How to change initial health insurance examination?

Nam Dương |

Reader with email trunghaxxx@gmail.com asked: How is the change of primary health insurance medical examination and treatment facility carried out?

Lawyer Nguyen Thu Thuy, YouMe Law Firm LLC replied:

Clause 21, Article 1 of Law No. 51/2024/QH15 amending and supplementing a number of articles of the Law on Health Insurance, effective from July 1, 2025, stipulates the amendment and supplement to Article 26 of the Law on Health Insurance as follows:

Article 26. Initial registration for medical examination and treatment under health insurance

1. Health insurance participants have the right to register for initial health insurance examination and treatment at an initial or basic level medical examination and treatment facility; have the right to change the initial health insurance examination and treatment facility within the first 15 days of each quarter.

2. The allocation of the number of health insurance cards to the facilities registering for initial health insurance examination and treatment must ensure balance and suitability with the needs of initial health insurance examination and treatment of the people, the response capacity of the medical examination and treatment facilities and the actual capacity of the locality.

3. The Minister of Health shall detail Clauses 1 and 2 of this Article; and prescribe cases of registration for initial health insurance examination and treatment at specialized medical examination and treatment facilities.

4. The Minister of Public Security and the Minister of National Defense shall prescribe the registration of initial health insurance examination and treatment for initial, basic and specialized medical examination and treatment facilities and health insurance participants under their management authority.

Clause 6, Article 7 of Circular No. 01/2025/TT-BYT detailing and guiding the implementation of a number of articles of the Law on Health Insurance stipulates that the change of initial registration place is carried out as follows:

Health insurance participants are allowed to change the place of initial health insurance examination and treatment registration within the first 15 days of each quarter to suit their place of residence, work or study;

The social insurance agency shall change the initial health insurance medical examination and treatment registration place of the health insurance participant based on the health insurance card database. In case the information on the paper health insurance card and the electronic health insurance card are different, the information on the electronic health insurance card shall be followed.

Thus, changing the initial health insurance medical examination and treatment facility within the first 15 days of each quarter according to the above regulations.

Legal advice

Please call the legal advice hotline: 0979310518; 0961360559 to receive a quick, timely answer or email us: tuvanphapluat@laodong.com.vn for a response.

This column is produced with support from YouMe Law Firm LLC.

Nam Dương
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Luật Bảo hiểm y tế (BHYT) năm 2024 đã bổ sung thêm 4 nhóm đối tượng được nhà nước đóng BHYT.