{"id":20120,"date":"2023-04-21T07:57:55","date_gmt":"2023-04-21T00:57:55","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=20120"},"modified":"2023-04-21T07:58:55","modified_gmt":"2023-04-21T00:58:55","slug":"quyen-loi-cua-nguoi-duoc-bhyt-chi-tra-100-chi-phi-kcb-thay-doi-gi-khi-tang-luong-tu-thang-7-2023","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/04\/21\/quyen-loi-cua-nguoi-duoc-bhyt-chi-tra-100-chi-phi-kcb-thay-doi-gi-khi-tang-luong-tu-thang-7-2023\/","title":{"rendered":"Quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed KCB thay \u0111\u1ed5i g\u00ec khi t\u0103ng l\u01b0\u01a1ng t\u1eeb th\u00e1ng 7\/2023 ?"},"content":{"rendered":"

Nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh l\u00e0 th\u00f4ng tin \u0111\u01b0\u1ee3c nhi\u1ec1u ng\u01b0\u1eddi d\u00e2n \u0111ang tham gia\u00a0b\u1ea3o hi\u1ec3m y t\u1ebf\u00a0quan t\u00e2m, c\u1ea7n n\u1eafm \u0111\u01b0\u1ee3c \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m quy\u1ec1n l\u1ee3i c\u1ee7a m\u00ecnh.<\/p>\n

5 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed khi \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn<\/b><\/p>\n

Nh\u00f3m 1:<\/i>\u00a0Ng\u01b0\u1eddi c\u00f3 c\u00f4ng v\u1edbi c\u00e1ch m\u1ea1ng theo quy \u0111\u1ecbnh t\u1ea1i Ph\u00e1p l\u1ec7nh \u01b0u \u0111\u00e3i ng\u01b0\u1eddi c\u00f3 c\u00f4ng v\u1edbi c\u00e1ch m\u1ea1ng; C\u1ef1u chi\u1ebfn binh; Ng\u01b0\u1eddi thu\u1ed9c di\u1ec7n h\u01b0\u1edfng tr\u1ee3 c\u1ea5p b\u1ea3o tr\u1ee3 x\u00e3 h\u1ed9i h\u1eb1ng th\u00e1ng; Ng\u01b0\u1eddi thu\u1ed9c h\u1ed9 gia \u0111\u00ecnh ngh\u00e8o; ng\u01b0\u1eddi d\u00e2n t\u1ed9c thi\u1ec3u s\u1ed1 \u0111ang sinh s\u1ed1ng t\u1ea1i v\u00f9ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf – x\u00e3 h\u1ed9i kh\u00f3 kh\u0103n; ng\u01b0\u1eddi \u0111ang sinh s\u1ed1ng t\u1ea1i v\u00f9ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf – 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; Th\u00e2n nh\u00e2n c\u1ee7a ng\u01b0\u1eddi c\u00f3 c\u00f4ng v\u1edbi c\u00e1ch m\u1ea1ng l\u00e0 cha \u0111\u1ebb, m\u1eb9 \u0111\u1ebb, v\u1ee3 ho\u1eb7c ch\u1ed3ng, con c\u1ee7a li\u1ec7t s\u0129; ng\u01b0\u1eddi c\u00f3 c\u00f4ng nu\u00f4i d\u01b0\u1ee1ng li\u1ec7t s\u0129; Ng\u01b0\u1eddi t\u1eeb \u0111\u1ee7 80 tu\u1ed5i tr\u1edf l\u00ean \u0111ang h\u01b0\u1edfng tr\u1ee3 c\u1ea5p h\u1eb1ng th\u00e1ng…<\/p>\n

