On the health insurance card, there is a special character that specifies the specific level of benefits when participating in medical examination and treatment of the cardholder. The special code on the health insurance card consists of 01 character, arranged from number 1 to 5, located in the right corner of the front of the card. Each symbol corresponds to a specific level of health insurance benefits as follows:
The level of health insurance benefits is shown on the health insurance card. Illustrative photo
Symbol number 1: The Health Insurance Fund pays 100% of the medical examination and treatment costs within the scope of health insurance payment and does not apply the limit on the payment rate of drugs, chemicals, medical supplies and technical services according to the regulations of the Minister of Health, including beneficiaries with symbols: CC, TE.
Symbol number 2: The Health Insurance Fund pays 100% of the medical examination and treatment costs within the scope of health insurance payment (with a limit on the payment rate for some drugs, chemicals, medical supplies and technical services according to regulations of the Minister of Health); the cost of transporting patients from the district level to the higher level in emergency cases or when being treated as inpatients and having to transfer to a technical specialist level, including beneficiaries with the symbols: CK, CB, KC, HN, DT, DK, XD, BT, TS, AK, CT.
Symbol number 3: The Health Insurance Fund pays 95% of the medical examination and treatment costs within the scope of health insurance payment (with a limit on the payment rate for some drugs, chemicals, medical supplies and technical services according to regulations of the Minister of Health); 100% of the medical examination and treatment costs at the commune level and the cost for one medical examination and treatment is lower than 15% of the basic monthly salary, including beneficiaries with symbols: HT, TC, CN, PV, TG, DS, HK.
Symbol number 4: The Health Insurance Fund pays 80% of the cost of medical examination and treatment within the scope of health insurance payment (with a limit on the payment rate for some drugs, chemicals, medical supplies and technical services according to regulations of the Minister of Health); 100% of the cost of medical examination and treatment at the commune level and the cost for one medical examination and treatment is lower than 15% of the basic monthly salary, including beneficiaries with the symbols: DN, HX, CH, NN, TK, HC, XK, TB, NO, XB, TN, CS, XN, MS, HD, TQ, TA, TY, HG, LS, HS, SV, GB, GD, ND, TH, TV, TD, TU.
Symbol number 5: 100% of medical examination and treatment costs are paid by the Health Insurance Fund, including medical examination and treatment costs outside the scope of health insurance benefits; transportation costs, including beneficiaries with symbols QN, CA, CY.
In case a person belongs to many health insurance participants, the health insurance benefit level stated on the health insurance card is the benefit level of the participant with the highest benefits.
In addition, health insurance cards with codes of the place of residence (symbols: K1, K2, K3) when going to medical examination and treatment outside the prescribed route, will be paid by the health insurance fund for medical examination and treatment costs at district-level hospitals, and inpatient treatment costs at provincial and central-level hospitals (no referral for medical examination and treatment is required).
To look up health insurance card information easily and conveniently, people can use the following methods:
- View information directly on the health insurance card.
- Look up information on the Vietnam Social Security Electronic Information Portal website.
- Contact the customer service center of Vietnam Social Security.
- Use the Social Insurance Digital application - VssID.
- View health insurance card image via VNeID application.
Minh Hoa (t/h)
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