On January 6, the Ministry of Health issued an urgent document to Vietnam Social Security (Ministry of Finance); Departments of Health of provinces and centrally-run cities; medical examination and treatment facilities nationwide on the conversion of health insurance benefit codes for participants according to Resolution No. 261/2025/QH15.
According to the Ministry of Health, on December 11, 2025, the National Assembly issued Resolution No. 261/2025/QH15 on a number of special mechanisms and policies to create breakthroughs for the protection, care and improvement of people's health, effective from January 1, 2026.
Point a, Clause 1, Article 2 of Resolution No. 261/2025/QH15 stipulates: "Health insurance participants from near-poor households, elderly people aged 75 and over who are receiving social pension allowances are entitled to a 100% benefit level for medical examination and treatment costs within the scope of benefits enjoyed by health insurance participants".
To ensure the rights of health insurance participants, the Ministry of Health requests Vietnam Social Security to urgently implement the conversion of the benefit code of health insurance participants belonging to the above-mentioned subjects:
Health insurance participants belonging to near-poor households (with the health insurance participant code being CN code) from benefit code No. 3 (benefit level of 95%) to benefit code No. 2 (benefit level of 100%) from January 1, 2026;
Health insurance participants are elderly people aged 75 and over who are receiving social pension benefits (with the health insurance participant code being LH code) from benefit code No. 4 (benefit level 80%) to benefit code No. 2 (benefit level 100%) from January 1, 2026.
The Ministry of Health requests medical examination and treatment facilities nationwide to implement card information lookup and ensure the rights of health insurance participants in accordance with regulations.
In case it is necessary or there are problems, it is necessary to immediately discuss and contact the assessor and the social insurance agency to agree on implementation, ensuring the rights of health insurance patients in a timely manner.
Departments of Health of provinces and centrally-run cities organize the implementation and urging of the implementation of the above regulations in localities.
