Nơi đăng ký khám chữa bệnh ban đầu là gì? Quy định chi tiết?

What is the place of initial registration for medical examination and treatment? Regulations on places to register for initial medical examination and treatment? Are health insurance participants allowed to change their initial medical examination and treatment registration facilities at the beginning of each quarter?

Regulations on primary medical care This is an important issue for health insurance participants. Registering for initial medical examination and treatment will create favorable conditions for patients to receive medical examination and treatment and enjoy benefits. The following article will provide necessary information for health insurance participants about where to register for initial medical examination and treatment.

1. What is the place of initial medical examination and treatment?

Primary medical examination and treatment establishments are understood as the first medical examination and treatment establishments registered by the insured. In the course of medical examination and treatment, patients will be considered, if they are not eligible for treatment facilities, they will be transferred to higher levels.

Participants of health insurance have the right to register for initial medical treatment at online commune or route District without distinction administrative boundaries, in accordance with Workplaceplace resident and responsiveness of medical examination and treatment establishments at that level.

Change The place of initial medical care is right health insurance participants.

Pursuant to the provisions of Article 8, Circular 40/2015/TT-BYT, health insurance participants are entitled to register for initial medical examination and treatment at medical examination facilities that satisfy the conditions specified in Article 3. , Article 4 of this Circular and regardless of administrative boundaries, are suitable for workplaces, places of residence and ability to meet medical examination and treatment needs of medical examination and treatment establishments. Participants of health insurance can register the initial medical examination and treatment as below.

Primary health care facilities at commune and equivalent levels include:

  • Health stations of communes, wards and townships.
  • Clinics or medical stations, medical rooms belonging to agencies, units or organizations.
  • Independent private family doctor clinic.
  • Medical stations, military-civilian medical clinics, military-civilian medical units at battalion-level units and medical examination and treatment facilities shall comply with regulations of the Minister of National Defense.

Medical examination and treatment establishments at district and equivalent levels:

  • General hospitals of districts, towns, provincial cities.
  • The district health center has the function of medical examination and treatment, the district health center has a polyclinic.
  • Regional polyclinics and polyclinics.
  • The general hospital belongs to class III, class IV, not yet ranked under the Ministry, branch or units directly under the Ministry or branch.
  • Private general hospital equivalent to class III, class IV or not yet rated equivalent.
  • Medical rooms or infirmaries of the Ministry of Public Security, Public Security Hospitals of provinces or centrally run cities.
  • Medical centers, military-civilian medical infirmaries or military-medical commune hospitals, military-medical hospitals of class III, IV or not yet ranked, military-civil medical hospitals of class III, IV or unrated, some Other medical examination and treatment establishments shall comply with regulations of the Minister of National Defense.
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2. Regulations on places of initial medical examination and treatment:

According to the provisions of Article 7 Circular No. 40/2015/TT-BYTInitial medical examination and treatment establishments must satisfy the following conditions:

  • OLDmedical examination and treatment establishments right have a license to operate medical examination and treatment.
  • Medical examination and treatment practitioners right have a practicing certificate medical examination and treatment.
  • Medical examination and treatment establishments specified in the Clauses 1, 2 and 4 Articles 3 Circular 40/2015/TT-BYT If you do not have a license to conduct medical examination and treatment, you must have one meet the requirements for human resources, facilities and equipment, meeting the needs of ordinary medical examination and treatment and first aid treatment, supply and dispensing of drugs within the scope of treatment. work specialize follow regulation of the law on medical examination and treatment.
  • Independent private family doctor clinic: Having fully met the conditions prescribed by the Ministry of Health on the conditions for granting an operating license for an independent private family doctor clinic.
  • Only for Polyclinic there must be at least 02 (two) internal and external specialties; For a general clinic that provides medical examination and treatment for children, in addition to the above 02 (two) specialties, there must be a pediatric specialty..

Pursuant to the provisions of Article 8 of Circular No. 40/2015/TT-BYT:

Participants of health insurance are entitled to register for medical examination and treatment with initial health insurance (hereinafter referred to as initial medical examination and treatment) at one of the prescribed medical examination and treatment establishments. at Article 3 and Article 4 This Circular does not distinguish administrative boundariessuitable to the place of work, place of residence and the responsiveness of medical examination and treatment establishments.”

see more: Instructions to look up the current place of initial medical examination and treatment registration

SoIf you are not eligible for priority or are entitled to special policies, according to the above regulations on registration of medical examination and treatment places, health insurance participants can choose to register for initial medical examination and treatment. at the following facilities:

+) Medical examination and treatment establishments with primary health insurance at commune level and the equivalent:

Health stations in communes, wards and towns;

– Clinics, medical stations, medical rooms of agencies and units, organization;

Family doctor clinic independent private;

– Military-civilian medical stations, military-civilian medical clinics, battalion-level military medical units and other medical examination and treatment facilities as prescribed by the Minister of National Defense.

