The truth about health insurance information will no longer pay for serious cases or surgery

Thùy Linh |

The information "From 2026, Health Insurance will no longer pay for serious illnesses or surgeries" is causing many people confusion and anxiety.

On the morning of September 26, Vietnam Social Security (VSS) confirmed that the above information was fake news, completely untrue.

The 2024 Law on Health Insurance (HI) has just been issued and took effect from July 1, 2025, in the direction of continuing to expand and ensure more health insurance benefits for participants, especially for serious diseases and high treatment costs.

Vietnam Social Insurance recommends that people be vigilant against this false information and not share fake news.

To find out information about health insurance policies, always look up information from the official channel of Vietnam Social Insurance or contact the nearest social insurance agency.

Tin gia ve chinh sach bao hiem y te xuat hien tren mang xa hoi. Anh: Huong Giang
Fake news about health insurance policies appeared on social networks. Photo: Huong Giang

Official information channels of Vietnam Social Insurance

Electronic Information Portal: https://baohiemxahoi.gov.vn

Facebook Fanpage: https://www.facebook.com/baohiemxahoi.gov.vn

Zalo OA: https://zalo.me/bhxhvietnam

Youtube: https://www.youtube.com/@BaohiemxahoiVietNamVss

Customer service hotline: 19009068

In fact, payment of medical examination and treatment costs for health insurance participants

According to Vietnam Social Security, participants are paid from 80-100% of medical examination and treatment costs (KCB) according to the benefits and benefits of the health insurance card.

Weak groups (children under 6 years old, poor, near-poor, ethnic minorities...) are always guaranteed by the State to support health insurance participation costs.

The Health Insurance Fund pays for more than 10,000 technical services (with many high-tech techniques such as cardiovascular surgery, organ transplantation, MRI, CT, PET-CT, ...) and pays for 1,037 active drugs with thousands of preparations (including many drugs to treat cancer and serious diseases at high cost).

From 2020 to August 2025, 41,188 patients have been covered by the health insurance fund with from 500 million to over 2 billion VND in medical examination and treatment costs with a total expenditure of more than 33,000 billion VND.

There is a typical case - a patient in Vinh Long province is paid for medical examination and treatment costs of up to nearly 28 billion VND; the main disease is: lack of genetic factor VIII; acute throat inflammation; open wounds in unspecific and other parts of the abdomen, etc.

Please participate and maintain your health insurance card to be protected, take care of your health, and not affect your legitimate rights - Vietnam Social Security recommends to people.

Thùy Linh
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