Changing the long-term illness regimen, 282 diseases are on the list of long-term treatment

According to the Social Insurance Law 2024, effective from July 1, 2025, the regime for long-term illness has changed. Employees will no longer enjoy the full 180 days off as before. Instead, the leave period and benefit level are adjusted in accordance with working conditions and the time participating in social insurance of employees.

Accordingly, Clause 2, Article 43, Clause 3, Article 45 of the Law on Social Insurance 2024 stipulates that in case the employee has expired the sick leave regime in the year according to regulations and continues to receive treatment, the employee who quit his/her job due to a disease on the list of diseases requiring long-term treatment (issued by the Ministry of Health) will continue to receive the long-term sick leave regime.

The allowance for long-term illness is calculated as follows:

If the employee has paid compulsory social insurance for 30 years or more: The sickness allowance will be equal to 65% of the salary used as the basis for social insurance contributions; If the social insurance contribution period is from 15 years to less than 30 years: The sickness allowance will be equal to 55% of the salary used as the basis for social insurance contributions; If the social insurance contribution period is less than 15 years: The sickness allowance will be equal to 50% of the salary used as the basis for social insurance contributions.

The sick leave period is calculated based on working days, excluding holidays, Tet and weekly days off.