+) Medical examination and treatment establishments at district and equivalent levels:

– General hospitals of districts, urban districts, towns and provincial cities;

see more: Instructions for documents and procedures for changing the place of initial medical examination and treatment

– The district health center has the function of medical examination and treatment; The district health center has a polyclinic;

– Polyclinic; regional polyclinic;

– Grade III, Grade IV and unranked general hospitals belonging to ministries, branches or affiliated to units of ministries and branches;

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– A private general hospital equivalent to Grade III, equivalent to Grade IV or not yet rated equivalent;

– A private traditional medicine hospital equivalent to Grade III, equivalent to Grade IV or not yet rated equivalent;

– Health Department, Infirmary under the Ministry of Public Security, Public Security Hospital in provinces and centrally run cities;

– Military-civilian medical center, Military medical infirmary, Military-civilian medical clinic, Military medical hospital grade III, IV or not yet ranked, Military hospital grade III, class IV or not ranked, other medical examination and treatment establishments as prescribed by the Minister of National Defense.

AccordinglyBased on your own needs and the criteria of each hospital, you can choose the most convenient place to register for medical examination and treatment.

see more: Registering and changing the place of first medical examination and treatment on the health insurance card

3. Regarding the change of place of initial medical examination and treatment registration:

Pursuant to Article 26 of the Law on Health Insurance 2014 stipulates:

“first. Health insurance participants have the right to register for medical examination and treatment with initial health insurance coverage at medical examination and treatment establishments at the commune, district or equivalent levels; except for cases registered at provincial or central medical examination and treatment establishments as prescribed by the Minister of Health…

2. Health insurance participants may change their initial medical examination and treatment registration facility at the beginning of each quarter.

3. The name of the medical examination and treatment facility covered by health insurance is initially written in the health insurance card.”

SoIf there is a need, health insurance participants may change their initial medical examination and treatment registration facilities at the beginning of each quarter (January; April; July and October) or during the card renewal period. Health insurance. This is a regulation that creates favorable conditions for those who pay health insurance, especially in case people have to work itinely or temporarily reside in another location, they can change their medical examination and treatment establishments. suitable disease, convenient for travel.

To change the place of initial registration for medical examination and treatment, you need to present the issued Health Insurance card. At the same time, you need to declare in the Declaration of Supply and change information in the declaration TK1-TS clearly stating the change of the place of initial medical examination and treatment.

The procedure for changing the place of initial medical examination and treatment registration will be carried out within 5 days from the date the social insurance agency receives a complete and valid dossier. Note: Your health insurance card must be valid, you need to submit a notarized copy of your identity card or citizen identification card.

According to the provisions of Circular No. 40/2015/TT-BYT dated November 16, 2015 of the Ministry of Health, stipulating the registration of initial medical examination and treatment with health insurance and referral for medical examination and treatment with health insurance, the participants of health insurance have the right to register for medical examination and treatment with initial insurance coverage at one of the medical examination and treatment establishments at the commune or district level, regardless of administrative boundaries, suitable to the place of work, place of residence and ability to meet medical needs. response of medical examination and treatment establishments. For medical examination and treatment establishments at the provincial level or higher, the insured may register for initial medical examination and treatment here in one of the following cases:

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Persons who permanently or temporarily reside for a definite period of time or work in a district, town or provincial city that do not have medical examination and treatment facilities at the commune or district level or those facilities cannot satisfy the requirements. the initial medical examination and treatment for the participants of health insurance according to the regulations of the Director of the Department of Health after obtaining the written agreement of the Director of the social insurance agency of the province or centrally run city;

Persons permanently residing or temporarily residing with a definite term or working in a district, town or provincial city may register for initial medical examination and treatment at provincial-level medical examination and treatment establishments run by the Superintendent. The Director of the Department of Health shall prescribe after obtaining the written agreement of the Director of the Social Insurance Administration of the province or city directly under the Central Government;

– Subjects subject to health management and protection according to the Instruction No. 52HD/BTCTW dated December 2, 2005 of the Organization Committee of the Party Central Committee;

– Subjects eligible to manage and protect the health of officials of the province or city;

– People with meritorious services to the revolution, people aged full 80 years or older;

– Children under 6 years old;

– People who work in the army when they retire.

Thus, if they fall into one of the above cases, they will be allowed to change the place of initial medical examination and treatment registration at the provincial medical examination and treatment establishments. In order to change the place of initial medical examination and treatment registration, at the beginning of each quarter, the insured person is requested to bring the issued health insurance card to the social insurance agency where the card is issued for instructions on implementation procedures.

see more: Procedures for applying for a medical examination and treatment practice certificate for foreigners in Vietnam

Conclusion: The place of initial medical examination and treatment registration is very important, a place for timely medical examination and treatment and convenient for travel for the insured, so health insurance participants should consider choosing a place to register. Sign accordingly, convenient later.

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