{"id":25875,"date":"2025-04-26T20:26:59","date_gmt":"2025-04-26T13:26:59","guid":{"rendered":"https:\/\/kenh69.info\/?p=25875"},"modified":"2025-04-26T20:27:32","modified_gmt":"2025-04-26T13:27:32","slug":"25875-2","status":"publish","type":"post","link":"https:\/\/kenh69.info\/?p=25875","title":{"rendered":"Tin vui cho nh\u1eefng ng\u01b0\u1eddi tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c: M\u1ee9c h\u01b0\u1edfng cao ch\u01b0a t\u1eebng c\u00f3, th\u00eam nhi\u1ec1u quy\u1ec1n l\u1ee3i \u0111\u1eb7c bi\u1ec7t"},"content":{"rendered":"<h2>B\u1eaft \u0111\u1ea7u t\u1eeb 1\/7\/2025, nh\u1eefng ai tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c nh\u1eadn quy\u1ec1n l\u1ee3i \u0111\u1eb7c bi\u1ec7t, m\u1ee9c h\u01b0\u1edfng c\u1ef1c cao.<\/h2>\n<p><strong>B\u00e1o Ng\u01b0\u1eddi \u0111\u01b0a tin ng\u00e0y 26\/04 \u0111\u01b0a th\u00f4ng tin v\u1edbi ti\u00eau \u0111\u1ec1: &#8220;Tin vui cho nh\u1eefng ng\u01b0\u1eddi tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c: M\u1ee9c h\u01b0\u1edfng cao ch\u01b0a t\u1eebng c\u00f3, th\u00eam nhi\u1ec1u quy\u1ec1n l\u1ee3i \u0111\u1eb7c bi\u1ec7t&#8221; c\u00f9ng n\u1ed9i dung nh\u01b0 sau:\u00a0<\/strong><\/p>\n<p><strong>B\u1ea3o hi\u1ec3m y t\u1ebf 5 n\u0103m li\u00ean t\u1ee5c l\u00e0 g\u00ec?<\/strong><\/p>\n<p>B\u1ea3o hi\u1ec3m y t\u1ebf 5 n\u0103m li\u00ean t\u1ee5c l\u00e0 khi ng\u01b0\u1eddi tham gia BHYT c\u00f3 th\u1eddi gian \u0111\u00f3ng 05 n\u0103m li\u00ean ti\u1ebfp, trong \u0111\u00f3 \u0111\u01b0\u1ee3c ph\u00e9p gi\u00e1n \u0111o\u1ea1n t\u1ed1i \u0111a 03 th\u00e1ng. Th\u1eddi \u0111i\u1ec3m ng\u01b0\u1eddi tham gia BHYT \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c s\u1ebd \u0111\u01b0\u1ee3c ghi nh\u1eadn tr\u1ef1c ti\u1ebfp tr\u00ean th\u1ebb BHYT c\u1ee7a ng\u01b0\u1eddi \u0111\u00f3.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/imgv2.blogtamsu.vn\/2025\/04\/26\/203336854389633024-2025-4-26-bao-hiem-y-te-1745639224928-17456392250109027840.png\" \/><\/p>\n<p>Theo Quy\u1ebft \u0111\u1ecbnh 1666\/Q\u0110-BHXH ng\u00e0y 03\/12\/2020 th\u00ec th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c in t\u1eeb ng\u00e0y \u2026\/\u2026\/\u2026 tham gia BHYT \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c theo quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh, c\u1ee5 th\u1ec3:<\/p>\n<p>&#8211; Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 \u0111\u1ee7 05 n\u0103m tham gia BHYT li\u00ean t\u1ee5c tr\u1edf l\u00ean t\u00ednh \u0111\u1ebfn ng\u00e0y 01\/01\/2015 th\u00ec in t\u1eeb ng\u00e0y 01\/01\/2015.<\/p>\n<p>&#8211; T\u1eeb ng\u00e0y 01\/01\/2015 tr\u1edf \u0111i, nh\u1eefng ng\u01b0\u1eddi tham gia BHYT ch\u01b0a \u0111\u1ee7 ho\u1eb7c b\u1eaft \u0111\u1ea7u \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c th\u00ec in t\u1eeb ng\u00e0y \u0111\u1ea7u ti\u00ean c\u1ee7a n\u0103m th\u1ee9 6.<\/p>\n<p>Nh\u01b0 v\u1eady, BHYT 05 n\u0103m li\u00ean t\u1ee5c l\u00e0 khi m\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1eddi gian tham gia BHYT 05 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean, tr\u01b0\u1eddng h\u1ee3p c\u00f3 gi\u00e1n \u0111o\u1ea1n th\u00ec t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 03 th\u00e1ng.