New points in the Law on Health Insurance and convenience in implementation

New points in the Law on Health Insurance and accompanying regulations will bring many conveniences to people in medical examination and treatment, while improving the efficiency of management and use of health insurance funds.

New points in the Law on Health Insurance and convenience in implementation

New points in the Law on Health Insurance and accompanying regulations will bring many conveniences to people in medical examination and treatment, while improving the efficiency of management and use of health insurance funds.

On January 2, 2025, the Ministry of Health held a workshop to disseminate the contents of the Circular detailing and guiding the implementation of a number of articles of the amended Law on Health Insurance, effective from January 1, 2025.

Ms. Tran Thi Trang, Director of Health Insurance Department.

Accordingly, the new points in the Law on Health Insurance and accompanying regulations will bring many conveniences to people in medical examination and treatment, while improving the efficiency of management and use of health insurance funds.

One of the important changes is the expansion of medical examination and treatment for some diseases and groups of diseases for which health insurance participants do not need a referral letter.

Specifically, a list of 62 diseases and groups of diseases will be examined and treated at specialized medical facilities, while 167 diseases and groups of diseases will be treated at basic medical facilities. This helps patients access quality medical services without having to go through complicated referral procedures.

This brings significant convenience to patients, especially in saving time, costs and reducing the burden of administrative procedures. No longer having to worry about applying for a referral or complicated procedures before transferring, patients can easily go straight to the medical facility that suits their treatment needs.

Circular 01 also stipulates that health insurance participants can seek medical examination and treatment at primary health insurance facilities other than the place of registration without having to worry about administrative boundary distinction.

This is an important change that helps health insurance participants have more flexibility in accessing medical services, especially for students during summer vacation, workers on leave or those who frequently travel between localities.

This not only increases convenience for patients but also helps redistribute the burden on medical facilities in densely populated areas, reducing the load on upper-level hospitals.

Another new point is that transferring health insurance medical examination and treatment facilities will become more convenient thanks to the simplification of administrative procedures. According to Ms. Tran Thi Trang, Director of the Health Insurance Department, the new regulation helps reform procedures, reduce unnecessary hassles, and create favorable conditions for patients during the treatment process.

Patients now do not need to request a referral letter when they have been referred by a doctor. This not only helps reduce waiting time but also minimizes unnecessary costs such as patient transportation.

In addition, the implementation of the Electronic Medical Examination and Treatment Facility Transfer Form and the Electronic Re-examination Appointment Form will help simplify administrative procedures, save time and minimize fraudulent acts in the transfer of medical examination and treatment facilities.

The electronic voucher is integrated into the VNeID application of the Ministry of Public Security, helping to make it public, transparent and convenient for patients when carrying out necessary procedures during the treatment process.

In addition, this also helps reduce paperwork costs and promote the application of technology in medical record management, which is in line with modern trends and helps improve the quality of medical services.

In addition to the administrative procedure reforms, the revised Law on Health Insurance also stipulates that patients who are transferred to a higher level will enjoy full benefits of drugs and medical equipment as prescribed by a medical facility with higher technical expertise. This is a noteworthy point, helping patients to use quality medical services without worrying about additional costs.

This regulation contributes to enhancing comprehensive health care, ensuring the rights of health insurance participants in using standard drugs and medical equipment.

In addition, one of the new points of Circular 01 is the regulation on the publicity and transparency in the allocation of health insurance cards. Medical examination and treatment facilities will be responsible for publicizing the number of health insurance cards allocated, thereby creating favorable conditions for people when registering and using health services.

The Ministry of Health also requires medical facilities to advise patients on their rights, the diseases that are referred to them, and ensure maximum benefits for health insurance participants. This helps patients be more proactive in taking care of their health and following doctors' medical instructions.

According to Deputy Minister of Health Tran Van Thuan, new points in the Law on Health Insurance and related circulars will help strengthen the sustainable development of the health insurance system, creating favorable conditions for people in health care.

The decision to improve the quality of medical examination and treatment, simplify procedures and ensure fairness in access to medical services will help people feel more secure when participating in health insurance.

Source: https://baodautu.vn/diem-moi-trong-luat-bao-hiem-y-te-va-thuan-tien-khi-thuc-hien-d237909.html