Nh\u00f3m 2 – C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng sau \u0111\u01b0\u1ee3c thanh to\u00e1n 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 kh\u00f4ng \u00e1p d\u1ee5ng gi\u1edbi h\u1ea1n t\u1ef7 l\u1ec7 thanh to\u00e1n thu\u1ed1c, h\u00f3a ch\u1ea5t, v\u1eadt t\u01b0 y t\u1ebf v\u00e0 d\u1ecbch v\u1ee5 k\u1ef9 thu\u1eadt:<\/i>\u00a0Ng\u01b0\u1eddi ho\u1ea1t \u0111\u1ed9ng c\u00e1ch m\u1ea1ng tr\u01b0\u1edbc ng\u00e0y 1\/1\/1945; Ng\u01b0\u1eddi ho\u1ea1t \u0111\u1ed9ng c\u00e1ch m\u1ea1ng t\u1eeb ng\u00e0y 1\/1\/1945 – kh\u1edfi ngh\u0129a th\u00e1ng T\u00e1m n\u0103m 1945; B\u00e0 m\u1eb9 Vi\u1ec7t Nam anh h\u00f9ng; Th\u01b0\u01a1ng binh, ng\u01b0\u1eddi h\u01b0\u1edfng ch\u00ednh s\u00e1ch nh\u01b0 th\u01b0\u01a1ng binh, th\u01b0\u01a1ng binh lo\u1ea1i B, b\u1ec7nh binh suy gi\u1ea3m kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng t\u1eeb 81% tr\u1edf l\u00ean; Th\u01b0\u01a1ng binh, ng\u01b0\u1eddi h\u01b0\u1edfng ch\u00ednh s\u00e1ch nh\u01b0 th\u01b0\u01a1ng binh, th\u01b0\u01a1ng binh lo\u1ea1i B, b\u1ec7nh binh khi \u0111i\u1ec1u tr\u1ecb v\u1ebft th\u01b0\u01a1ng, b\u1ec7nh t\u1eadt t\u00e1i ph\u00e1t; Ng\u01b0\u1eddi ho\u1ea1t \u0111\u1ed9ng kh\u00e1ng chi\u1ebfn b\u1ecb nhi\u1ec5m ch\u1ea5t \u0111\u1ed9c h\u00f3a h\u1ecdc c\u00f3 t\u1ef7 l\u1ec7 suy gi\u1ea3m kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng t\u1eeb 81 % tr\u1edf l\u00ean; Tr\u1ebb em d\u01b0\u1edbi 6 tu\u1ed5i.<\/p>\n

\"\"
Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh n\u0103m 2023.<\/figcaption><\/figure>\n

Nh\u00f3m 3:<\/i>\u00a0Ng\u01b0\u1eddi tham gia BHYT \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i tuy\u1ebfn x\u00e3.<\/p>\n

Nh\u00f3m 4:<\/i>\u00a0Chi ph\u00ed cho m\u1ed9t l\u1ea7n kh\u00e1m ch\u1eefa b\u1ec7nh th\u1ea5p h\u01a1n 15% m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf.<\/p>\n

Nh\u00f3m 5:<\/i>\u00a0C\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 b\u1ec7nh, ch\u1eefa b\u1ec7nh trong n\u0103m l\u1edbn h\u01a1n 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf.<\/p>\n

Thay \u0111\u1ed5i \u0111i\u1ec1u ki\u1ec7n h\u01b0\u1edfng 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb ng\u00e0y 1\/7\/2023<\/b><\/p>\n

Nhi\u1ec1u \u0111i\u1ec1u ki\u1ec7n, quy\u1ec1n l\u1ee3i h\u01b0\u1edfng thanh to\u00e1n 100% BHYT khi kh\u00e1m ch\u1eefa b\u1ec7nh li\u00ean quan \u0111\u1ebfn l\u01b0\u01a1ng c\u01a1 s\u1edf. V\u00ec v\u1eady, t\u1eeb 1\/7\/2023, khi m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf t\u0103ng t\u1eeb 1,49 tri\u1ec7u \u0111\u1ed3ng l\u00ean 1,8 tri\u1ec7u \u0111\u1ed3ng, m\u1ed9t s\u1ed1 \u0111i\u1ec1u ki\u1ec7n h\u01b0\u1edfng 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh c\u0169ng c\u00f3 s\u1ef1 thay \u0111\u1ed5i.<\/p>\n

Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf ph\u1ea7n tr\u00ean, m\u1ed9t trong 5 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed khi \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn khi chi ph\u00ed cho m\u1ed9t l\u1ea7n kh\u00e1m ch\u1eefa b\u1ec7nh th\u1ea5p h\u01a1n 15% m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf.<\/p>\n

Theo \u0111\u00f3, 15% m\u1ee9c l\u01b0\u01a1ng c\u01a1 s\u1edf hi\u1ec7n t\u1ea1i l\u00e0 223.500 \u0111\u1ed3ng; t\u1eeb ng\u00e0y 1\/7\/2023, con s\u1ed1 n\u00e0y l\u00e0 270.000 \u0111\u1ed3ng. Nh\u01b0 v\u1eady, t\u1eeb 1\/7, ng\u01b0\u1eddi tham gia BHYT \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang quy \u0111\u1ecbnh c\u1ee7a Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 chi ph\u00ed cho m\u1ed9t l\u1ea7n d\u01b0\u1edbi 270.000 \u0111\u1ed3ng th\u00ec \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100%, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c kh\u00e1m ch\u1eefa b\u1ec7nh mi\u1ec5n ph\u00ed.<\/p>\n

