2 Learn About Infant Health Insurance Coverage.
Health insurance for infants is a part of the welfare program funded by the State budget. In accordance with Circular 30/2020/TT-BYT and Decree 146/2018 on Health Insurance, effective March 1, 2021, newborn babies will be eligible for free health insurance coverage from the moment of their birth.
Children will also receive complimentary health insurance coverage until the age of six, ensuring that all medical expenses, including examinations and treatment, will be fully covered by their health insurance plan.
Benefits of Health Insurance for Infants
According to Article 3, Clause 7 of Decree 146/2018/ND-CP, children under 6 years old who undergo medical examination are eligible for health insurance benefits as follows:
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Children receive comprehensive medical care and treatment at authorized healthcare providers covered by their health insurance. Health insurance for infants is included in the overall health insurance coverage for children under the age of 6.
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For medical examination and treatment of children under 6 years old at the wrong line, the health insurance fund will provide the following payment:
- Provincial Hospitals: Starting from January 1, 2021, the coverage for inpatient treatment costs nationwide has been increased to 100% (previously 60%).
- Medical Examination and Treatment Costs: 100% covered at district hospitals starting from January 1, 2016.
Based on the aforementioned regulations, the health insurance fund will only provide coverage for inpatient treatment costs for children under 6 years of age who are examined and treated outside the provincial and central levels. Outpatient services at the provincial and central levels will require the patient to bear all medical expenses without the support of the health insurance fund.
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According to Articles 6 and 7, the regulations outlined in Joint Circular No. 05/2015/TTLT-BTP-BCA-BYT 2015 state the following:
A comprehensive dossier for ensuring interoperability of administrative procedures for birth registration, permanent residence registration, and health insurance card issuance for children below the age of six consists of the following essential documents:
Birth Registration Declaration
2. The birth certificate issued by the medical facility where the child was born is required. In cases where a birth certificate is unavailable, alternative documents can be accepted, such as:
- Attestation of Witness Certification:
In cases where a child is born outside a medical facility without any witnesses present, it is essential to provide written certification from a witness who can assure the authenticity of the birth. This certification serves as valid proof to validate the occurrence of the birth event.
- Minutes Regarding Abandoned Children and Birth Certificates
In cases wherein children are found abandoned without any means to identify their birth or parentage, the following minutes have been duly recorded for official purposes:
1. Date and Time of Discovery: [Provide the specific date and time when the child was found abandoned].
2. Detailed Description: [Include a comprehensive description of the physical appearance, clothing, and any distinguishing features of the child].
3. Location of Discovery: [Specify the exact location where the child was discovered abandoned].
4. Witnesses: [Identify any individuals present during the discovery, providing their names, contact information, and relationship to the case if applicable].
5. Immediate Actions Taken: [Describe the immediate measures taken to ensure the child’s safety, such as contacting emergency services or child protection agencies].
6. Physical Examination: [If applicable, note any medical examination conducted upon the child’s discovery, outlining pertinent observations and findings].
7. Notification of Authorities: [Specify the authorities contacted immediately after the discovery, such as the police, child welfare services, or other mandated departments].
8. Interview with Witnesses: [Document any interviews conducted with witnesses regarding the circumstances surrounding the child’s abandonment].
9. Efforts to Identify Parents: [Outline any investigations or inquiries made to identify the child’s birth parents, including searches in relevant databases or interviews with potential relatives or acquaintances].
10. Placement and Custody: [Indicate the interim placement of the child, whether it is within a child protection facility, foster care, or a suitable alternative arrangement].
11. Legal Proceedings: [Detail any legal processes initiated to determine the child’s status, which may include a court petition for guardianship, DNA testing, or other necessary legal actions].
12. Documentation of Abandonment: [Summarize the evidence gathered to substantiate the child’s abandonment, such as witness statements, photographic evidence, or any other supporting documentation].
These minutes have been prepared in accordance with established protocols and procedures to ensure accurate recording of data and compliance with legal requirements. They shall serve as a vital record for future reference and may contribute to the child’s well-being and eventual establishment of a birth certificate, as deemed necessary.
3. Declaration of Participation in Health Insurance
Applicants may collect their results at the Commune People’s Committee office or opt for a delivery option by registering with the Commune People’s Committee and paying the applicable service fee.
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According to Article 5 of the Joint Circular No. 05/2015/TTLT-BTP-BCA-BYT 2015, the One-Stop-Shop Section of the Commune People’s Committee is responsible for receiving the necessary documents, such as the health insurance card for children under 6 years old. This unit will handle the reception, processing, and transfer of the dossiers to the district social insurance agency in order to issue the health insurance cards for children under 6 years old.
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According to the provisions outlined in the Law on Health Insurance, children are entitled to health insurance benefits immediately upon their birth. However, until the necessary procedures for issuing a birth certificate are complete, the child has not yet been issued a health insurance card by the social insurance agency. In such cases, the medical examination and treatment establishment is required to provide a temporary health insurance card code for the child. This regulation will be effective starting from March 1, 2021. For more information on the Law on Health Insurance, please refer to our website.
This is the card description. It contains important information about the card content.
- Category: Some category
- Date: 01/01/2022
- Location: Some location
- Object code: Write the symbol TE.
Health insurance benefit rate code: Use the numeral 1 to represent the symbol.
Province or Centrally Run City Code: Please write in accordance with Decision 124/2004/QD-TTg at the location where the mother or legal guardian resides or where the medical examination and treatment establishment is located, if the newborn is unclaimed or abandoned at a medical examination and treatment facility.
Medical identification code: You are required to record this information according to the guidelines outlined in Decision 2153/QD-BYT 2020.
The implementation of this provision ensures that children who are born without a birth certificate can still access necessary benefits by receiving a temporary health insurance card.
Furthermore, the Circular provides comprehensive instructions on properly documenting names in medical records for children.
- If the infant has a parent, please enter the full name (first and last name) of the mother or father.
- If the infant does not have a mother or father but has a guardian, please provide the guardian’s full name.
If the newborn is unclaimed or abandoned at a medical examination and treatment facility, please provide the name of the facility where the child is being treated.
The provided information offers insights into health insurance coverage for infants, including registration processes and the advantages derived from possessing health insurance cards. We trust that this article proves beneficial to your understanding.