{"id":11472,"date":"2025-07-08T10:20:32","date_gmt":"2025-07-08T03:20:32","guid":{"rendered":"https:\/\/atslegal.vn\/vn\/?p=11472"},"modified":"2025-07-08T10:20:32","modified_gmt":"2025-07-08T03:20:32","slug":"nhung-diem-moi-trong-luat-bao-hiem-y-te-sua-doi-2024","status":"publish","type":"post","link":"https:\/\/atslegal.vn\/vn\/nhung-diem-moi-trong-luat-bao-hiem-y-te-sua-doi-2024\/","title":{"rendered":"NH\u1eeeNG \u0110I\u1ec2M M\u1edaI TRONG LU\u1eacT B\u1ea2O HI\u1ec2M Y T\u1ebe S\u1eecA \u0110\u1ed4I 2024"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"973\" height=\"544\" src=\"https:\/\/atslegal.vn\/vn\/wp-content\/uploads\/sites\/5\/2025\/07\/image-4.png\" alt=\"\" class=\"wp-image-11473\" srcset=\"https:\/\/atslegal.vn\/vn\/wp-content\/uploads\/sites\/5\/2025\/07\/image-4.png 973w, https:\/\/atslegal.vn\/vn\/wp-content\/uploads\/sites\/5\/2025\/07\/image-4-300x168.png 300w, https:\/\/atslegal.vn\/vn\/wp-content\/uploads\/sites\/5\/2025\/07\/image-4-768x429.png 768w\" sizes=\"(max-width: 973px) 100vw, 973px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>Ng\u00e0y 27\/11\/2024, Qu\u1ed1c h\u1ed9i \u0111\u00e3 bi\u1ec3u quy\u1ebft th\u00f4ng qua Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i 51\/2024\/QH15 c\u00f3 hi\u1ec7u l\u1ef1c t\u1eeb ng\u00e0y 01\/07\/2025. Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i 2024 c\u00f3 nhi\u1ec1u \u0111i\u1ec3m m\u1edbi, th\u1ec3 hi\u1ec7n tinh th\u1ea7n c\u1ea3i c\u00e1ch h\u00e0nh ch\u00ednh, th\u1ee7 t\u1ee5c kh\u00e1m ch\u1eefa b\u1ec7nh, gi\u1ea3m h\u1ed3 s\u01a1 gi\u1ea5y t\u1edd, t\u0103ng c\u01b0\u1eddng \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7, ph\u00e2n c\u1ea5p, ph\u00e2n quy\u1ec1n t\u1ed1i \u0111a, t\u1ea1o thu\u1eadn l\u1ee3i cho ng\u01b0\u1eddi d\u00e2n, trong \u0111\u00f3 c\u00f3 m\u1ed9t s\u1ed1 \u0111i\u1ec3m m\u1edbi \u0111\u00e1ng ch\u00fa \u00fd nh\u01b0 sau:<\/p>\n\n\n\n<ul>\n<li><strong><\/strong><strong>X\u00f3a b\u1ecf &#8220;\u0111\u1ecba gi\u1edbi h\u00e0nh ch\u00ednh&#8221; trong kh\u00e1m ch\u1eefa b\u1ec7nh:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Lu\u1eadt BHYT s\u1eeda \u0111\u1ed5i quy \u0111\u1ecbnh m\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m khi th\u1ef1c hi\u1ec7n th\u00f4ng c\u1ea5p kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u1ecba gi\u1edbi h\u00e0nh ch\u00ednh theo t\u1ec9nh. M\u1ee9c h\u01b0\u1edfng \u0111\u01b0\u1ee3c gi\u1eef \u1ed5n \u0111\u1ecbnh theo quy \u0111\u1ecbnh c\u1ee7a Lu\u1eadt hi\u1ec7n h\u00e0nh v\u00e0 m\u1edf r\u1ed9ng v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/p>\n\n\n\n<p>Ng\u01b0\u1eddi tham gia BHYT \u0111\u01b0\u1ee3c h\u01b0\u1edfng 100% m\u1ee9c b\u1ea3o hi\u1ec3m trong c\u00e1c t\u00ecnh hu\u1ed1ng sau: Kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i c\u01a1 s\u1edf \u0111\u0103ng k\u00fd ban \u0111\u1ea7u ho\u1eb7c n\u1ed9i tr\u00fa t\u1ea1i c\u01a1 s\u1edf c\u1ea5p c\u01a1 b\u1ea3n; kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ea5t k\u1ef3 c\u01a1 s\u1edf b\u1ea3o hi\u1ec3m c\u1ea5p c\u01a1 b\u1ea3n, c\u1ea5p chuy\u00ean s\u00e2u tr\u01b0\u1edbc ng\u00e0y 1\/1\/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\n\n\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh hi\u1ebfm, b\u1ec7nh hi\u1ec3m ngh\u00e8o&#8230; \u0111\u01b0\u1ee3c l\u00ean th\u1eb3ng c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ea5p chuy\u00ean s\u00e2u. Ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf c\u1ea5p ban \u0111\u1ea7u c\u00f3 th\u1ec3 \u0111\u1ebfn th\u1eb3ng c\u01a1 s\u1edf chuy\u00ean s\u00e2u ch\u1eefa b\u1ec7nh m\u00e0 kh\u00f4ng c\u1ea7n gi\u1ea5y chuy\u1ec3n vi\u1ec7n, v\u1eabn \u0111\u01b0\u1ee3c h\u01b0\u1edfng 100% quy\u1ec1n l\u1ee3i BHYT.<\/p>\n\n\n\n<ul>\n<li><strong><\/strong><strong>Kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb xa, t\u1ea1i nh\u00e0 \u0111\u01b0\u1ee3c BHYT thanh to\u00e1n:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Ng\u01b0\u1eddi tham gia BHYT \u0111\u01b0\u1ee3c thanh to\u00e1n c\u00e1c chi ph\u00ed bao g\u1ed3m kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb xa; h\u1ed7 tr\u1ee3 kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb xa; kh\u00e1m ch\u1eefa b\u1ec7nh y h\u1ecdc gia \u0111\u00ecnh; kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i nh\u00e0; ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, kh\u00e1m thai \u0111\u1ecbnh k\u1ef3, sinh con.<\/p>\n\n\n\n<p>B\u1ea3o hi\u1ec3m c\u0169ng thanh to\u00e1n chi ph\u00ed v\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh gi\u1eefa c\u00e1c c\u01a1 s\u1edf y t\u1ebf, trong khi tr\u01b0\u1edbc \u0111\u00e2y ch\u1ec9 tr\u1ea3 cho v\u1eadn chuy\u1ec3n t\u1eeb tuy\u1ebfn huy\u1ec7n l\u00ean tuy\u1ebfn tr\u00ean. C\u00e1c chi ph\u00ed d\u1ecbch v\u1ee5 k\u1ef9 thu\u1eadt y t\u1ebf, thu\u1ed1c, trang thi\u1ebft b\u1ecb, m\u00e1u, ch\u1ebf ph\u1ea9m m\u00e1u, kh\u00ed y t\u1ebf, v\u1eadt t\u01b0, d\u1ee5ng c\u1ee5, c\u00f4ng c\u1ee5, h\u00f3a ch\u1ea5t s\u1eed d\u1ee5ng trong kh\u00e1m ch\u1eefa b\u1ec7nh nay c\u0169ng \u0111\u01b0\u1ee3c Qu\u1ef9 chi tr\u1ea3.&nbsp; &nbsp;<\/p>\n\n\n\n<ul>\n<li><strong><\/strong><strong>\u0110i\u1ec1u chuy\u1ec3n thu\u1ed1c BHYT gi\u1eefa c\u00e1c b\u1ec7nh vi\u1ec7n:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>B\u1ed5 sung c\u01a1 ch\u1ebf thanh to\u00e1n thu\u1ed1c, thi\u1ebft b\u1ecb y t\u1ebf \u0111\u01b0\u1ee3c \u0111i\u1ec1u chuy\u1ec3n gi\u1eefa c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 thanh to\u00e1n chi ph\u00ed d\u1ecbch v\u1ee5 c\u1eadn l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf kh\u00e1c trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu thu\u1ed1c, thi\u1ebft b\u1ecb y t\u1ebf.<\/p>\n\n\n\n<ul>\n<li><strong><\/strong><strong>C\u1eadp nh\u1eadt \u0111\u1ed1i t\u01b0\u1ee3ng tham gia v\u00e0 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 m\u1ee9c \u0111\u00f3ng:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>B\u1ed5 sung nh\u00e2n vi\u00ean y t\u1ebf th\u00f4n b\u1ea3n, c\u00f4 \u0111\u1ee1 th\u00f4n b\u1ea3n \u0111\u1ec3 \u0111\u1ed9ng vi\u00ean, kh\u00edch l\u1ec7 v\u00e0 c\u00f3 ch\u00ednh s\u00e1ch th\u1ecfa \u0111\u00e1ng v\u1edbi \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u00e2n d\u00e2n v\u00f9ng s\u00e2u, xa. \u0110i\u1ec1u ch\u1ec9nh tr\u00e1ch nhi\u1ec7m v\u00e0 ph\u01b0\u01a1ng th\u1ee9c, th\u1eddi h\u1ea1n \u0111\u00f3ng b\u1ea3o hi\u1ec3m, th\u1eddi h\u1ea1n th\u1ebb c\u00f3 gi\u00e1 tr\u1ecb s\u1eed d\u1ee5ng.