Recently, many people with health insurance cards who have serious illnesses have had their health insurance fund pay hundreds of millions to billions of dong for health insurance examination and treatment costs, thereby helping many patients have more motivation and confidence to continue treatment.
The Law on Health Insurance stipulates that all people have the right to participate in health insurance and have the same scope of health insurance benefits; health insurance participants are paid by the health insurance fund for unlimited medical examination and treatment costs according to the scope and level of benefits, which can be up to billions of VND/year.
In addition, patients are fully paid by the Health Insurance Fund for all health insurance treatment costs according to regulations, without any restrictions on age, number of treatment days and total health insurance treatment costs.
Currently, the health insurance fund covers treatment costs for all serious illnesses such as cardiovascular diseases, cancer, rare diseases, etc. These are groups of diseases that require long-term or lifelong treatment and have high treatment costs.
In fact, there have been many cases where people participating in health insurance have used high-tech, high-cost medical services, with the health insurance fund paying up to billions of dong. Thanks to that, patients have overcome financial difficulties to continue their treatment with peace of mind.
According to statistics, some cases will have large costs paid by the Health Insurance Fund from 2023 to the end of April 2024, specifically as follows:
The patient who received the highest payment from the Health Insurance Fund was more than 4,465 billion VND, born in 2019, address: An Luu Ward, Kinh Mon Town, Hai Duong Province, main diagnosis was "Hypertension, Type 1 Diabetes, Kidney Failure"
The patient with the second highest payment from the health insurance fund is 4,372 billion VND, born in 2018, address: Tan Thinh Ward, Hoa Binh City, Hoa Binh Province, the main diagnosis is "Genetic factor VIII deficiency".
The patient with the third highest payment from the health insurance fund is more than 3,687 billion VND, born in 2018, address: Tien Phong Commune, Yen Dung District, Bac Giang Province, the main diagnosis is "Glycogen storage disease".
The patient with the 4th highest payment from the Health Insurance Fund is more than 3,684 billion VND, born in 2018, address: Tien Chau Ward, Phuc Yen City, Vinh Phuc Province, main diagnosis is "Myelodysplastic Syndrome, Acute Leukemia of Unspecified Cell Type".
The patient with the 5th highest payment from the health insurance fund is more than 3,635 billion VND, born in 2019, address: Ngoc Lu Commune, Binh Luc District, Ha Nam Province, the main diagnosis is "Glycogen storage disease".
According to Vietnam Social Security, along with the state budget, the health insurance fund is a financial source that contributes significantly to medical examination and treatment, people's health care and ensuring social security.
According to Vietnam Social Security, in the past few years, the Health Insurance Fund has paid more than 100 trillion VND each year for health insurance-covered medical examination and treatment. Thanks to that, people have significantly reduced their medical expenses, especially for many people with serious and chronic diseases... when the Health Insurance Fund pays for medical examination and treatment, they have more motivation to overcome the difficulties of illness.
Along with that, the health insurance benefits of participants are increasingly expanded in both scope and level. The quality of health insurance examination and treatment is also increasingly improved, people have access to many modern and highly effective medical services.
Currently, the list of drugs covered by the health insurance fund meets the medical examination and treatment needs of health insurance card holders with more than 1,000 active ingredients, modern biological products and hundreds of oriental medicines, medicines from medicinal herbs. Among them, there are many drugs for treating cancer, drugs for treating rare diseases, drugs for treating blood clotting disorders, various cardiovascular drugs... patients are prescribed long-term use, some drugs are used for life for the treatment process.
In addition to drug costs, health insurance participants are also covered by the health insurance fund for technical services and medical supplies. These include high-cost surgeries and procedures such as robotic surgery, joint replacement surgery, spinal disc replacement, pacemaker placement, etc. Notably, some types of medical supplies covered by the health insurance fund are worth hundreds of millions of dong.
According to Government Electronic Newspaper
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