{"id":18284,"date":"2024-07-29T16:38:10","date_gmt":"2024-07-29T09:38:10","guid":{"rendered":"http:\/\/kenh69.info\/?p=18284"},"modified":"2024-07-29T16:38:23","modified_gmt":"2024-07-29T09:38:23","slug":"18284-2","status":"publish","type":"post","link":"https:\/\/kenh69.info\/?p=18284","title":{"rendered":"Th\u00eam 3 quy\u1ec1n l\u1ee3i cho ai tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c, s\u1ed1 3 r\u1ea5t c\u00f3 l\u1ee3i"},"content":{"rendered":"

Ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c h\u01b0\u1edfng th\u00eam nhi\u1ec1u quy\u1ec1n l\u1ee3i khi kh\u00e1m, ch\u1eefa b\u1ec7nh.<\/h2>\n

Quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c<\/strong><\/em><\/p>\n

B\u1ea3o hi\u1ec3m y t\u1ebf (BHYT) \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n thi\u1ebft y\u1ebfu trong h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a nhi\u1ec1u qu\u1ed1c gia, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf Vi\u1ec7t Nam. BHYT kh\u00f4ng ch\u1ec9 gi\u00fap gi\u1ea3m b\u1edbt g\u00e1nh n\u1eb7ng t\u00e0i ch\u00ednh cho ng\u01b0\u1eddi b\u1ec7nh m\u00e0 c\u00f2n h\u1ed7 tr\u1ee3 nhi\u1ec1u quy\u1ec1n l\u1ee3i kh\u00e1c nhau cho ng\u01b0\u1eddi tham gia. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd c\u00f9ng kh\u00e1m ph\u00e1 ba quy\u1ec1n l\u1ee3i m\u1edbi d\u00e0nh cho nh\u1eefng ng\u01b0\u1eddi tham gia BHYT li\u00ean t\u1ee5c trong 5 n\u0103m, v\u1edbi \u0111i\u1ec3m nh\u1ea5n \u0111\u1eb7c bi\u1ec7t v\u00e0o quy\u1ec1n l\u1ee3i th\u1ee9 ba.<\/p>\n

\"Th\u00eamTh\u00eam 3 quy\u1ec1n l\u1ee3i cho ai tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c<\/p>\n

1.\u00a0T\u0103ng m\u1ee9c h\u1ed7 tr\u1ee3 chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh<\/strong><\/h3>\n

K\u1ec3 t\u1eeb khi c\u00f3 ch\u00ednh s\u00e1ch m\u1edbi, nh\u1eefng ng\u01b0\u1eddi tham gia BHYT li\u00ean t\u1ee5c trong 5 n\u0103m s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edfng m\u1ee9c h\u1ed7 tr\u1ee3 cao h\u01a1n cho chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh. C\u1ee5 th\u1ec3, h\u1ecd s\u1ebd nh\u1eadn \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 chi tr\u1ea3 cao h\u01a1n t\u1eeb qu\u1ef9 BHYT \u0111\u1ed1i v\u1edbi c\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf, bao g\u1ed3m c\u1ea3 c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh, x\u00e9t nghi\u1ec7m v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. \u0110i\u1ec1u n\u00e0y \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c ng\u01b0\u1eddi tham gia s\u1ebd ph\u1ea3i chi tr\u1ea3 \u00edt h\u01a1n cho c\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf v\u00e0 \u0111\u01b0\u1ee3c h\u01b0\u1edfng s\u1ef1 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe t\u1ed1t h\u01a1n.<\/p>\n

2.\u00a0Quy\u1ec1n l\u1ee3i ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n<\/strong><\/h3>\n

Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 duy tr\u00ec BHYT li\u00ean t\u1ee5c trong 5 n\u0103m c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edfng quy\u1ec1n l\u1ee3i ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n h\u01a1n. C\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf bao g\u1ed3m kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng v\u00e0 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ng\u1eeba b\u1ec7nh t\u1eadt s\u1ebd \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng. \u0110i\u1ec1u n\u00e0y gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi tham gia v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe, t\u1eeb \u0111\u00f3 c\u00f3 bi\u1ec7n ph\u00e1p can thi\u1ec7p k\u1ecbp th\u1eddi \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n.<\/p>\n

3.\u00a0H\u01b0\u1edfng ch\u00ednh s\u00e1ch \u01b0u \u0111\u00e3i \u0111\u1eb7c bi\u1ec7t khi \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u01a1 s\u1edf y t\u1ebf t\u01b0 nh\u00e2n<\/strong><\/h3>\n

