include expenses for anesthesia. Regarding ophthalmic surgery, expenses for anesthesia are yet to be included.

b) Maximum prices of medical surgeries shall include expenses for anesthetics and sedative anesthetics, exclude expenses for anesthesia (except some certain cases with specific notes);

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5. In case of multiple interventions during the same surgery, highest prices of the most sophisticated technical service shall be applied and prices of other technical services arising during the same surgery shall be:

a) 50% of prices of the technical services that arise if such technical services are still provided by a surgical team.

b) 80% of prices of the technical services that arise if such technical services require another surgical team to provide;

c) In case the services that arise are medical procedures, 100% of prices of services that arise shall be charged.

6. Bandage change service

a) The “Changing bandages of under 15-cm-long wounds or incisions” service: inpatients shall make payment in the following cases: infected wounds/incisions; wounds with fluids, blood from the skin lesions with area of more than 6 cm^2; wounds inserted with gauze; foot wound drainage with lots of fluid flowing; multi wounds/incisions; or incision after a surgery but two or more incisions must be created. Prices of bandage change service shall not be applied to the following cases: aparoscopy, common wound/incision bandage change, neonatal nasal bandage change.

b) Prices of “Changing bandages of over 15 to 30-cm-long wounds or incisions” service shall be applied to inpatients in the following cases:

- Infected incisions, gastric leakage, bile leakage, urinary leakage;

- Infected post-operative incisions (peritonitis or osteoarthritis or abscess), incisions after gastrointestinal or urinary or biliary tract or abdominal surgery.

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- In case of caesarean section surgery, this price shall be applied, but not exceeding 03 times.

c) The price of “changing bandages of over 15 to 30-cm-long wounds or incisions” service shall be applied as prescribed in this Circular.

7. The ABO blood group determination service in blood transfusion, for the tests No. 1300, 1301 and 1302 prescribed in Appendix III of this Circular:

a) Regarding ABO blood group determined at medical testing laboratory upon delivery of the whole blood and components, including erythrocytes, platelets, leukocytes, plasma:

- Regarding determination of blood group of patients, lump sum payment shall be made according to prices of the service No. 1203 provided in Appendix III of this Circular (because the maximum prices of the service No. 1302 include expenses for 2 times of ABO blood group determination with the same blood or two blood samples of the same patient using 2 methods: serology test and red blood cells test);

- Regarding determination of ABO blood group of blood bags and blood components, lump sum payment shall be made according to prices of the service No. 1300 provided in Appendix III of this Circular;

- In case the patient receives many blood units or blood components at the same time, from the second blood unit or blood component onwards, when delivering 01 blood unit, extra payment shall be made for determination of ABO blood group of blood bags according to prices of the service No. 1300 provided in Appendix III of this Circular; In this case, it is not required to determine the patient’s ABO blood group since it is determined that he/she belongs to the ABO blood group when receiving blood units or the first blood component.

b) Determination of ABO blood group at the patient bed:

- Regarding the ABO blood group determined at the patient bed when the patient receives whole blood or erythrocytes or platelets, lump sum time payment shall be made according to prices of the service No. 1300 provided in Appendix III of this Circular;

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- In case the patient receives many blood units or blood products at the same time, from the second blood unit or blood product onwards, when delivering 01 whole blood unit or erythrocyte or platelet, extra payment shall be made for determination of blood group at the patient bed according to prices of the service No. 1302 provided in Appendix III of this Circular In this case, it is not required to determine the patient’s ABO blood group since it is determined that he/she belongs to ABO blood group when transfusing blood units or the first blood component.

- Prices of the ABO blood group determination services No. 1300, 1301, 1302 provided in Appendix III of this Circular shall be generally applied to in-vitro, stone slab or paper-based test methods.

8. For the immunological compatibility test performed at the temperature of 37 ºC and supplemented with the anti-globulin serum (indirect Coombs test), prices of the “immunological compatibility test supplemented with the anti-globulin serum” service No. 1358 or 1359 prescribed in Circular shall be applied.

Article 7. Implementation

1. Budget shall ensure funding according to the current levels of state budget for:

a) Expenditures according to applicable regulations specified in the documents mentioned Clause 3, Article 2 of this Circular;

b) In case the entity’s financial source fails to ensure regular operations, the entity classified by a competent authority as a public service provider of which part of its recurrent expenditure is covered itself or that of which recurrent expenditure is funded by the state budget.

2. Responsibilities of the Ministry of Health:

a) Assign the Department of Planning - Finance to act as an authority in charge and cooperate with relevant entities in implementing, carrying out inspection, preliminary review and final review of the implementation of this Circular nationwide;

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3. Responsibilities of the Department of Health:

a) Take charge and cooperate with relevant entities in implementing, carrying out inspection, preliminary review and final review of the implementation of this Circular in the areas under its management;

b) Take charge and reaching an agreement with the Department of Finance on the service prices, and submit a report on service prices to the People’s Committee of the province, which will submit it to the People's Council of the province to consider deciding on the service prices and date of application according to Clause 2 Article 9 of this Circular, which are applied to health facilities under the local management.

Article 8. Terms of reference

In the cases where any of the legislative documents referred to in this Circular is amended or replaced, the newest one shall apply.

