Sending a question to Vietnam Social Insurance, reader T.L said: "I went to see a doctor and receive treatment at Y.H.C.T Hospital and was informed that the reflux treatment planting service did not receive health insurance (HI), asking me to pay 800,000 VND for this service (with a referral letter). I would like to ask, is that right or wrong? ".
Regarding this issue, Vietnam Social Security responds as follows:
"Tie" technical services are covered by the health insurance fund. "Tieled" technical services have payment prices according to the health insurance regime at Y.H.C.T Hospital. is 156,400 VND and the price of "numbra" technical services according to the type 1 requirement is 800,000 VND, type 2 is 500,000 VND, so the Hospital replied that the "numbra" technical service is not eligible for health insurance, which is not in accordance with regulations.
Through discussion with Mr. T.L. by the phone number he provided and worked with Hospital Y.H.C.T. in 2025, Mr. T.L. went to the Hospital for medical examination and treatment twice:
Outpatient examination on March 3, 2025 at the Hospital with a cost to request the Social Insurance agency to pay 45,000 VND ( Patients do not have to pay the same);
For inpatient treatment on March 4 - 20, 2025 at the Hospital with the proposed cost paid by the Social Insurance agency of VND 6,765,813.63 and the patient must pay (20%) of VND 1,691,453.41.
During the treatment, patients are assigned and perform technical services, including: magnetic electricity, medicine absorption, magnetic acupressure, acupressure massage... (not assigned to "ited" technical services), and patients do not have to pay for "ited" technical service costs during treatment at the Hospital.
The Social Insurance Agency discussed and requested that Y.H.C.T Hospital must ensure human resources, professional conditions, and facilities to provide quality health insurance technical services to health insurance patients in accordance with the Hospital's professional scope and the benefit level and rights of participants.
In case the health insurance patient voluntarily uses the service as requested, it is necessary to explain and notify the health insurance patient about the costs that the patient must pay outside the scope for the patient to choose and decide.
