Regulations on health insurance re-examination appointment from December 2, 2023

From December 3, 2023, how will the health insurance re-examination appointment form be used, and which document is specified? Please refer to the article below.

Sample appointment form for health insurance re-examination from December 2, 2023

From December 3, 2023, the health insurance re-examination appointment form prescribed in Decree 75/2023/ND-CP amending Decree 146/2018/ND-CP guiding the Law on Health Insurance 2008 (effective from December 3, 2023) will be applied.

The health insurance re-examination appointment form has the following specific content:

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Sample appointment form for health insurance re-examination from December 3, 2023

Procedures for medical examination and treatment under health insurance

Pursuant to Article 15 of Decree 146/2018/ND-CP and Clause 6, Article 1 of Decree 75/2023/ND-CP, the procedures for medical examination and treatment under health insurance are as follows:

(1) When seeking medical examination or treatment, health insurance participants must present a health insurance card with a photo or a citizen identification card; in case of presenting a health insurance card without a photo, they must also present one of the following identification papers with a photo issued by a competent authority or organization or a certificate issued by the commune-level police or other papers certified by theeducational institution where the student is managed; other legal identity papers or level 2 electronic identification papers as prescribed in Decree 59/2022/ND-CP.

(2) Children under 6 years old coming for medical examination and treatment only need to present their health insurance card.

In case the child has not been issued a health insurance card, a copy of the birth certificate or birth certificate must be presented; in case treatment is required immediately after birth without a birth certificate, the head of the medical examination and treatment facility and the child's father, mother or guardian must sign the medical record to serve as the basis for payment according to regulations and be responsible for this confirmation.

(3) Health insurance participants, while waiting for re-issuance or exchange of health insurance cards, when coming to see a doctor or receive medical treatment, must present an appointment paper for re-issuance or exchange of health insurance cards issued by the social insurance agency or an organization or individual authorized by the social insurance agency to receive applications for re-issuance or exchange of cards according to the prescribed form and a type of document proving the person's identity.

(4) A person who has donated body parts and comes for medical examination or treatment must present the documents specified in point (1) or point (3) above.

In case treatment is required immediately after donation, the head of the medical examination and treatment facility where the body part is taken and the patient or the patient's relative must sign the confirmation in the medical record as a basis for payment according to regulations and be responsible for this confirmation.

(5) In case of referral for medical examination and treatment, health insurance participants must present the referral records of the medical examination and treatment facility and the referral form according to the prescribed form.

In case the referral form is valid until December 31 but the treatment period has not ended, the referral form can be used until the end of the treatment period.

In case of re-examination upon treatment request, health insurance participants must have a re-examination appointment paper from the medical examination and treatment facility according to the above Form.

(6) In case of emergency, health insurance participants may seek medical examination and treatment at any medical examination and treatment facility and must present the documents specified in point (1) or point (2) or point (3) above before being discharged from the hospital.

When the emergency phase is over, the medical examination and treatment facility will transfer the patient to another department or treatment room at that medical examination and treatment facility for continued monitoring and treatment or transfer to another medical examination and treatment facility, which is determined to be the correct medical examination and treatment facility.

Medical examination and treatment facilities that do not have a health insurance medical examination and treatment contract are responsible for providing patients upon discharge with valid documents and certificates related to medical examination and treatment costs so that patients can pay directly to the social insurance agency according to regulations.

(7) Health insurance participants during business trips, mobile work, concentrated study in training forms, training programs, or temporary residence shall receive initial medical examination and treatment at medical examination and treatment facilities of the same level or equivalent to the initial medical examination and treatment facility registered on the health insurance card and must present the documents specified in point (1) or point (2) or point (3) above and one of the following documents (original or photocopy): work permit, decision to send to study, student card, temporary residence registration certificate, school transfer certificate.

(8) Medical examination and treatment facilities and social insurance agencies are not allowed to prescribe additional procedures for medical examination and treatment under health insurance in addition to the procedures prescribed above.

In case medical examination and treatment facilities or social insurance agencies need to photocopy health insurance cards and documents related to medical examination and treatment of patients for management purposes, they must photocopy themselves and must not require patients to photocopy or pay for this expense.

Source: https://baoquocte.vn/quy-dinh-giay-hen-kham-lai-bao-hiem-y-te-tu-ngay-2122023-250176.html