Benefits of health insurance medical examination and treatment with chip-embedded CCCD

However, many patients still carry both their citizen identification card (CCCD) and health insurance card (HIC) when going for medical examination and treatment. Many other patients are hesitant and do not want to use the chip-embedded CCCD.

Habit of carrying health insurance card

At Tan Phu District Hospital (HCMC), the number of patients waiting is quite large (the hospital has an average of 3,000 - 4,000 visits/day). When it was her turn, a female patient showed her ID card and less than 30 seconds later, the receptionist returned her ID card so she could quickly move to the medical examination and treatment area. She did not forget to tell Thanh Nien reporter: "I have known about this (referring to medical examination and treatment by ID card - reporter), for a long time, thanks to my child telling me".

Another patient sat in the row of chairs waiting for her turn to register for a musculoskeletal examination. She had both her ID card and health insurance card issued in August 2021. When asked if she knew that a chip-embedded ID card could be used to register for health insurance without a health insurance card, she shook her head. "Holding a single ID card is convenient, but it's tiring to be afraid of problems. Waiting in line from morning until now, what if something happens, do you have to run home to get another health insurance card? It's both a waste of effort and money. Be sure about everything," she said.

Patients go to health insurance hospital for examination and treatment at Tan Phu District Hospital, Ho Chi Minh City

According to the receptionist at the health insurance treatment counter of Tan Phu District Hospital, up to 90% of patients come to receive health insurance treatment using their ID cards, which is very convenient. However, most people using chip-embedded ID cards also have their health insurance cards attached. The rest are ID cards made before the integration of health insurance (from July 2021 onwards); this number must compare the information on the health insurance card and the ID card or driver's license, photo identification. "Young people and students know that using a chip-embedded ID card is enough. As for the elderly, they are very careful, bringing their health insurance cards. When we receive them and return their health insurance cards, they ask why we don't accept health insurance?", said the receptionist at Tan Phu District Hospital.

Fear of losing chip-embedded ID card

A representative of District 11 Hospital (HCMC) also said that the hospital has implemented health insurance treatment using chip-embedded ID cards. When receiving health insurance treatment, the hospital advised people to only bring their chip-embedded ID cards next time, but patients said they would rather bring their health insurance cards to the clinic.

Medical examination and treatment with chip-embedded ID card at Gia Dinh People's Hospital

Similarly, according to Dr. CK.2 Nguyen Thi My Linh, Head of the Examination Department, Gia Dinh People's Hospital (HCMC), the hospital has 15 reception counters for health insurance patients. With just a chip-embedded ID card, when checking all information of health insurance patients, it will be clearly displayed and connected to the Social Insurance information portal. "The chip-embedded ID card helps staff save time, quickly, neatly, and quickly; check the correct patient; check the route (patient's medical examination history). Checking all information takes only 30 seconds and thus will help shorten the waiting time for patients. Currently, on average, the hospital has 4,000 - 5,000 patients coming for examination each day, health insurance patients account for 80%," said Dr. My Linh.

However, according to Dr. My Linh, older patients still prefer to use paper health insurance cards, and because they are afraid of losing their chip-embedded ID cards, they still use their old ID cards. "We asked patients to show their chip-embedded ID cards to check their information, but some patients refused to show them, saying what if they lost them, and then showed them their old ID cards, and kept their new ID cards at home," the doctor said, adding that if patients do not bring their ID cards, they need to show their ID number, driver's license, and photo ID.

Bring many benefits

According to Ms. Nguyen Thi Thu Hang, Deputy Director of Ho Chi Minh City Social Insurance, the city currently has 376/391 health care facilities using health insurance cards, reaching 96.16%. The remaining facilities have not implemented this because there are no new patients and health insurance treatment costs. As of June 19, Ho Chi Minh City has more than 4 million health care visits using health insurance cards, of which more than 3.2 million visits use health insurance cards with information.

The leaders of Ho Chi Minh City Social Insurance assessed that the use of health insurance with chip-embedded ID cards has brought many practical benefits to both patients and medical facilities. At the same time, it has contributed to overcoming limitations in administrative reform such as shortening procedures and waiting time for patients, not having to present paper health insurance cards, not having to apply for re-issuance in case of loss or torn, damaged, expired cards... This also meets practical benefits in the patient management stage of medical facilities in terms of information transparency, avoiding fraud and profiteering in health care.

However, the leaders of Ho Chi Minh City Social Insurance acknowledged that there are still cases of looking up CCCD cards but there is no information because the synchronization of health insurance data with the National Population Database has not reached 100%. Currently, the synchronization of insurance data with the National Population Database according to Project 06 in Ho Chi Minh City has reached 89%, while 11% has not been synchronized. Ho Chi Minh City Social Insurance is coordinating with departments, branches and sectors in the city to speed up updating personal identification into the database and synchronizing with the insurance database, striving to complete 100% by the end of the second quarter of 2023. Strengthen communication work so that people can use CCCD when going to medical examination and treatment. At the same time, it is recommended that medical examination and treatment facilities publicly announce to health insurance participants that they can use CCCD with chip or via the VNEID application when going to medical examination and treatment. There will be no refusal of medical examination and treatment when people provide their ID cards, and the information has been synchronized between the National Insurance Database and the National Population Database.

Ho Chi Minh City Social Insurance reminds patients to bring their health insurance card or smartphone with integrated VSSID application and photo identification when going for medical examination for the first time. In case the patient has received health insurance treatment using CCCD or VNEID application, from the next medical examination, they only need to present CCCD or VNEID. In case the CCCD has not yet integrated health insurance card data or the health insurance participant has not been granted a VNEID account, the hospital must receive the patient according to the health insurance treatment procedure.

The Ho Chi Minh City Department of Health also directed its affiliated medical examination and treatment facilities to promote health insurance treatment using chip-embedded CCCD cards and VNEID applications. According to the Department of Health, up to now, all hospitals with health insurance treatment in the city have implemented health insurance treatment using chip-embedded CCCD cards. However, the rate of patients using it is still low. Therefore, the Department of Health recommends that units continue to promote information, propaganda, and mobilization work for medical staff and their families, patients and relatives to come to the unit to know and understand the conveniences and benefits, thereby changing habits, using chip-embedded CCCD cards, applying VNEID when going to health insurance treatment instead of paper health insurance cards. Units proactively ensure technical infrastructure conditions (upgrading software, chip-embedded CCCD readers with integrated biometric modules, etc.) to be ready to deploy integration and biometric authentication in health insurance treatment using chip-embedded CCCD cards.

The Department of Health requests heads of units to seriously organize and disseminate the above contents to all employees, striving for each health insurance medical facility to ensure that 80% of patients receive medical examination and treatment using chip-embedded ID cards or level 2 electronic identification accounts, to be completed before June 30 according to the direction of the City People's Committee and the Steering Committee of Project 06 of the City.

According to the police report, after nearly 1 year of implementation, 12,275/13,047 medical facilities nationwide have deployed chip-embedded ID cards integrated with health insurance (reaching 94.08%), with 18.5 million citizens using ID cards for medical examination and treatment nationwide. Thanh Hoa is the locality with the largest number of citizens using ID cards for medical examination and treatment with more than 3 million people (accounting for 16.48%). Meanwhile, Kien Giang has the smallest number with 33,541 citizens (accounting for 0.18%). The deployment and implementation of this solution has saved money on printing paper health insurance cards (VND 24.7 billion compared to 2021), which has been agreed upon, supported and highly appreciated by the people.

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