People who are receiving monthly allowances are covered by the State's health insurance

Hà Lê |

People who are receiving monthly allowances from some groups of subjects will be covered by the State's health insurance, ensuring the right to medical examination and treatment.

According to the provisions of the Social Insurance Law 2024, monthly allowance recipients are not only guaranteed in income but also covered by the State for health insurance, ensuring health care benefits during the period when they are not eligible for pension.

Conditions for receiving monthly allowances

According to Article 23 of the Social Insurance Law 2024, monthly allowance recipients who are Vietnamese citizens who meet the following conditions:

First, the retirement age is reached from July 1, 2025. Accordingly, male workers will be 61 years and 3 months old, female workers will be 56 years and 8 months old.

Second, there was a period of social insurance payment but was not eligible for pension according to the provisions of law.

Third, not old enough to receive social pension benefits according to regulations.

Fourth, employees who do not choose to receive one-time social insurance, do not reserve the paid period and have a request will receive a monthly allowance from the participated social insurance amount.

Be covered by the State's health insurance

Pursuant to Clause 6, Article 23 of the Law on Social Insurance 2024, people who are receiving monthly allowances are covered by the State budget for health insurance.

Accordingly, beneficiaries of monthly allowances do not have to pay health insurance themselves but are still granted a health insurance card to use when examining and treating patients according to their rights and benefits. This helps workers reduce the burden of medical costs when they are unfortunately sick or ill.

This regulation demonstrates the connection and unity between social insurance and health insurance policies, ensuring that social insurance participants continue to receive health care during the period when they are not eligible for pensions, while limiting financial risks in the context of increasing medical examination and treatment costs.

Documents, settlement deadline

According to Article 24 of the Social Insurance Law 2024, the application for monthly allowances includes:

Social Insurance book;

Document requesting monthly allowance according to the prescribed form.

Within 5 working days from the date of receiving a complete and valid dossier, the Social Insurance agency is responsible for handling the issue for the employee. In case it is not resolved, the social insurance agency must respond in writing and state the reason.

Employees are recommended to carefully review information about the time and level of social insurance payment in the social insurance book to ensure accurate and complete documents, avoiding adjustments or supplements that prolong the processing time.

Hà Lê
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