<\/p>\n<p><strong>Th\u00eam quy\u1ec1n l\u1ee3i c\u1ee7a th\u1ebb BHYT<\/strong><\/p>\n<p>Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i 2024 c\u00f3 nhi\u1ec1u thay \u0111\u1ed5i c\u00f3 l\u1ee3i h\u01a1n cho ng\u01b0\u1eddi b\u1ec7nh. Theo \u0111\u00f3, c\u0103n c\u1ee9 kho\u1ea3n 17 Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i 2024, quy \u0111\u1ecbnh \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1eddi gian tham gia b\u1ea3o hi\u1ec3m y t\u1ebf 05 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean \u0111\u01b0\u1ee3c h\u01b0\u1edfng 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh khi:<\/p>\n<p>(1) C\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong n\u0103m c\u1ee7a nh\u1eefng l\u1ea7n \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh theo quy \u0111\u1ecbnh d\u01b0\u1edbi \u0111\u00e2y l\u1edbn h\u01a1n 06 l\u1ea7n m\u1ee9c tham chi\u1ebfu<\/p>\n<p>(2) Khi kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang n\u01a1i \u0111\u0103ng k\u00fd kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh b\u1ea3o hi\u1ec3m y t\u1ebf ban \u0111\u1ea7u<\/p>\n<p>(3) T\u1ef1 \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang c\u01a1 s\u1edf \u0111\u0103ng k\u00fd kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh b\u1ea3o hi\u1ec3m y t\u1ebf ban \u0111\u1ea7u, kh\u00f4ng \u0111\u00fang n\u01a1i \u0111\u0103ng k\u00fd kh\u00e1m ch\u1eefa b\u1ec7nh ban \u0111\u1ea7u, kh\u00f4ng \u0111\u00fang quy tr\u00ecnh chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh gi\u1eefa c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh b\u1ea3o hi\u1ec3m y t\u1ebf trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<p>&#8211; Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u1ea5p c\u01a1 b\u1ea3n ho\u1eb7c c\u1ea5p chuy\u00ean s\u00e2u trong tr\u01b0\u1eddng h\u1ee3p ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh hi\u1ebfm, b\u1ec7nh hi\u1ec3m ngh\u00e8o, b\u1ec7nh c\u1ea7n ph\u1eabu thu\u1eadt ho\u1eb7c s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt cao do B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh;<\/p>\n<p>&#8211; L\u00e0 ng\u01b0\u1eddi d\u00e2n t\u1ed9c thi\u1ec3u s\u1ed1 v\u00e0 ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 ngh\u00e8o \u0111ang sinh s\u1ed1ng t\u1ea1i v\u00f9ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf &#8211; x\u00e3 h\u1ed9i kh\u00f3 kh\u0103n, v\u00f9ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf &#8211; x\u00e3 h\u1ed9i \u0111\u1eb7c bi\u1ec7t kh\u00f3 kh\u0103n, ng\u01b0\u1eddi \u0111ang sinh s\u1ed1ng t\u1ea1i x\u00e3 \u0111\u1ea3o, huy\u1ec7n \u0111\u1ea3o khi kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh n\u1ed9i tr\u00fa t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u1ea5p chuy\u00ean s\u00e2u;<\/p>\n<p>&#8211; Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u1ea5p ban \u0111\u1ea7u;<\/p>\n<p>&#8211; Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh n\u1ed9i tr\u00fa t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u1ea5p c\u01a1 b\u1ea3n;<\/p>\n<p>&#8211; Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u1ea5p c\u01a1 b\u1ea3n, c\u1ea5p chuy\u00ean s\u00e2u m\u00e0 tr\u01b0\u1edbc ng\u00e0y 01\/01\/2025 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u01a1 quan c\u00f3 th\u1ea9m quy\u1ec1n x\u00e1c \u0111\u1ecbnh l\u00e0 tuy\u1ebfn huy\u1ec7n;<\/p>\n<p>(4) Khi kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ea5t k\u1ef3 c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh n\u00e0o trong tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u<\/p>\n<p>(5) Khi \u0111\u0103ng k\u00fd kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh b\u1ea3o hi\u1ec3m y t\u1ebf ban \u0111\u1ea7u<\/p>\n<p>(6) Chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh gi\u1eefa c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh b\u1ea3o hi\u1ec3m y t\u1ebf<\/p>\n<p><strong>\u0110i\u1ec1u ki\u1ec7n \u0111\u01b0\u1ee3c h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c:<\/strong><\/p>\n<p>C\u00f3 th\u1eddi gian tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean; C\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed KCB trong n\u0103m l\u1edbn h\u01a1n 06 l\u1ea7n m\u1ee9c tham chi\u1ebfu; \u0110i KCB \u0111\u00fang tuy\u1ebfn, \u0111\u00fang quy tr\u00ecnh chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh gi\u1eefa c\u00e1c c\u01a1 s\u1edf KCB BHYT ho\u1eb7c kh\u00e1m tr\u00e1i tuy\u1ebfn tuy\u1ebfn trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00eau t\u1ea1i (3) \u1edf tr\u00ean ho\u1eb7c c\u1ea5p c\u1ee9u trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<p><strong>H\u1ed3 s\u01a1 h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c<\/strong><\/p>\n<p>Theo Th\u00f4ng b\u00e1o 2298\/TB-BHXH n\u0103m 2018, ng\u01b0\u1eddi c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u0111\u01b0\u1ee3c thanh to\u00e1n quy\u1ec1n l\u1ee3i BHYT 5 n\u0103m li\u00ean t\u1ee5c n\u1ed9p cho c\u01a1 quan BHXH c\u00e1c gi\u1ea5y t\u1edd sau \u0111\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft ch\u1ebf \u0111\u1ed9:<\/p>\n<p>&#8211; Th\u1ebb BHYT c\u00f3 d\u00f2ng ch\u1eef &#8220;Th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c: t\u1eeb dd\/mm\/yy&#8221; v\u00e0 Gi\u1ea5y t\u1edd t\u00f9y th\u00e2n c\u00f3 \u1ea3nh (b\u1ea3n sao).<\/p>\n<p>&#8211; H\u00f3a \u0111\u01a1n vi\u1ec7n ph\u00ed (b\u1ea3n ch\u00ednh).<\/p>\n<p><strong>Tr\u01b0\u1edbc \u0111\u00f3, b\u00e1o Th\u01b0\u01a1ng hi\u1ec7u &amp; Ph\u00e1p lu\u1eadt ng\u00e0y 26\/02 c\u0169ng c\u00f3 b\u00e0i \u0111\u0103ng v\u1edbi th\u00f4ng tin: &#8220;T\u1eeb 1\/7\/2025: Ai tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c h\u01b0\u1edfng quy\u1ec1n l\u1ee3i \u0111\u1eb7c bi\u1ec7t cao ch\u01b0a t\u1eebng c\u00f3&#8221;. N\u1ed9i dung \u0111\u01b0\u1ee3c b\u00e1o \u0111\u01b0a nh\u01b0 sau:<\/strong><\/p>\n<p><strong>Th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c l\u00e0 g\u00ec?<\/strong><\/p>\n<p>Th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c l\u00e0 th\u1eddi gian m\u00e0 ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u01b0\u1ee3c h\u01b0\u1edfng c\u00e1c quy\u1ec1n \u01b0u ti\u00ean t\u01b0\u01a1ng \u1ee9ng, tuy nhi\u00ean, th\u1eddi gian n\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 th\u1eddi h\u1ea1n c\u00f3 gi\u00e1 tr\u1ecb s\u1eed d\u1ee5ng c\u1ee7a BHYT nh\u01b0 nhi\u1ec1u ng\u01b0\u1eddi v\u1eabn t\u01b0\u1edfng.<\/p>\n<p>Th\u1eddi h\u1ea1n \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c ch\u1ec9 l\u00e0 c\u0103n c\u1ee9 \u0111\u1ec3 x\u00e1c l\u1eadp c\u00e1c quy\u1ec1n \u01b0u ti\u00ean \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi tham gia BHYT. Hi\u1ec3u \u0111\u01b0\u1ee3c th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c l\u00e0 g\u00ec? ch\u00fang ta c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c quy \u0111\u1ecbnh ph\u00e1p lu\u1eadt c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1ch ghi nh\u1eadn, x\u00e1c \u0111\u1ecbnh th\u00f4ng tin n\u00e0y \u1edf trong c\u00e1c ph\u1ea7n ti\u1ebfp theo c\u1ee7a b\u00e0i vi\u1ebft n\u00e0y.