This is one of the important content of the Decree No. 105/2014/ND-CP dated November 15, 2014 of the Government detailing and guiding the implementation of a number of articles of the Health Insurance Law.
In particular, In accordance with this Decree, from January 01, 2015, for an employee who is on maternal leave under the social insurance law, the monthly rate of health insurance premium shall equal 4.5% of her monthly salary before she takes maternal leave; besides, an employee who is on sickness leave for 14 days or more in a month under the social insurance law is not required to pay health insurance premiums while still enjoying health insurance benefits; an employee who attends a training course or goes on a working mission overseas is not required to pay health insurance premiums; the training or working period shall be regarded as the health insurance premium payment period till the date the employee receives a decision of his/her agency or organization receiving him/her back to work.
Apart from above special subjects, the monthly payment for health insurance premiums is still the same as the previous regulations.
The Decree also prescribes the state budget support for payment of health insurance premiums for certain categories of the insured. The support level equal to 100%of health insurance premiums shall be provided for members of households living just above the poverty line who have just got rid of poverty, for 5 years counting from the time they get rid of poverty. For members of households living just above the poverty line who have got rid of poverty before January 1, 2015, but for just fewer than 5 years up to January 1, 2015, the remaining period eligible for this support is at least 1 year. The support level equal to at least 30% of health insurance premiums shall be provided for pupils and students.
Also in accordance with this Decree, For patients whose health insurance cards expire when they are receiving medical treatment at health establishment, the health insurance fund shall still cover their medical care costs within the scope of their benefits under regulations until they are discharged from hospitals or finish their outpatient treatment periods. For the insured who are hospitalized for medical treatment before January 1, 2015, but are discharged on January 1, 2015, or afterward, the health insurance fund shall cover their medical care costs within the scope of their benefits under the Law Amending and Supplementing a Number of Articles of the Health Insurance Law.
This Decree takes effect on January 1, 2015 and replaces the Government’s Decree No. 62/2009ND-CP of July 27, 2009
