Decree 188/2025/ND-CP takes effect from August 15, 2025, detailing and guiding the implementation of a number of articles of the Law on Health Insurance (HI). Accordingly, the Decree clearly states the case of a health insurance card being temporarily detained in cases where a person going to a doctor or a doctor uses another person's health insurance card. Accordingly:
The health insurance card is revoked in cases specified in Clause 1, Article 20 of the Law on Health Insurance. Specifically, fraud in issuing health insurance cards and cases where people named in the health insurance card do not continue to participate in health insurance.
Cases of fraud in granting health insurance cards include:
- Committing fraud in information about subjects and benefits in the issuance of health insurance cards;
- Other cheating.
The health insurance card is temporarily detained or temporarily locked in use in the case specified in Clause 2, Article 20 of the Law on Health Insurance. Specifically, the health insurance card is temporarily detained in cases where people going to see a doctor or get treatment use another person's health insurance card. People with detained health insurance cards are responsible for receiving the cards back and paying the fine according to the provisions of law.
When detecting a violation as prescribed in Clauses 1, 2 and 3 of this Article, the medical examination and treatment facility shall notify the social insurance agency.
The social insurance agency revokes, temporarily detain or temporarily locks the value of the health insurance card when detecting or receiving notification from the medical examination and treatment facility about violations specified in Clauses 1, 2 and 3 of this Article.
When revoking, temporarily holding or temporarily locking the validity of the health insurance card, the social insurance agency must notify the health insurance participant.
The health insurance card that is temporarily locked or temporarily detained shall be returned when the person lending the card to another person and the health insurance card user of another person has fulfilled the obligation to pay the fine and remedial measures (if any) according to the decision to sanction administrative violations in the case specified in Clause 3 of this Article.