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/imgv2.blogtamsu.vn\/2025\/04\/26\/resize-580-news-2025-02-26-quyen-loi-bao-hiem1-ngoisaovn-w900-h506.jpg\" \/><\/p>\n<p>Ng\u00e0y 22\/6, B\u1ea3o hi\u1ec3m x\u00e3 h\u1ed9i TPHCM cho bi\u1ebft \u0111\u00e3 c\u00f3 c\u00f4ng v\u0103n g\u1eedi \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh BHYT tr\u00ean \u0111\u1ecba b\u00e0n th\u00e0nh ph\u1ed1 v\u1ec1 vi\u1ec7c th\u1ed1ng nh\u1ea5t th\u1ef1c hi\u1ec7n thanh to\u00e1n chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh BHYT khi \u00e1p d\u1ee5ng m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf m\u1edbi (1,8 tri\u1ec7u \u0111\u1ed3ng) t\u1eeb ng\u00e0y 1\/7.<\/p>\n<p><strong>Th\u00eam quy\u1ec1n l\u1ee3i c\u1ee7a th\u1ebb BHYT<\/strong><\/p>\n<p>Theo \u0111\u00f3, ng\u01b0\u1eddi c\u00f3 th\u1ebb BHYT \u0111i kh\u00e1m, ch\u1eefa b\u1ec7nh \u0111\u00fang quy \u0111\u1ecbnh, c\u00f3 t\u1ed5ng chi ph\u00ed m\u1ed9t l\u1ea7n kh\u00e1m, ch\u1eefa b\u1ec7nh th\u1ea5p h\u01a1n 270.000 \u0111\u1ed3ng (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 15% m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf) th\u00ec kh\u00f4ng ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00f9ng chi tr\u1ea3.<\/p>\n<p>Th\u1ee9 2, m\u1ee9c chi tr\u1ea3 t\u1ed1i \u0111a cho m\u1ed9t l\u1ea7n s\u1eed d\u1ee5ng d\u1ecbch v\u1ee5 cao, chi ph\u00ed l\u1edbn c\u1ee7a m\u1ed9t s\u1ed1 \u0111\u1ed1i t\u01b0\u1ee3ng theo quy \u0111\u1ecbnh l\u00e0 81 tri\u1ec7u \u0111\u1ed3ng (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 45 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf).<\/p>\n<p>Th\u1ee9 3, m\u1ee9c c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m, ch\u1eefa b\u1ec7nh trong n\u0103m l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf l\u00e0 10.800.000 \u0111\u1ed3ng.<\/p>\n<p>N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1eddi gian tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean v\u00e0 c\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh trong n\u0103m l\u1edbn h\u01a1n m\u1ee9c tr\u00ean s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edfng 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh BHYT.<\/p>\n<p>Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a BHXH TPHCM, c\u00e1c quy \u0111\u1ecbnh tr\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb ng\u00e0y 1\/7, k\u1ec3 c\u1ea3 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia BHYT v\u00e0o vi\u1ec7n tr\u01b0\u1edbc ng\u00e0y 1\/7 nh\u01b0ng ra vi\u1ec7n t\u1eeb ng\u00e0y 1\/7.<\/p>\n<p><strong>\u0110i\u1ec1u ki\u1ec7n \u0111\u01b0\u1ee3c h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c<\/strong><\/p>\n<p>Theo c\u00e1c quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh, \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c bao g\u1ed3m:<\/p>\n<p>&#8211; C\u00f3 th\u1eddi gian tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean;<\/p>\n<p>&#8211; C\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong n\u0103m l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf. S\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3\/chi ph\u00ed \u0111\u1ed3ng chi tr\u1ea3 l\u00e0 kho\u1ea3n ti\u1ec1n m\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 BHYT ph\u1ea3i c\u00f9ng chi tr\u1ea3 v\u1edbi c\u01a1 quan BHXH theo t\u1ef7 l\u1ec7 % \u0111\u01b0\u1ee3c h\u01b0\u1edfng c\u1ee7a lo\u1ea1i th\u1ebb BHYT.