Responding to the petition of Bac Lieu province voters before the 7th session of the 15th National Assembly, Minister of Health Dao Hong Lan said that health insurance (HI) is implemented on the principle of ensuring risk sharing among HI participants. Regarding the contribution level, the HI benefit level is specifically regulated in the Health Insurance Law and guiding documents, calculated based on the contribution capacity of the target groups, the basic salary level, the scope of benefits and the ability to balance the Health Insurance Fund.

Minister of Health Dao Hong Lan. Photo: National Assembly

According to the provisions of the Ordinance on preferential treatment for people with meritorious services and the Law on Health Insurance, the following subjects are covered by the state budget for health insurance: - Father, mother, wife or husband, children from 6 years old to under 18 years old or from 18 years old and above if they continue to go to school or have severe disabilities, especially severe disabilities of war invalids, beneficiaries of policies such as war invalids, sick soldiers, resistance fighters infected with toxic chemicals with a body injury rate of 61% or more; biological children from 6 years old and above with deformities or disabilities related to exposure to toxic chemicals who are receiving monthly allowances of resistance fighters infected with toxic chemicals. - People from poor and near-poor households; households engaged in agriculture, forestry, fishery and salt production with an average living standard according to regulations of the Government and the Prime Minister; ethnic minorities living in areas with difficult socio-economic conditions; people living in areas with particularly difficult socio-economic conditions; people living in island communes and island districts. For the wives and children of war invalids and sick soldiers who are not among the above subjects, they can participate in health insurance as a household to receive a reduction in the contribution level (the second, third, and fourth person pay 70%, 60%, and 50% of the first person's contribution level, respectively; from the fifth person onwards, they pay 40% of the first person's contribution level) if all family members participate in the same fiscal year.
People who pay health insurance by household Monthly payment from 1/7/2024 (VND) Annual contribution from July 1, 2024 (VND)
1st person 81,000 1,263,600
2nd person 56,700 884,520
3rd person 48,600 758,160
4th person 40,500 631,800
5th person and above 32,400 505,440
In addition, Decree No. 75/2023 of the Government on amending and supplementing a number of articles of Decree No. 146/2018 of the Government detailing and guiding measures to implement a number of articles of the Law on Health Insurance also stipulates that the People's Committees of provinces and centrally run cities, based on the local budget capacity and other legal funding sources, shall submit to the People's Councils of the same level to decide on the additional support level, the support level for subjects who are supported by the state budget for health insurance premiums and are not supported by the state budget for health insurance premiums according to the provisions of law. According to the Minister of Health, the subjects who are currently supported by the state budget for health insurance premiums and health insurance premiums account for a large proportion. This total budget accounts for about 40% of the health insurance premiums. Therefore, the health insurance premiums and support levels are determined based on the contribution capacity of the budget and health insurance participants from the central budget. Source: https://vietnamnet.vn/bo-truong-y-te-tra-loi-kien-nghi-mo-rong-doi-tuong-duoc-ho-tro-the-bao-hiem-y-te-2308647.html