T\u01b0\u01a1ng t\u1ef1 nh\u01b0 tr\u00ean, \u0111\u1ed1i v\u1edbi nh\u00f3m 5, khi l\u01b0\u01a1ng c\u01a1 s\u1edf t\u0103ng th\u00ec \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 h\u01b0\u1edfng 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ee7a ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean c\u0169ng thay \u0111\u1ed5i theo.<\/p>\n

C\u1ee5 th\u1ec3, t\u1eeb \u0111\u1ea7u n\u0103m 2023 cho \u0111\u1ebfn h\u1ebft ng\u00e0y 30\/6, ng\u01b0\u1eddi 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 kh\u00e1m ch\u1eefa b\u1ec7nh trong n\u0103m l\u1edbn h\u01a1n 8,94 tri\u1ec7u \u0111\u1ed3ng (6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf 1,49 tri\u1ec7u \u0111\u1ed3ng\/th\u00e1ng) th\u00ec ph\u1ea7n v\u01b0\u1ee3t qu\u00e1 6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf s\u1ebd do qu\u1ef9 BHYT thanh to\u00e1n v\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chi tr\u1ea3 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb th\u1eddi \u0111i\u1ec3m n\u00e0y cho \u0111\u1ebfn h\u1ebft n\u0103m.<\/p>\n

T\u1eeb ng\u00e0y 1\/7\/2023, khi t\u0103ng l\u01b0\u01a1ng c\u01a1 s\u1edf l\u00ean m\u1ee9c 1,8 tri\u1ec7u \u0111\u1ed3ng\/th\u00e1ng, ng\u01b0\u1eddi tham gia BHYT 5 n\u0103m li\u00ean t\u1ee5c tr\u1edf l\u00ean ph\u1ea3i 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 10,8 tri\u1ec7u \u0111\u1ed3ng (6 th\u00e1ng l\u01b0\u01a1ng c\u01a1 s\u1edf) m\u1edbi \u0111\u01b0\u1ee3c h\u01b0\u1edfng c\u00e1c quy\u1ec1n l\u1ee3i tr\u00ean.<\/p>\n

C\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 \u0111\u00fang tuy\u1ebfn kh\u00e1m ch\u1eefa b\u1ec7nh BHYT g\u1ed3m:<\/b><\/em><\/p>\n

– Kh\u00e1m, ch\u1eefa b\u1ec7nh \u0111\u00fang n\u01a1i \u0111\u0103ng k\u00fd ban \u0111\u1ea7u;<\/em><\/p>\n

– Kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i n\u01a1i \u0111\u01b0\u1ee3c th\u00f4ng tuy\u1ebfn;<\/em><\/p>\n

– Kh\u00e1m, ch\u1eefa b\u1ec7nh c\u00f3 gi\u1ea5y chuy\u1ec3n tuy\u1ebfn c\u1ee7a c\u01a1 s\u1edf kh\u00e1m, ch\u1eefa b\u1ec7nh ban \u0111\u1ea7u;<\/em><\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u;<\/em><\/p>\n

– Kh\u00e1m, ch\u1eefa b\u1ec7nh trong th\u1eddi gian \u0111i c\u00f4ng t\u00e1c, l\u00e0m vi\u1ec7c l\u01b0u \u0111\u1ed9ng, h\u1ecdc t\u1eadp trung kh\u00e1m, ch\u1eefa b\u1ec7nh ban \u0111\u1ea7u t\u1ea1i c\u01a1 s\u1edf kh\u00e1m, ch\u1eefa b\u1ec7nh c\u00f9ng tuy\u1ebfn ho\u1eb7c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng c\u01a1 s\u1edf \u0111\u0103ng k\u00fd kh\u00e1m, ch\u1eefa b\u1ec7nh ban \u0111\u1ea7u.<\/em><\/p><\/blockquote>\n

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

Nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh l\u00e0 th\u00f4ng tin \u0111\u01b0\u1ee3c nhi\u1ec1u ng\u01b0\u1eddi d\u00e2n \u0111ang tham gia\u00a0b\u1ea3o hi\u1ec3m y t\u1ebf\u00a0quan t\u00e2m, c\u1ea7n n\u1eafm \u0111\u01b0\u1ee3c \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m quy\u1ec1n l\u1ee3i c\u1ee7a m\u00ecnh. 5 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c BHYT chi tr\u1ea3 100% chi ph\u00ed khi \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn Nh\u00f3m […]<\/p>\n","protected":false},"author":3,"featured_media":20121,"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-20120","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/20120","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=20120"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/20120\/revisions"}],"predecessor-version":[{"id":20123,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/20120\/revisions\/20123"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/20121"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=20120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=20120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=20120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}