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VIETNAM SOCIAL
SECURITY
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SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
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No. 1187/QD-BHXH
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Hanoi, May 24,
2022
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DECISION
PROMULGATING A
PROCESS FOR REDUCTION IN HEALTH INSURANCE PREMIUMS UPON EXTENDING
HOUSEHOLD-BASED HEALTH INSURANCE CARDS ON THE PUBLIC SERVICE PORTAL
DIRECTOR GENERAL OF VIETNAM SOCIAL SECURITY
Pursuant to the Law on Electronic Transaction
No. 51/2005/QH11 dated November 29, 2005;
Pursuant to the Law on Health Insurance No.
25/2008/QH12 dated November 14, 2008; Law No. 46/2014/QH13 dated June 13, 2014
amending certain articles of the Law on Health Insurance;
Pursuant to Decree No. 146/2018/ND-CP dated
October 17, 2018 of the Government of Vietnam elaborating and guiding measures
for implementation of certain Articles of the Law on Health Insurance;
Pursuant to Decree No. 89/2020/ND-CP dated
August 04, 2020 of the Government of Vietnam on function, tasks, powers and
organizational structures of Vietnam Social Security;
Pursuant to Decision No. 06/QD-TTg dated January
06, 2022 of the Prime Minister of Vietnam on approval of the Project for
developing the application of data on population, electronic identification and
authentication for national digital transformation in the period of 2022-2025,
with a vision towards 2030;
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HEREBY DECIDES:
Article 1. The Process for reduction in
health insurance premiums upon extending household-based health insurance cards
on the Public Service Portal is promulgated together with this Decision.
Article 2. This Decision comes into force
from the day on which it is signed.
Article 3. Heads of Book and Card Collection
Management, Chief of Offices and information technology centers, Heads of units
affiliating to Vietnam Social Security; Directors of social security offices of
provinces and central-affiliated cities are responsible for implementation of
this Decision./.
GENERAL
DIRECTOR
Nguyen The Manh
PROCESS
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I. REGULATED SCOPE AND ENTITIES
1. Regulated scope and
entities
1.1. Regulated scope
This Process specifies orders of settlement of
procedures for reduction in health insurance premiums upon extending
household-based health insurance cards on the National Service Portal and the
Public Service Portal of Social Insurance.
1.2. Regulated entities
This Process applies to Social Insurance Offices of
provinces or cities; social insurance offices of districts and policyholders in
household-based health insurance.
2. Definition of terms
2.1. Abbreviation
a) “BHXH” stands for “bảo hiểm xã hội"
(“Social insurance”).
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c) “HGD” stands for “Hộ gia đình”
(“Household or household-based”).
d) “CSDL” stands for “cơ sở dữ liệu”
(“database”).
2.2. Definitions
a) “policyholders" means members of a
household who have declared and have had social insurance codes in the
household database.
b) “policyholders in household-based health
insurance”(1) (hereinafter referred to as “household”) means people who all
register temporary residence or permanent residence for the same legal place of
residence according to laws on residence.
II. IMPLEMENTATION
PROCESS
Step 1. Declaring applications
Declarants shall choose to declare on the National
Service Portal or on the Public Service Portal of Social Insurance (if they
declare on the National Service Portal, the system will automatically navigate
to the Public Service Portal of Social Insurance) and make a full declaration
of information fields, including:
a) Information of the Householder: Full name; date
of birth; sex; personal identification number;
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Step 2. Procedures for processing online
applications
After declaring full information, the software
system will automatically inspect, compare and verify the information of
household members who have the same permanent residence address or the same
temporary registration address with the national population database:
1. In case the software
verifies that members having information in the national population database do
not have the same place of permanent residence or temporary residence, it will
send notifications to the declarants with the content: “Các thành viên kê
khai không cùng địa chỉ thường trú hoặc không cùng địa chỉ tạm trú trong CSDL
quốc gia về dân cư, đề nghị liên hệ trực tiếp với cơ quan công an nơi cư trú để
được hướng dẫn cập nhật, điều chỉnh thông tin nơi cư trú của các thành viên.” ("You
do not have the same permanent residence address or temporary residence address
in the national population database with others, please directly contact the
police office of your residence for instructions on updating and adjusting the
information of place of residence.”) (2)
2. In case the software system
verifies that members having information in the national population database
have the same permanent residence address or the same temporary residence
address, it will continue to automatically verify the health insurance
participation status of each member in the database of Vietnam Social Insurance
and determine the exact payable premiums of each household member in descending
order of household-based health insurance premiums (applying current
regulations of the Law on Health Insurance) to notify the declarants of the
online payable premiums via the Public Service Portal (with the detail premium
of each health insurance card number corresponding to the period of extending
each card).
Step 3. Online payment on the Public Service
Portal
The declarants make the online payment of payable
premiums as guided on notifications.
Step 4. Allocation of the premiums in the System
of social insurance office
After receiving the premiums of the declarants via
the banking system, the software system will automatically compare bank’s
proofs of online payment with cards’ extension information; automatically
allocate the premiums, automatically update the additional collection,
automatically extend the use value of the health insurance cards at the social
insurance office (where the policyholders participated in the health insurances
before extension).
Step 5. Return of results to the declarants
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- A receipt of payment.
- An announcement of the
successful extension result of each policyholder: “Người tham gia tiếp tục
sử dụng thẻ BHYT (đã cấp) đi khám chữa bệnh kể từ ngày nhận được thông báo này”
("You can continue to use the issued health insurance card for health examination
from now").
III. IMPLEMENTATION
RESPONSIBILITY
1. Book and Card Collection
Management Boards shall:
Take charge and cooperate with relevant units in
directing and inspecting and guiding implementation of this Decision;
2. Information Technology
Centers shall:
- Develop a system of software
to meet requirements of this Decision.
- Cooperate with the National
Population Data Center under the Ministry of Public Security in verifying
information declared by the people on the Public Service Portal with the
National Population Database and monitoring the implementation and technical
support to relevant units during the implementation process.
3. Heads of units affiliated
to Vietnam Social Security are responsible for function-based implementation of
this Decision.
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- Develop a Plan for
communication about features and utilities, guide policyholders to register for
electronic transactions on the Public Service Portal with the social insurance
offices.
- Directors of social
insurance offices of provinces and central-affiliated cities where
policyholders choosing to extend their cards monitor and manage the
policyholders according to current regulations.
- Receive feedbacks, recommendations
and direct the handling of them from the policyholders. In case feedbacks and
recommendations of policyholders are related to other social insurance offices,
social insurance offices where they are received must actively cooperate with
relevant social insurance offices to resolve./.
(1)According to clause 2
Article 37 of the Law on Residence in 2020
(2)For the purpose of extension
of household-based health insurance cards with reduced payment on the Public
Service Portal, declarants must log in and declare from Step 1 of this Process.