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/imgv2.blogtamsu.vn\/2025\/04\/26\/resize-580-news-2025-02-26-quyen-loi-bao-hiem2-ngoisaovn-w845-h634.jpg\" data-height=\"0\" data-width=\"0\" \/><\/p>\n<p><strong>V\u00ed d\u1ee5:\u00a0<\/strong>Th\u1ebb BHYT c\u00f3 m\u1ee9c h\u01b0\u1edfng 80% th\u00ec ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u1ed3ng chi tr\u1ea3 20% trong t\u1ed5ng chi ph\u00ed thu\u1ed9c ph\u1ea1m vi thanh to\u00e1n c\u1ee7a BHYT.<\/p>\n<p>&#8211; \u0110i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn.<\/p>\n<p>H\u1ed3 s\u01a1 h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c<\/p>\n<p>Theo Th\u00f4ng b\u00e1o 2298\/TB-BHXH n\u0103m 2018, ng\u01b0\u1eddi c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u0111\u01b0\u1ee3c thanh to\u00e1n quy\u1ec1n l\u1ee3i BHYT 5 n\u0103m li\u00ean t\u1ee5c n\u1ed9p cho c\u01a1 quan BHXH c\u00e1c gi\u1ea5y t\u1edd sau \u0111\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft ch\u1ebf \u0111\u1ed9:<\/p>\n<p>&#8211; Th\u1ebb BHYT c\u00f3 d\u00f2ng ch\u1eef &#8220;Th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c: t\u1eeb dd\/mm\/yy&#8221; v\u00e0 Gi\u1ea5y t\u1edd t\u00f9y th\u00e2n c\u00f3 \u1ea3nh (b\u1ea3n sao).<\/p>\n<p>&#8211; H\u00f3a \u0111\u01a1n vi\u1ec7n ph\u00ed (b\u1ea3n ch\u00ednh).<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/imgv2.blogtamsu.vn\/2025\/04\/26\/resize-580-news-2025-02-26-quyen-loi-bao-hiem3-ngoisaovn-w720-h497.jpg\" data-height=\"0\" data-width=\"0\" \/><\/p>\n<p><strong>Quy\u1ec1n l\u1ee3i khi tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c<\/strong><\/p>\n<p>C\u0103n c\u1ee9 theo \u0110i\u1ec3m c, Kho\u1ea3n 1, \u0110i\u1ec1u 22 Lu\u1eadt BHYT 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 &#8220;Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m&#8221;.<\/p>\n<p>\u0110\u1ec3 hi\u1ec3u \u0111\u01b0\u1ee3c &#8220;Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m&#8221; l\u00e0 g\u00ec? Ng\u01b0\u1eddi tham gia n\u00ean hi\u1ec3u v\u1ec1 nguy\u00ean t\u1eafc &#8220;c\u00f9ng chi tr\u1ea3 ti\u1ec1n kh\u00e1m ch\u1eefa b\u1ec7nh&#8221;. C\u00f3 ngh\u0129a l\u00e0 BHXH s\u1ebd ti\u1ebfn h\u00e0nh chi tr\u1ea3 m\u1ed9t ph\u1ea7n v\u00e0 ng\u01b0\u1eddi kh\u00e1m ch\u1eefa b\u1ec7nh c\u0169ng s\u1ebd ph\u1ea3i chi tr\u1ea3 m\u1ed9t ph\u1ea7n.<\/p>\n<p>Nh\u01b0 v\u1eady, \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5p &#8220;Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m&#8221; ng\u01b0\u1eddi kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ea7n ph\u1ea3i th\u1ecfa m\u00e3n 2 \u0111i\u1ec1u ki\u1ec7n:<\/p>\n<p>&#8211; \u0110\u00e3 tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean.<\/p>\n<p>&#8211; 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 (m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf hi\u1ec7n t\u1ea1i l\u00e0 1.800.000 \u0111\u1ed3ng\/th\u00e1ng).<\/p>\n<p><strong>L\u01b0u \u00fd:<\/strong>\u00a0khi \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p &#8220;Gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m&#8221; 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":"<p>B\u1eaft \u0111\u1ea7u t\u1eeb 1\/7\/2025, nh\u1eefng ai tham gia BHYT \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c nh\u1eadn quy\u1ec1n l\u1ee3i \u0111\u1eb7c bi\u1ec7t, m\u1ee9c h\u01b0\u1edfng c\u1ef1c cao. 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