{"id":18289,"date":"2023-02-10T07:45:12","date_gmt":"2023-02-10T00:45:12","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=18289"},"modified":"2023-02-10T07:45:12","modified_gmt":"2023-02-10T00:45:12","slug":"quyen-loi-cua-nguoi-tham-gia-bhyt-5-nam-lien-tuc-moi-nhat-rat-can-biet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/02\/10\/quyen-loi-cua-nguoi-tham-gia-bhyt-5-nam-lien-tuc-moi-nhat-rat-can-biet\/","title":{"rendered":"Quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c m\u1edbi nh\u1ea5t r\u1ea5t c\u1ea7n bi\u1ebft"},"content":{"rendered":"

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

Theo \u0111i\u1ec3m c kho\u1ea3n 1 \u0110i\u1ec1u 22 Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf quy \u0111\u1ecbnh v\u1ec1 quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf 5 n\u0103m li\u00ean t\u1ee5c, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c qu\u1ef9\u00a0b\u1ea3o hi\u1ec3m y t\u1ebf\u00a0(BHYT) thanh to\u00e1n 100% chi ph\u00ed kh\u00e1m, ch\u1eefa b\u1ec7nh trong ph\u1ea1m vi \u0111\u01b0\u1ee3c h\u01b0\u1edfng n\u1ebfu \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u ki\u1ec7n t\u1ea1i m\u1ee5c 2.<\/p>\n

C\u1ee5 th\u1ec3, t\u1ea1i Ngh\u1ecb \u0111\u1ecbnh 146\/2018\/N\u0110-CP h\u01b0\u1edbng d\u1eabn thanh to\u00e1n chi ph\u00ed kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1eddi gian tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean nh\u01b0 sau: Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 t\u1ea1i m\u1ed9t l\u1ea7n ho\u1eb7c nhi\u1ec1u l\u1ea7n kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i c\u00f9ng c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh \u0111\u00f3 l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf th\u00ec c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00f4ng thu s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

C\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u00f3 tr\u00e1ch nhi\u1ec7m cung c\u1ea5p h\u00f3a \u0111\u01a1n thu \u0111\u1ed1i v\u1edbi s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 \u0111\u1ee7 06 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u0103n c\u1ee9 \u0111\u1ec1 ngh\u1ecb c\u01a1 quan BHXH x\u00e1c nh\u1eadn kh\u00f4ng ph\u1ea3i c\u00f9ng chi tr\u1ea3 trong n\u0103m \u0111\u00f3.<\/p>\n

Quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c ti\u1ebfp theo l\u00e0 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 l\u0169y k\u1ebf trong n\u0103m t\u00e0i ch\u00ednh t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh kh\u00e1c nhau ho\u1eb7c t\u1ea1i c\u00f9ng m\u1ed9t c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf th\u00ec ng\u01b0\u1eddi b\u1ec7nh mang ch\u1ee9ng t\u1eeb \u0111\u1ebfn c\u01a1 quan BHXH n\u01a1i c\u1ea5p th\u1ebb BHYT \u0111\u1ec3 thanh to\u00e1n s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf v\u00e0 nh\u1eadn gi\u1ea5y x\u00e1c nh\u1eadn kh\u00f4ng ph\u1ea3i c\u00f9ng chi tr\u1ea3 trong n\u0103m \u0111\u00f3.<\/p>\n

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

Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1ed1 ti\u1ec1n c\u00f9ng chi tr\u1ea3 v\u01b0\u1ee3t qu\u00e1 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb ng\u00e0y 1\/1, qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf thanh to\u00e1n 100% chi ph\u00ed kh\u00e1m b\u1ec7nh ch\u1eefa b\u1ec7nh trong ph\u1ea1m vi quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh k\u1ec3 t\u1eeb th\u1eddi \u0111i\u1ec3m ng\u01b0\u1eddi b\u1ec7nh tham gia \u0111\u1ee7 5 n\u0103m li\u00ean t\u1ee5c \u0111\u1ebfn h\u1ebft ng\u00e0y 31\/12 c\u1ee7a n\u0103m \u0111\u00f3.<\/p>\n

\u0110i\u1ec1u ki\u1ec7n \u0111\u01b0\u1ee3c h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c<\/b><\/p>\n

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

– C\u00f3 th\u1eddi gian tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean;<\/p>\n

– 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 (t\u01b0\u01a1ng \u1ee9ng v\u1edbi 8.940.000 \u0111\u1ed3ng).<\/p>\n

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

V\u00ed d\u1ee5: 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

– \u0110i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn.<\/p>\n

H\u1ed3 s\u01a1 h\u01b0\u1edfng BHYT 5 n\u0103m li\u00ean t\u1ee5c<\/b><\/p>\n

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

– Th\u1ebb BHYT c\u00f3 d\u00f2ng ch\u1eef “Th\u1eddi \u0111i\u1ec3m \u0111\u1ee7 05 n\u0103m li\u00ean t\u1ee5c: t\u1eeb dd\/mm\/yy” v\u00e0 Gi\u1ea5y t\u1edd t\u00f9y th\u00e2n c\u00f3 \u1ea3nh (b\u1ea3n sao).<\/p>\n

– H\u00f3a \u0111\u01a1n vi\u1ec7n ph\u00ed (b\u1ea3n ch\u00ednh).\/.<\/p>\n

Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c Theo \u0111i\u1ec3m c kho\u1ea3n 1 \u0110i\u1ec1u 22 Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf quy \u0111\u1ecbnh v\u1ec1 quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf 5 n\u0103m li\u00ean t\u1ee5c, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c qu\u1ef9\u00a0b\u1ea3o hi\u1ec3m y t\u1ebf\u00a0(BHYT) thanh to\u00e1n 100% chi ph\u00ed kh\u00e1m, ch\u1eefa b\u1ec7nh […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-18289","post","type-post","status-publish","format-standard","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=18289"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18289\/revisions"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}