Article 9. Implementation clause

1. This Circular comes into force from June 01, 2017.

2. The authorities that have the power to decide the prices as prescribed in Clause 2, Article 3 of this Article shall decide prices and date of application, which are applied to health facilities. To be specific:

a) Regarding the health facilities classified by a competent authority as entities of which their recurrent expenditure are covered themselves or those of which their recurrent and investment expenditure are covered itself, the date of application shall be from June 01, 2017;

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3. The following documents are null and void from January 01, 2018:

a) The Joint Circular No. 14/TTLB dated September 30, 1995 of the Ministry of Health, Ministry of Finance, Ministry of Labor, War Invalids and Social Affairs and Government Pricing Commission on guidelines for collection of partial hospital fee.

b) The Joint Circular No. 03/2006/TTLT-BYT-BTC-BLDTB&XH dated January 26, 12006 of the Ministry of Health, Ministry of Finance, Ministry of Labor, War Invalids and Social Affairs amending the Circular No. 14/TTLB dated September 30, 1995 of the Ministry of Health, Ministry of Finance, Ministry of Labor, War Invalids and Social Affairs and Government Pricing Commission on guidelines for collection of partial hospital fee.

c) The Circular No. 04/2012/TTLT-BYT-BTC dated February 29, 2012 of the Ministry of Health, Ministry of Finance on promulgating the maximum price bracket for medical services in the state-owned health facilities;

The Government’s Decree No. 04/2013/TT-BYT dated January 21, 2013 of the Minister of Health on guidelines for approval and application of prices of medical examination and treatment services to state-owned health facilities under the management of ministries.

Article 10. Transitional provisions

For the patient who is receiving medical treatment at a health facility before the application of the prices prescribed in this Circular and is released from that health facility or ends outpatient treatment visit after the application of the prices prescribed in this Circular, the prices approved by a competent authority before the application of prices prescribed in this Circular shall be applied until the patient is released from that health facility or ends outpatient treatment visit.

Difficulties that arise during the implementation of this Circular should be promptly reported to the Ministry of Health.

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 PP. MINISTER
DEPUTY MINISTER




Pham Le Tuan

APPENDIX I

MAXIMUM PRICES FOR MEDICAL TREATMENT SERVICE
(Issued together with Circular No.02/2017/TT-BYT dated March 15, 2017) of the Ministry of Health)

Unit: Dong

No.

Type of service

Maximum price including direct expenses and salaries expenses

A

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C

1

Special grade hospitals

39,000

2

Grade I hospitals

39,000

3

Grade II hospitals

...

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4

Grade III hospitals

31,000

5

Grade IV hospitals/Local polyclinics

29,000

6

Health stations of communes

29,000

...

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Consultation for determining tough cases (professional/case; only apply to the case in which professionals from different entities are invited to the consultation in medical examination and treatment facilities)

200,000

8

Examination for wound certificate, medical examination (exclusive medical tests and medical radiography)

120,000

9

Pre-employment examinations, driver medical examination, periodic medical examination (exclusive medical test and medical radiography)

120,000

10

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350,000

APPENDIX II

MAXIMUM PRICE FOR A HOSPITAL BED-DAY
(Issued together with Circular No.02/2017/TT-BYT dated March 15, 2017) of the Ministry of Health)

Unit: Dong

No.

Type of service

Special grade hospitals

Grade I hospitals

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Grade III hospitals

Grade IV hospitals

Note

A

B

1

2

3

4

...

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6

1

Intensive Care Unit (ICU)/organ transplantation/ hematopoietic stem cell transplantation

677,100

632,200

568,900

 Exclusive medical ventilator expense (if any)

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Emergency, Intensive Care Medicine and Clinical Toxicology

362,800

335,900

279,100

245,700

226,000

 Exclusive medical ventilator expense (if any)

3

For Internal Medicine

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3.1

Type 1: Departments of Infection, Pulmonology, Hematology, Oncology, Cardiology, Psychiatry, Neurology, Pediatrics, Gastroenterology, Nephrology, Endocrinology; Allergy (for patients with serious drug allergy: Steven Johnson/Lyell)

215,300

199,100

...

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149,800

140,000

The above-mentioned departments of specialist hospitals affiliated with the Ministry of Health in Hanoi and Ho Chi Minh City

215,300

...

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3.2

Type 2: Departments of Musculoskeletal, Dermatology, Otorhinolaryngology, Ophthalmology, Odontology, Surgery, Obstetrics and Gynaecology without surgery, Traditional Medicine and Rehabilitation for groups of people suffering spinal cord injury, stroke, traumatic brain injury

192,300

178,000

152,500

133,800

122,000

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The above-mentioned departments of specialist hospitals affiliated with the Ministry of Health in Hanoi and Ho Chi Minh City

192,300

3.3

Type 3: Traditional Medicine and Rehabilitation Departments

...

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146,800

126,600

112,900

108,000

3.4

For hospital beds in local polyclinics

108,000

...

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 Beds in health stations of communes

54,000

4

For Surgery

...

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...

4.1

Type 1: After special types of surgery, 3rd-4th degree burns affecting over 70% of the body

306,100

286,400

255,400

...

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The above-mentioned departments of specialist hospitals affiliated with the Ministry of Health in Hanoi and Ho Chi Minh City

306,100

4.2

Type 2: After type 1 surgery, 3rd-4th degree burns affecting from 25% - 70% of the body

...

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...

250,200

204,400

180,800

171,000

The above-mentioned departments of specialist hospitals affiliated with the Ministry of Health in Hanoi and Ho Chi Minh City

268,200

...

...

...

4.3

Type 3: After type 2 surgery, 3rd-4th degree burns affecting under 25% of the body

230,300

214,100

188,500

159,800

...

...

...

The above-mentioned departments of specialist hospitals affiliated with the Ministry of Health in Hanoi and Ho Chi Minh City

230,300

...

...

...

Type 2: After type 3 surgery, 1st-2th degree burns affecting under 30% of the body

197,300

183,000

152,500

133,800

127,000

5

Daytime beds

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