Newborn health insurance – Procedures to apply for a card and the latest benefits

1 What is infant health insurance?

Health insurance for infants belongs to the welfare group paid by the State budget. According to Circular 30/2020/TT-BYT, guiding in Decree 146/2018 on Health Insurance, from March 1, 2021, babies will be provided with free health insurance right after they are born.

At the same time, children will be provided with free health insurance until they are 6 years old and enjoy 100% of medical examination and treatment costs paid by health insurance when visiting at the right level.

BHYT được cấp miễn phí cho trẻ ngay sau khi sinh ra

2 Health insurance benefits for infants

According to Clause 7, Article 3 of Decree 146/2018/ND-CP, children under 6 years old who go for medical examination will be entitled to health insurance as follows:

Right line

Children are examined and treated at the right places registered on health insurance. Health insurance for infants is included in the health insurance premium for children under 6 years old.

Pursuant to Point b, Clause 1, Article 14 of Decree 146/2018/ND-CP, children under 6 years old are entitled to 100% of medical examination and treatment expenses, and no limit on the rate of payment of drugs, chemicals, and materials is applied. medical consulting and technical services.

Mức hưởng BHYT cho trẻ sơ sinh

Opposite line

In case of taking children under 6 years old to medical examination and treatment at the wrong line, the health insurance fund shall pay the following payment:

  • At central hospitals: 40% of inpatient treatment costs.
  • At provincial hospitals: 100% of inpatient treatment costs nationwide (previously 60%), effective from January 1, 2021.
  • At district hospitals: 100% of medical examination and treatment costs, from January 1, 2016.

According to the above regulations, when children under 6 years of age are examined and treated outside the provincial and central levels, the health insurance fund will only cover the costs when the patient is in inpatient treatment. Outpatients at the provincial and central levels must pay all medical expenses themselves and the health insurance fund does not support this case.

Mức hưởng BHYT cho trẻ sơ sinh

3 Procedures for issuance of health insurance cards for infants

Dossier to prepare

Pursuant to Articles 6 and 7, Joint Circular No. 05/2015/TTLT-BTP-BCA-BYT 2015 stipulates as follows:

Dossier for interoperability of administrative procedures for birth registration, permanent residence registration, and health insurance card issuance for children under 6 years old includes the following documents:

1. Birth registration declaration (according to the form).

2. Birth certificate issued by the medical facility where the child was born. If there is no birth certificate, it can be replaced with other documents such as:

  • Written certification of the witness, if the child is born outside a medical facility and there is no witness, there is a written assurance that the birth is real.
  • Minutes of abandoned children in lieu of birth certificates if children are abandoned,…

3. Declaration of participation in health insurance.

The applicant can go to the Commune People’s Committee to receive the results, or if they want to receive the results by post or by courier service, they must register with the Commune People’s Committee and pay the service fee.

Hồ Sơ chuẩn bị BHXH cho trẻ em

settlement agency

Article 5, also in the Joint Circular No. 05/2015/TTLT-BTP-BCA-BYT 2015 stipulates: The One-Stop-Shop Section of the Commune People’s Committee (People’s Committee) will receive the required documents. Health insurance card for children under 6 years old. This unit will be responsible for receiving dossiers and making and transferring the dossiers to the district social insurance agency to issue health insurance cards for children under 6 years old.

The time limit for processing applications

Clause 2, Article 12, Joint Circular No. 05/2015/TTLT-BTP-BCA-BYT 2015 stipulates that, from the date of receipt of complete dossiers, within 10 days, the district social insurance agency shall issue health insurance cards. for children under 6 years old and transferred to the Commune People’s Committee.

Thủ tục cần thiết để đăng ký bảo hiểm y tế cho trẻ sơ sinh

4 Some notes when using health insurance for babies

According to Clause 1, Article 10, Circular 30/2020/TT-BYT issued on January 6, 2021, by the Ministry of Health guiding the implementation of a number of articles of Decree 146/2018/ND-CP on health insurance as follows:

After a child is born, he/she is entitled to health insurance benefits according to the provisions of the Law on Health Insurance but has not yet been issued a health insurance card by the social insurance agency because the procedures for issuance of a birth certificate have not been completed, the medical examination and treatment establishment shall write a temporary health insurance card code for the child. . The regulation takes effect from March 1, 2021.

Card content includes the following information:

  • Object code: Write the symbol TE.
  • Health insurance benefit rate code: Write the symbol as number 1.
  • Code of province or centrally run city: Write in accordance with the provisions of Decision 124/2004/QD-TTG where the mother or legal guardian resides or where the medical examination and treatment establishment is located, for the school In case the newborn is unclaimed or abandoned at a medical examination and treatment facility.
  • Medical identification code: Record as prescribed in Decision 2153/QD-BYT 2020.

Thanks to this provision, even if a child is born without a birth certificate, he or she is still guaranteed to enjoy the required benefits thanks to a temporary health insurance card.

