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Minister of Health answers voters about the proposal to adjust the payment level for medical examination and treatment to 100% for retired officials over 80 years old

Minister of Health Dao Hong Lan said that adjusting the payment level to 100% for the group of retired cadres needs to be carefully studied and evaluated to ensure the ability to balance the Health Insurance Fund and maintain stability of social security policies.

Báo Nhân dânBáo Nhân dân24/07/2025

Doctor consults elderly patients at the Central Geriatric Hospital. (Illustration photo)
Doctor consults elderly patients at the Central Geriatric Hospital. (Illustration photo)

An Giang voters have proposed to the Ministry of Health to consider allowing retired cadres aged 80 to enjoy 100% of medical examination and treatment costs within the scope of payment under the Law on Health Insurance like the elderly as prescribed in Clause 5, Article 5 of Decree No. 20/2021 of the Government.

Responding to this issue, the Minister of Health said that according to the Law on Health Insurance (amended), monthly social allowance recipients will have 100% of their medical examination and treatment costs covered by the Health Insurance Fund within the scope and level of benefits.

The Minister "acknowledged and shared the voters' wishes" regarding the proposal to consider allowing retired cadres aged 80 to enjoy 100% of medical examination and treatment costs within the scope and level of benefits for retired cadres - the group of subjects with monthly pensions.

However, in the current period, adjusting the payment level to 100% for the group of retired cadres needs to be carefully studied and evaluated to ensure the ability to balance the Health Insurance Fund and maintain stability of social security policies.

Voters from Da Nang, Lam Dong, Ca Mau, Ho Chi Minh City... in their petitions sent before the 9th session of the 15th National Assembly mentioned the health insurance premiums and many recommendations to consider expanding health insurance benefits for the people.

Accordingly, voters in Ca Mau reflected that the current health insurance premium is too high compared to people's income, while the subjects are officials and civil servants whose salaries have been increased, the increased insurance premium is reasonable, but for many people whose income has not increased, this increase causes difficulties.

Voters in Ho Chi Minh City are concerned about the increase in family health insurance premiums, which will affect people, especially freelancers and vulnerable groups.

Voters in localities proposed solutions to adjust the health insurance premiums to suit the reality of life; consider not increasing the health insurance premiums for people when adjusting the basic salary and the State supports health insurance for people aged 60 and over, because the number of elderly people suffering from diseases is increasing.

The Minister of Health said that the health insurance contribution rate is 4.5% of the salary or pension, disability allowance, unemployment allowance or basic salary. With a relatively full range of benefits, the Minister of Health said that the current health insurance contribution rate is considered "relatively low" compared to countries with similar development conditions.

From July 1, 2024, the basic salary is 2.34 million VND, an increase of 30%. When the basic salary increases, the amount of additional payment when people participate in family health insurance also increases accordingly, somewhat affecting people's lives.

Currently, the contribution rate for the group participating in health insurance by household (self-paying group) is regulated as follows: The first person pays 4.5% of the basic salary (1,263,600 VND/year, equivalent to more than 105,000 VND/month); The second, third, and fourth people pay 70%, 60%, and 50% of the first person's contribution rate, respectively; From the fifth person onwards, the contribution rate is 40% of the first person's contribution rate (505,440 VND/year, equivalent to 42,120 VND/month).

The Government also stipulates that based on the local budget capacity and other legal funding sources, the Provincial People's Committee shall submit to the People's Council of the same level to decide on the level of health insurance contribution support for subjects higher than the minimum support level and the level of health insurance contribution support for subjects not entitled to the support level according to current regulations.

The proposal of Ca Mau voters on the regulation of two different health insurance contribution levels for citizens and civil servants, according to the Minister of Health, is appropriate and has been implemented since the Law on Health Insurance. Accordingly, citizens pay health insurance based on the basic salary, while civil servants pay health insurance based on their monthly salary.

The voters' proposal on health insurance support for the elderly aged 60 and over has also been considered in the process of building the rights of health insurance participants. Accordingly, if the subjects (including those aged 60 and over) are in difficulty, the local People's Committee will consider supporting both health insurance contributions and health insurance medical examination and treatment costs.

Taking note of the proposal of voters in Ho Chi Minh City to adjust the contribution rate to match the actual income of people, especially informal workers - a group with a limited rate of health insurance participation, Minister Dao Hong Lan said that the Ministry of Health will continue to coordinate research and evaluate the possibility of expanding support policies.

The development and implementation of support policies need to be balanced with budget capacity, salary reform roadmap and orientation for sustainable development of the Health Insurance Fund in the long term.

Source: https://nhandan.vn/bo-truong-y-te-tra-loi-cu-tri-ve-de-xuat-dieu-chinh-muc-thanh-toan-kham-chua-benh-len-100-cho-can-bo-huu-tri-tren-80-tuoi-post896000.html


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