Quy\u1ec1n l\u1ee3i \u0111\u1eb7c bi\u1ec7t n\u00e0y l\u00e0 m\u1ed9t \u0111i\u1ec3m nh\u1ea5n quan tr\u1ecdng. Nh\u1eefng ng\u01b0\u1eddi tham gia BHYT li\u00ean t\u1ee5c trong 5 n\u0103m s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edfng c\u00e1c \u01b0u \u0111\u00e3i \u0111\u1eb7c bi\u1ec7t khi \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf t\u01b0 nh\u00e2n. C\u1ee5 th\u1ec3, h\u1ecd c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3m gi\u00e1 d\u1ecbch v\u1ee5 kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n, c\u0169ng nh\u01b0 c\u00f3 quy\u1ec1n \u01b0u ti\u00ean trong vi\u1ec7c \u0111\u1eb7t l\u1ecbch kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb. \u0110\u00e2y l\u00e0 m\u1ed9t l\u1ee3i \u00edch l\u1edbn v\u00ec nhi\u1ec1u ng\u01b0\u1eddi \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn c\u00e1c c\u01a1 s\u1edf y t\u1ebf t\u01b0 nh\u00e2n nh\u1edd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 t\u1ed1t v\u00e0 th\u1eddi gian ch\u1edd \u0111\u1ee3i ng\u1eafn h\u01a1n.<\/p>\n

T\u00ednh th\u1eddi \u0111i\u1ec3m \u0111\u00f3ng BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c th\u1ebf n\u00e0o?<\/em><\/h4>\n

Theo BHXH Vi\u1ec7t Nam, t\u1ea1i Kho\u1ea3n 5 \u0110i\u1ec1u 12 Ngh\u1ecb \u0111\u1ecbnh 146\/2018\/N\u0110-CP h\u01b0\u1edbng d\u1eabn Lu\u1eadt BHYT quy \u0111\u1ecbnh th\u1eddi gian 5 n\u0103m li\u00ean t\u1ee5c l\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng ghi tr\u00ean BHYT l\u1ea7n sau n\u1ed1i ti\u1ebfp l\u1ea7n tr\u01b0\u1edbc, tr\u01b0\u1eddng h\u1ee3p gi\u00e1n \u0111o\u1ea1n t\u1ed1i \u0111a kh\u00f4ng \u0111\u01b0\u1ee3c qu\u00e1 3 th\u00e1ng.<\/p>\n

Nh\u01b0 v\u1eady, n\u1ebfu th\u1eddi gian tham gia BHYT c\u1ee7a ng\u01b0\u1eddi tham gia gi\u00e1n \u0111o\u1ea1n kh\u00f4ng qu\u00e1 3 th\u00e1ng th\u00ec \u0111\u01b0\u1ee3c t\u00ednh l\u00e0 li\u00ean t\u1ee5c.
\n\"Quy\u1ec1nQuy\u1ec1n l\u1ee3i khi tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c<\/p>\n

V\u1ec1 quy\u1ec1n l\u1ee3i khi tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c, BHXH Vi\u1ec7t Nam cho bi\u1ebft:<\/p>\n

C\u0103n c\u1ee9 theo \u0110i\u1ec3m c, Kho\u1ea3n 1, \u0110i\u1ec1u 22 Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i b\u1ed5 sung 2014 th\u00ec ng\u01b0\u1eddi tham gia BHYT s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edfng 100% chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh khi \u0111\u00e3 \u0111\u00f3ng BHYT \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c v\u00e0 c\u00f3 “Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m”.<\/p>\n

\u0110\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5p “Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m” ng\u01b0\u1eddi kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ea7n ph\u1ea3i th\u1ecfa m\u00e3n 2 \u0111i\u1ec1u ki\u1ec7n:<\/p>\n

    \n
  • \u0110\u00e3 tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean.<\/li>\n
  • C\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn trong n\u0103m l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf.<\/li>\n<\/ul>\n

    BHXH l\u01b0u \u00fd: khi \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p “Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m” th\u00ec ng\u01b0\u1eddi tham gia BHYT s\u1ebd kh\u00f4ng ph\u1ea3i ti\u1ebfp t\u1ee5c \u00e1p d\u1ee5ng c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u1ebfn h\u1ebft n\u0103m d\u01b0\u01a1ng l\u1ecbch.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c h\u01b0\u1edfng th\u00eam nhi\u1ec1u quy\u1ec1n l\u1ee3i khi kh\u00e1m, ch\u1eefa b\u1ec7nh. Quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c B\u1ea3o hi\u1ec3m y t\u1ebf (BHYT) \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n thi\u1ebft y\u1ebfu trong h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a nhi\u1ec1u qu\u1ed1c gia, \u0111\u1eb7c bi\u1ec7t l\u00e0 […]<\/p>\n","protected":false},"author":1,"featured_media":18285,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"yoast_head":"\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\n\n\t\n\t\n\t\n