Một số lưu ý khi sử dụng BHYT cho trẻ sơ sinh

In addition, the Circular also guides how to write names in medical records for children as follows:

  • If the infant has a mother or father (father): Enter the first and last name of the mother or father (father).
  • If the infant has no mother or father (father) but has a guardian: Enter the guardian’s first and last name.
  • If the newborn is unclaimed or abandoned at a medical examination and treatment facility: Enter the name of the medical examination and treatment facility where the child is being treated.

Above is information about health insurance for babies, registration procedures, and benefits when children have health insurance cards. Hope this article is useful to you.

The post https://meo.tips/health-and-life/newborn-health-insurance-procedures-to-apply-for-a-card-and-the-latest-benefits/ appeared first on Meo.tips.

View more from Meo.tips:

How to choose delicious hot peppers without trying
How to choose delicious, safe, non-medicated aloe vera
10 tricks to speed up Android running like new
The house without air conditioning is still cool thanks to the following ways
Applying blusher in the letter W helps to transform the look as pretty as French girls
5 extremely cool and relaxing ASMR cooking youtube channels that you need to know
Instructions on how to make Tik Tok videos as wallpaper with music simple and easy to do
How to choose delicious, sweet, no-spraying star gourds
3 signs people have hypoxia. Causes, effective ways to prevent
How to store live crabs overnight and still keep the freshness of crab meat?
Tra Vinh tourist destination, the most beautiful river and garden, discover the unique Khmer culture
Top 10 beautiful Quy Nhon homestay with many different architectures
The washing machine is rusty, do it this way and it will shine right away
Mixing ginger and toothpaste brings many unexpected uses
Is the trend to help reduce wrinkles with glue really effective?
10 effective tips to lose weight after Tet, help get back in shape quickly
Food that is not used up during Tet should be preserved?
6 Diseases to stay away from sea crabs
A few tips for better grilling
Ways to refresh your home without spending

Nhận xét

Đăng nhận xét

Bài đăng phổ biến từ blog này

Delicious Recipes using Pineapple for Family Meals

Hình ảnh
Sweet and sour stir-fried prawns with pineapple Don’t forget to try the delicious dish made from pineapple: sweet and sour stir-fried prawns. You can easily find all the ingredients at the market, seafood stores, or supermarkets. When choosing the prawns, go for the live ones with firm bodies. As for the pineapple, choose the ripe and golden ones from top to bottom. Short and round pineapples tend to be sweeter. How to make: Prepare the prawns (remove the heads, peel off the shells, and devein), pineapple (remove the eyes and cut into bite-sized pieces), and cut the herbs into sections. Heat 2 tablespoons of cooking oil in a pan until it starts to smoke. Add minced garlic and stir until golden. Next, add the prawns and stir-fry over high heat until they become firm. Toss in the pineapple and stir-fry together for 3 minutes. Season with spices according to your taste, then add the herbs and stir-fry for another 1-2 minutes before turning off the heat. With these simple steps,...
Đọc thêm

Wash vegetables before cutting or cut before washing? Many experienced homemakers still do it wrong.

Hình ảnh
When prepping fruits and vegetables before cooking, do you cut them before washing or wash them before cutting? Different people have different methods. Some believe in washing them before cutting, while others prefer the opposite. Some even say it depends on the type of produce. Certain types of vegetables should be washed before cutting: First, washing the whole bunch of leafy greens is easier than washing them after they are cut into small pieces. It’s difficult to clean soil and sand that get stuck in the small pieces. Washing the whole bunch under running water helps remove more dirt. But if you have already cut them, it becomes harder to wash under running water and requires soaking in a bowl. Second, cutting vegetables before washing can lead to a loss of nutrients, especially vitamin B and C. Cutting exposes the vegetable to more water, causing a loss of chlorophyll, which contains these vitamins. Some studies have shown that the regular process of washing vegetables ca...
Đọc thêm

Cleaning the bottom of the pot with pickle juice and sand: effective and chemical-free tips

Hình ảnh
Soak the pot in pickle water Stainless steel pan before and after soaking in pickle water for cleaning. Windy Nguyen On a occasion of pickling mustard greens, Mrs. Hau poured water into the stainless steel pot and placed it on the mustard greens to press it. A few days later, when she took out the pot, she found that the bottom part was suddenly white. Thinking that pickle water can clean, after removing all the mustard greens, she submerged the pot in pickle water to do the test. After 2 days, Mrs. Hau’s stainless steel pot was completely clean. From then on, she always applies this method to clean the pots in her family. If you don’t immerse the entire pot, pan, people can spray pickle water solution on the surface and then wrap it tightly with cling film. After 2 days, take it out and clean it with clean water. “Compared to other methods, I see pickling water takes more time, but it is safe because it does not use chemicals, does not require strong physic...
Đọc thêm