Circular No. 63/2025/TT-BQP takes effect from July 1, 2025.
Accordingly, Circular 63/2025/TT-BQP stipulates: Health insurance card; scope and level of health insurance benefits; medical examination and treatment covered by health insurance in some cases; health insurance contract.
The Circular also regulates the preparation of estimates, management and use of primary health care funds at military medical units and medical agencies; payment methods and application of payment methods for medical examination and treatment costs under health insurance; direct payment of medical examination and treatment costs between social insurance agencies and health insurance participants; payment of medical examination and treatment costs under health insurance at medical examination and treatment facilities in border areas, islands, and particularly disadvantaged villages and communes; allocation and management of health insurance revenue sources; management and use of medical examination and treatment funds under health insurance for military personnel.
Circular 63/2025/TT-BQP applies to the following subjects:
1. People's Army officers, professional soldiers on active duty.
2. Non-commissioned officers and soldiers of the People's Army on active duty; military students receiving living allowances are Vietnamese.
3. Cadets training as reserve officers for 3 months or more have not participated in social insurance or health insurance.
4. Military students receiving living expenses are foreigners.
5. People working in the cryptographic work receive the same salary as soldiers working at the Government Cipher Department.
6. The basic students receiving living expenses are Vietnamese.
7. Foreign students who receive living allowances.
8. Medical examination and treatment facilities under the Ministry of National Defense ; relevant agencies, units and individuals.
Regarding health insurance benefits, the Circular clearly states:
1. The above-mentioned subjects, when going for medical examination and treatment at health insurance medical examination and treatment facilities, will have their medical examination and treatment costs paid by the health insurance fund according to the benefit levels prescribed in Article 11 of Decree No. 70/2015/ND-CP, amended and supplemented in Clause 10, Article 1 of Decree No. 74/2025/ND-CP.
2. In case the above subjects go for medical examination and treatment upon request, the health insurance fund shall pay the medical examination and treatment costs within the scope prescribed in Clause 1, Article 21 of the Law on Health Insurance and the benefit level prescribed in Article 22 of the Law on Health Insurance. The difference between the cost of medical examination and treatment services upon request and the cost paid by the health insurance fund shall be paid by the patient to the medical examination and treatment facility.
3. The health insurance fund shall pay transportation costs to the facility providing patient transportation services according to the transportation service price approved by the competent authority.
4. In case the price of patient transportation service has not been approved by the competent authority, the health insurance fund shall pay the transportation cost based on the following determination:
a) Based on the actual distance between two medical examination and treatment facilities;
b) The fuel cost payment level is calculated according to the norm of 0.2 liters of RON 95-III gasoline for 01 km and does not apply the benefit rate as prescribed in Article 22 of the Law on Health Insurance. The unit price of RON 95-III gasoline as announced by the competent management agency in the area of the medical examination and treatment facility transporting the patient at the time (hour) of transporting the patient is recorded on the transfer paper of the medical examination and treatment facility.
5. For medical examination and treatment facilities providing patient transportation services in cases where the patient transportation service price has not been approved by a competent authority, the health insurance fund shall pay as follows:
a) Pay the cost of both round-trip transportation to the medical examination and treatment facility where the patient is transferred according to the unit price on the gasoline or oil purchase invoice based on the type of gasoline or oil actually consumed by the patient transport vehicle, but not higher than the fuel cost payment level specified in Point b, Clause 4 above;
b) In case the means of transporting patients does not use gasoline or oil as fuel, the fuel cost payment level specified in Point b, Clause 4 above shall apply;
c) In case more than 01 (one) patient is transported on the same vehicle, the payment level will be calculated according to the prescribed level for transporting 01 patient;
d) The medical examination and treatment facility that assigns the patient to be transferred is responsible for compiling all transportation costs and paying the social insurance agency. The medical staff of the medical examination and treatment facility that receives the transferred patient must sign the confirmation on the vehicle dispatch form of the facility that transfers the patient.
6. For patients who provide their own means of transportation, the health insurance fund will pay as follows:
a) Pay one-way transportation costs (outgoing) in the form of a lump sum to the medical examination and treatment facility that receives the patient according to the payment level specified in Clause 4 above;
b) The medical examination and treatment facility that assigns the patient to be transferred is responsible for recording the patient's self-sufficient means of transportation on the medical examination and treatment facility transfer form;
c) The medical examination and treatment facility that receives the patient shall reimburse the patient based on the transportation invoice provided by the patient as prescribed in Point a of this Clause and aggregate the transportation costs for payment to the social insurance agency.
This Circular takes effect from July 1, 2025.
Snow Letter
Source: https://baochinhphu.vn/muc-huong-bao-hiem-y-te-trong-quan-doi-ap-dung-tu-thang-7-2025-102250708165102871.htm
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