Tuesday, October 11, 2022, 09:42 (GMT+7)

(Tinmoi.vn) In 2022, in accordance with laws, these 12 circumstances, even when they go to the suitable route, won’t be entitled to medical insurance.

Medical health insurance is a type of insurance coverage below which the policyholder might be paid half or all the value of medical examination and remedy in addition to the price of medical examination and remedy by the insurance coverage company.

In response to the provisions of Article 23, Legislation on Well being Insurance coverage 2008 (amended and supplemented in Clause 16, Article 1 of the Legislation on Well being Insurance coverage Modification 2014), the circumstances of not being entitled to medical insurance advantages regardless that medical examination and remedy on the proper degree embody:

1. Medical care bills (within the case laid out in Clause 1, Article 21, Legislation on Well being Insurance coverage 2008 as amended by Clause 14, Article 1, Legislation on Well being Insurance coverage 2014) have been spent by the state funds pay. Consists of:

– Medical examination, remedy, rehabilitation, periodical antenatal care, childbirth;

– Medical examination for screening and early prognosis of numerous ailments;

– Transporting sufferers from district degree to increased degree in case of emergency or throughout inpatient remedy should be transferred to knowledgeable and technical hospital for the next topics:

+ Individuals with meritorious providers to the revolution.

+ Individuals eligible for month-to-month social safety allowance as prescribed by regulation.

+ Individuals from poor households; ethnic minorities reside in areas with tough or extraordinarily tough socio-economic situations.

+ Youngsters below 6 years outdated.

+ Individuals from near-poor households.

2. In case of convalescence and convalescence at a convalescent or convalescent institution.

3. Go for a well being test.

4. When performing exams, being pregnant prognosis just isn’t supposed for remedy.

5. When utilizing assisted reproductive methods, household planning providers, abortions, abortions, apart from circumstances the place the being pregnant should be terminated on account of medical causes of the fetus or the mom.

6. Sufferers use beauty providers.

7. Sufferers handled for strabismus, myopia and refractive errors of the eyes, besides for kids below 6 years outdated.

8. Sufferers use various medical provides together with prosthetic limbs, synthetic eyes, dentures, eyeglasses, listening to aids, mobility aids in medical remedy and rehabilitation.

9. Medical care sufferers, rehabilitation in case of catastrophe.

10. Medical care sufferers hooked on medicine, alcohol or different addictive substances.

11. Perform medical evaluation, forensic examination, forensic psychiatric evaluation.

12. Sufferers collaborating in scientific trials or scientific analysis.

Accordingly, for the above circumstances, even when the affected person has a medical insurance card and receives medical examination and remedy on the proper degree, he won’t be entitled to medical insurance. In these circumstances, the affected person must pay the complete value of medical examination and remedy.​