Conference attendees from health departments and facilities said they agreedwith the expansion of health care services included in the draft HealthInsurance Law, which has been amended by the Ministry of Health.
Ngo Xuan The from Binh Dinh Province General Hospital said: “I see that morebenefits for insured patients are stipulated in the draft” on the healthinsurance fund.
Under the proposed amendments, the health insurance fund would cover insuredpatients' costs for preventive therapies for chronic diseases or people withHIV; rehabilitation; periodic pregnancy examinations, prenatal and newbornscreening; screening for diagnosis of non-communicable chronic diseases;healthcare services provided at home for seniors and people with disabilities;and products for treatment of malnutrition for children under six years old.
Nguyen Thi Thanh Huong, Director of the Dak Nong Provincial Department of Health,said: “This regulation will match the ministry’s establishment of healthclinics called 'Family Doctors' at the grassroots level. The clinics willimprove the quality of primary care for local people.”
“Expanding covered healthcare services for insured patients will be good if thehealth fund has enough to cover the expenditures,” Huong said.
However, she noted that the low cost for health insurance cards may not besufficient for the national health insurance fund to cover. In addition,hospital fees have increased, she said.
Dr Nguyen Minh Tung, deputy head of the Bac Lieu provincial Department ofHealth, said that the current cost to buy health insurance is equal to 4.5 percentof basic wages for people employed in companies.
Under the regulations, the costs are staggered, with the fee for one person ina family higher than the fee for the other members of the family.
However, Tung said the costs should be increased to 20 percent of the basicwage instead of 4.5 percent.
Huong said this would not affect the poor and near-poor whose coverage would bepaid by the local health insurance fund.
Le Van Kham, director of the Health Insurance Department under the Ministry ofHealth, said the health insurance fund would ensure sufficient funds forinsured patients’ medical examinations and treatment next year.
Pham Van Toan, deputy head of the insurance department, said the cost forbuying health insurance, however, would have to increase in the future toachieve a balanced fund.
Other issues discussed at the meeting concerned problems related to Vietnam SocialSecurity’s payments for insured patients to health facilities and independenthealth insurance assessments.
Delegates said that an independent health insurance assessment agency separatefrom Vietnam Social Security should be created to address this issue.
According to the department, the number of insured people this year is 89.8 percentof the population, compared to 71.3 percent in 2014. The figure has alreadyexceeded the Government's goal, which was to have 80 percent of the populationcovered by the end of 2020./.