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In what cases is the health insurance card revoked according to Vietnamese law?

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The State creates conditions for organizations and individuals to participate in health insurance or to pay health insurance premiums for target groups. Thus, organizations and individuals participating in health insurance will enjoy a number of regimes prescribed by law. There are cases where the health insurance card has revoked. So in what case is the health insurance card revoked? To answer this question, today, LSX Lawfirm will give you an article about “In what cases is the health insurance card revoked according to Vietnamese law?“, as follows:

  • Law on Health Insurance 2020

Who must have health insurance?

In what cases is the health insurance card revoked according to Vietnamese law?

Article 12 of the Law on Health Insurance 2020 stipulates the subjects participating in health insurance as follows:

“Article 12. Subjects participating in health insurance

  1. Groups paid by employees and employers, including:

a) The employee works under an indefinite term labor contract or a labor contract with a term of 3 months or more; the employee who is the manager of the enterprise receives a salary; cadres, civil servants, and public employees (hereinafter referred to as employees)

b) People who work part-time in communes, wards, and townships as prescribed by law.

  1. Groups paid by social insurance organizations, including:

a) Persons enjoying monthly pensions or allowances for loss of working capacity;

b) Persons who are enjoying monthly social insurance allowance due to labor accidents, occupational diseases, or diseases on the list of diseases requiring long-term treatment; people aged full 80 years or older who are enjoying monthly survivorship allowance;

c) Commune, ward, or township officials who have quit their jobs are enjoying monthly social insurance allowances;

d) Persons receiving unemployment benefits.

In addition

  1. Groups paid by the state budget, including:

a) Officers, professional soldiers, non-commissioned officers, army soldiers in active service; professional officers and non-commissioned officers and professional and technical officers and non-commissioned officers working in the people’s police force, people’s police trainees, non-commissioned officers and soldiers serving for a definite period of time Police; people doing cipher work receive salaries like military personnel; cipher students entitled to regimes and policies according to the regimes and policies applied to students at military and police schools;

b) Commune, ward, or township officials who have quit their jobs are receiving monthly allowances from the state budget;

c) The person who has stopped enjoying the allowance for loss of working capacity is receiving a monthly allowance from the state budget;

d) People with meritorious services to the revolution, war veterans;

dd) Incumbent National Assembly and People’s Council deputies at all levels;

e) Children under 6 years old;

g) Persons eligible for monthly social protection allowance

And

a) Officers, professional soldiers, non-commissioned officers, army soldiers in active service; professional officers and non-commissioned officers and professional and technical officers and non-commissioned officers working in the people’s police force, people’s police trainees, non-commissioned officers and soldiers serving for a definite period of time Police; people doing cipher work receive salaries like military personnel; cipher students entitled to regimes and policies according to the regimes and policies applied to students at military and police schools then;

b) Commune, ward, or township officials who have quit their jobs are receiving monthly allowances from the state budget;

c) The person who has stopped enjoying the allowance for loss of working capacity is receiving a monthly allowance from the state budget;

d) People with meritorious services to the revolution, war veterans;

dd) Incumbent National Assembly and People’s Council deputies at all levels;

e) Children under 6 years old;

g) Persons eligible for monthly social protection allowance.

h) People from poor households; ethnic minorities living in areas with difficult socio-economic conditions; people living in areas with extremely difficult socio-economic conditions; people living in island communes and island districts then;

i) Relatives of people with meritorious services to the revolution are the biological fathers, mothers, spouses, and children of martyrs; people with meritorious services to raise martyrs;

And

k) Relatives of people with meritorious services to the revolution, except for the subjects specified at Point I of this Clause;

l) Relatives of the subjects specified at Point a, Clause 3 of this Article;

m) The person who has donated human body parts according to the provisions of law;

n) Foreigners studying in Vietnam granted scholarships from the State budget of Vietnam.

  1. Groups receiving payment support from the state budget include:

a) People from near-poor households;

b) Students, students.

  1. The group participating in household health insurance includes members of the household, except for the subjects specified in Clauses 1, 2, 3, and 4 of this Article.
  2. The Government shall prescribe subjects other than those specified in Clauses 3, 4, and 5 of this Article; provide for the issuance of health insurance cards to subjects under the management of the Ministry of National Defense and the Ministry of Public Security and the subjects specified at Point l, Clause 3 of this Article; stipulate the roadmap for implementation of health insurance, scope of benefits, level of enjoyment of health insurance, medical examination and treatment covered by health insurance, management and use of funds for medical examination and treatment covered by insurance. health insurance, health insurance assessment, health insurance payment, and settlement for the subjects specified at Point a, Clause 3 of this Article”. In what cases is the health insurance card revoked according to Vietnamese law?

How to pay for health insurance?

Firstly, For employees subject to the salary regime prescribed by the State, the basis for paying health insurance premiums is the monthly salary according to rank, military rank and position allowances, and intensive allowances. years beyond the frame, seniority allowance (if any).

Secondly, For employees who enjoy salaries and wages according to the employer’s regulations, the basis for paying health insurance premiums is the monthly salary and wages stated in the labor contract.

Thirdly, For persons enjoying a monthly pension, working capacity loss allowance, or unemployment allowance, the basis for paying health insurance premiums is the monthly pension, working capacity loss allowance, and unemployment allowance.

Finally, For other subjects, the basis for paying health insurance premiums is the base salary.

The maximum monthly salary to calculate the health insurance premium is 20 times the base salary then.

In what case is the health insurance card revoked?

According to the provisions of Article 20 of the Law on Health Insurance 2020, the health insurance card will revoked in the following cases:

Fraud in issuing health insurance cards;
The person named on the health insurance card does not continue to participate in health insurance.
Issuance of duplicate health insurance cards then.
The health insurance card temporarily seized in case the person going for medical examination and treatment uses another person’s health insurance card. Holders of health insurance cards in custody are responsible for returning the cards and paying fines in accordance with the law.

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Related article

What is health insurance?

Health insurance is a form of compulsory insurance that applied to the subjects specified in this Law for health care, not for profit purposes, organized by the State then.

What is the state agency that regulates health insurance?

– Firstly, The Government performs the unified state management of health insurance.
– Secondly, The Ministry of Health is responsible to the Government for performing the state management of health insurance.
Ministries and ministerial-level agencies shall, within the ambit of their tasks and powers, coordinate with the Ministry of Health in performing the state management of health insurance.
People’s Committees at all levels shall, within the ambit of their tasks and powers, perform the state management of health insurance in their localities then.

What is the principle of health insurance?

– Firstly, Ensure risk sharing among health insurance participants.
– Secondly, The health insurance premium determined according to the percentage of the salary used as the basis for payment of compulsory social insurance according to the provisions of the Law on Social Insurance (hereinafter referred to as the monthly salary), salary pension, pension, or base salary.
– Thirdly, The level of health insurance benefits depends on the degree of illness, the group of subjects within the scope of benefits, and the duration of health insurance participation.
Expenses for medical examination and treatment covered by health insurance shall be jointly paid by the health insurance fund and the health insurance participants then.
The health insurance fund managed centrally, uniformly, openly, and transparently, ensuring a balance between revenues and expenditures, and protected by the State then.

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