<\/p>\n\n\n\n<p>B\u1ed5 sung th\u00eam 4 nh\u00f3m \u0111\u01b0\u1ee3c nh\u00e0 n\u01b0\u1edbc \u0111\u00f3ng b\u1ea3o hi\u1ec3m y t\u1ebf t\u1eeb 1\/7\/2025. Theo \u0111\u00f3, Ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc h\u1ed7 tr\u1ee3 100% ti\u1ec1n mua BHYT v\u1edbi ng\u01b0\u1eddi gi\u00e0 \u0111\u1ee7 75 tu\u1ed5i \u0111ang nh\u1eadn tr\u1ee3 c\u1ea5p h\u01b0u tr\u00ed; ng\u01b0\u1eddi \u0111\u1ee7 tu\u1ed5i ngh\u1ec9 h\u01b0u nh\u01b0ng ch\u01b0a \u0111\u1ee7 n\u0103m \u0111\u00f3ng m\u00e0 nh\u1eadn tr\u1ee3 c\u1ea5p h\u00e0ng th\u00e1ng; d\u00e2n qu\u00e2n th\u01b0\u1eddng tr\u1ef1c &#8211; l\u1ef1c l\u01b0\u1ee3ng s\u1eb5n s\u00e0ng tham gia c\u00e1c nhi\u1ec7m v\u1ee5 \u0111\u1ed9t xu\u1ea5t nh\u01b0 ph\u00f2ng ch\u1ed1ng thi\u00ean tai, d\u1ecbch b\u1ec7nh, &#8230;<\/p>\n\n\n\n<ul>\n<li><strong><\/strong><strong>X\u1eed l\u00fd ch\u1eadm \u0111\u00f3ng ho\u1eb7c tr\u1ed1n \u0111\u00f3ng BHYT:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Lu\u1eadt quy \u0111\u1ecbnh c\u00e1c ch\u1ebf t\u00e0i x\u1eed l\u00fd m\u1ea1nh h\u01a1n \u0111\u1ed1i v\u1edbi h\u00e0nh vi vi ph\u1ea1m ph\u00e1p lu\u1eadt v\u1ec1 BHYT, \u0111\u1eb7c bi\u1ec7t l\u00e0 h\u00e0nh vi ch\u1eadm \u0111\u00f3ng, tr\u1ed1n \u0111\u00f3ng nh\u01b0: B\u1eaft bu\u1ed9c \u0111\u00f3ng \u0111\u1ee7 s\u1ed1 ti\u1ec1n ch\u1eadm, tr\u1ed1n \u0111\u00f3ng b\u1ea3o hi\u1ec3m; t\u00ednh l\u00e3i b\u1eb1ng n\u1ed9p s\u1ed1 ti\u1ec1n b\u1eb1ng 0,03%\/ng\u00e0y t\u00ednh tr\u00ean s\u1ed1 ti\u1ec1n v\u00e0 s\u1ed1 ng\u00e0y ch\u1eadm hay tr\u1ed1n \u0111\u00f3ng.<\/p>\n\n\n\n<p>\u0110\u1ed3ng th\u1eddi \u0111i\u1ec1u ch\u1ec9nh t\u1ef7 l\u1ec7 chi cho kh\u00e1m ch\u1eefa b\u1ec7nh BHYT, t\u0103ng m\u1ee9c ph\u00e2n b\u1ed5 cho ho\u1ea1t \u0111\u1ed9ng kh\u00e1m ch\u1eefa b\u1ec7nh l\u00ean 92%; gi\u1ea3m s\u1ed1 ti\u1ec1n d\u00e0nh cho qu\u1ef9 d\u1ef1 ph\u00f2ng, t\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng qu\u1ef9 xu\u1ed1ng 8%, d\u00e0nh t\u1ed1i thi\u1ec3u 4% cho qu\u1ef9 d\u1ef1 ph\u00f2ng. <\/p>\n\n\n\n<p class=\"has-text-align-right\"><a href=\"https:\/\/drive.google.com\/file\/d\/1Yb694ZRJ-LOENyETxK6NmDENWiPDZEe3\/view\" target=\"_blank\" rel=\"noopener\"><strong><em>Lu\u1eadt s\u1ed1 51\/2024\/QH15 \u00a0\u00a0<\/em><\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u00e0y 27\/11\/2024, Qu\u1ed1c h\u1ed9i \u0111\u00e3 bi\u1ec3u quy\u1ebft th\u00f4ng qua Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i 51\/2024\/QH15 c\u00f3 hi\u1ec7u l\u1ef1c t\u1eeb ng\u00e0y 01\/07\/2025. Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf s\u1eeda \u0111\u1ed5i 2024 c\u00f3 nhi\u1ec1u \u0111i\u1ec3m m\u1edbi, th\u1ec3 hi\u1ec7n tinh th\u1ea7n c\u1ea3i c\u00e1ch h\u00e0nh ch\u00ednh, th\u1ee7 t\u1ee5c kh\u00e1m ch\u1eefa b\u1ec7nh, gi\u1ea3m h\u1ed3 s\u01a1 gi\u1ea5y t\u1edd, t\u0103ng c\u01b0\u1eddng [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":11473,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"_links":{"self":[{"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/posts\/11472"}],"collection":[{"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/comments?post=11472"}],"version-history":[{"count":1,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/posts\/11472\/revisions"}],"predecessor-version":[{"id":11474,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/posts\/11472\/revisions\/11474"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/media\/11473"}],"wp:attachment":[{"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/media?parent=11472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/categories?post=11472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atslegal.vn\/vn\/wp-json\/wp\/v2\/tags?post=11472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}