Vietnam Social Security clarifies health insurance coverage levels

Vietnam Social Security has issued a clarification regarding health insurance (BHYT) coverage levels, noting that percentages such as 80%, 95%, and 100% do not represent the total amount paid toward an entire hospital bill.

Actual benefits depend on the specific scope of coverage, including lists of approved medicines, medical supplies, payment conditions, and the type of medical examination or treatment received. Even individuals in the 100% coverage group may still incur out-of-pocket costs if they select services outside the standard scope or opt for requested services that exceed regulated limits.

The announcement follows public concern regarding a patient with psoriasis who faced high monthly costs for biological drugs, where the insurance fund covered only 50%. Authorities emphasize that understanding these regulations helps citizens protect their rights and ensures the sustainable use of the health insurance fund.